Hello -advice please?!

Hello, I was wondering if anyone could offer me any advice please?

My (foster) son is 3 1/2 and he's been with us since he was 17 months old and has always had behavioural problems. I've done everything I can (parenting course, rewards etc) but he still has many worrying types of behaviour. He is aggressive, temper tantrums, self harming, is a 'no' person, tries to annoy/argue, doesn't like noises and is bothered by them, doesn't seem to be able to listen/follow instructions, is 'hyper' and a whole long list of things. I had an appointment with a paediatrician today after trying to get help so many times before and being fobbed off and I wrote a list of his behaviours and even though they can't/won't diagnose under 5 years old he agreed a lot of behaviousr aren't normal and seem to indicate ADHD and Autism although that wasn't a diagnosis. I'm just wondering if anyone can advise on what to do and how to get help for a child this age. He does have a lot of good qualities too and an amazing memory and storytelling ability! Thanks!

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