Unfortunately, some folk can't accept that there's a genuine medical reason behind autistic and aggressive symptoms, because they don't want to think that the child is "different" from the rest, but without expert diagnosis and help, the poor boy's going to continue in his own upside down world. Many's the time i've fallen asleep over our son's bed, too tired to carry on reading or talking at some unearthly hour, but with perseverence, it DOES help. Your friend's boy needs to be stimulated & have a lot of time & attention given to him. It's the only way he's ever going to move forward, and yes, it's hard work, but every child deserves that chance. Show these answers to your friend, and I hope it helps her. She must also be aware that she's not alone, because it can seem very bleak at first. Also, it's imperative that the boy's educational needs are met. In some cases, it's better to have them attend a school where these can be specifically catered for. How old's this child?