A 13-year-old boy exhibits aggressive behavior and fires toys. In addition to psychotherapy, which medication is most beneficial?

The most beneficial medication for a 13-year-old boy exhibiting aggressive behavior, in addition to psychotherapy, is methylphenidate. This medication is a stimulant commonly used in the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD). Aggressive behavior in children can often be associated with ADHD, as impulsivity and difficulty with emotional regulation are key symptoms of the disorder. Methylphenidate works by increasing levels of certain neurotransmitters in the brain, which can help improve focus, attention, and self-control, consequently leading to a decrease in aggressive behaviors.

In addition, the context of using methylphenidate reflects an understanding of the underlying behavioral issues rather than solely addressing the aggression itself. Proper management of ADHD can significantly reduce outbursts of aggression, allowing the child to engage more positively in their environment.

Other medications listed do not specifically target the behavioral issues connected to ADHD. For instance, alprazolam is a benzodiazepine that is typically used for anxiety, citalopram is an SSRI for depression and anxiety, and haloperidol, an antipsychotic, is used in more severe cases of aggression and may not be the first-line treatment for a mild-to-moderate behavioral disturbance associated