Our expert says:
If possible, see a child psychologist or child psychiatrist for a full assessment of the child and to work out a comprehensive discipline plan to put these behaviour problems to rest. It does sound as though there may be more bothering him than he can openly admit to, and so a full assessment might be very helpful
Purple's wise advice is also most useful here. Any steroid like this spray can affect people's mood, and could add a degree of anxiety or depression to the mix.
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