My 4 year old son has issues at home and school. teachers say he is very smart but he goes "mad" when he change from what he wants to do. what is it?

Many: May be normal tantrums or a sign of pain, hearing or visual problems, or a deeper psychological issue at home. If this becomes persistent, see a child psychologist or therapist.

Define the problem: If your son can't transition from a preferred task to a non-preferred task without a meltdown, he'll benefit from evaluation by a child psychologist, psychiatrist or developmental/ behavioral pediatrician to determine if he has an autistic spectrum disorder that used to be called Asperger syndrome or any other neurobehavioral disorder. Seek referral from his pediatrician to florida's card program.