Its definitely complicated and much harder when other obstacles come into play for sure. Time helps, even if its just getting used to the new normal and learning coping skills. Growing up with my little brother was rough. He is, well, cant even go into all his issues really, too numerous to list. Really rare disease and had stroke at 2 which caused some fairly severe issues. He is now 29 but mentally probably around 8ish? Some ways he is much older than that, but impulse control is younger so I kind of just round it to around 8 (my mom would say more like 14 probably). He has also been on steroids as they are pretty much what kept him alive but yeah, besides all the physical side effects, they have major emotional ones too. The fits he threw were just, no words can really describe. In those types of cases it became about management and giving him the words and other outlets when he was calm. It has worked. He still has issues of course (and now he is mostly deaf and legally blind (he can see very close up by its very compromised) so that adds a lot more...but he is able to control his outbursts for the most part, we learned triggers, he learned coping skills, etc. Eh, I had too much coffee this morning, that is all just a rambly mess really.... I guess really my point was (((hugs))).