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I am not seeing ADD in your child's behavior. It reminds me of my own son. At four he is doing multiplication, addition, division, and subtraction.. reading and a 1-2 grade level and much much more.

My son was suspected/accused of being ADD.. he was loud, had a quick fire temper, ignored the teachers.. (because he didn't want to work on remedial requirements that he already knew how to do - bored), didn't want to sit in his seat (he would fall asleep if he stayed and got too still), constantly bouncing around and moving no matter what position he was in, and prone to vocal out bursts, like "I know, I KNOW.." etc.

One his teachers had lost his respect and couldn't give him a punishment he cared to avoid.. so that aggrevated things. He was bored. He has SEVERE sleep apnea. Sleep deprivation due to any type of sleep disorder will manifest ADD and ADHD symptoms in a child. What did we do to help? Talked and worked our child through the proper behaior etiquete for class and public places versus home. We also made the teacher aware of his actual academic level so that she would just tests him once on remedials before letting him move on to the next stage.

The CPAP used to treat his sleep apnea, allowed him to control his emotions easily. The effective change was notable and instantaneous. We have also gotten him into a private school tailored for gifted children, yeah we have to pay out the whazoo, but it will be worth it in the long run.

Look to my post linking ADD and ADHD to sleep apnea a little further down on the list. Please check into it just in case. 2 out of 100 children have obstrucive sleep apnea. If it is sleep apnea, while a series disease.. it is a treatable disease.

Lisa, it sounds like you are describing what I went through with my son - he is now 15. He only was on Ritalin for 4 months in Kindergarten and a few months in 7th grade and then he did it again in 9th for just a couple months. We decided that he would not use them anymore. Last two times he was on Adderall. Especially in Kindergarten he just changed to a different person. He developed tics (only with Ritalin) and it took months to go away after he was off. He would 'roll' the end of his shirt or his shorts if he didn't have a shirt on. And a few other things.

Anyway, I had the same questions to the teacher as you. WHAT is HE doing SO differently from the other children? I just saw normal development. He's a boy and is not happy to sit still for so long. He always gets excellent grades. It's his social behavior that gets the attention. The comments from teachers about him being a distraction in class continued right up until 8th grade. This year he has still had some issues, but mainly in a class that doesn't have a lot of structure - like band. (Like doing a rim shot after the teacher finishes talking - I actually think this is funny but didn't tell him that lol).

With all his energy we put him in karate which is a GREAT sport for kids with tons of energy. Just because they have all this energy doesn't mean they are ADD or ADHD. You are also right about 'labeling' a child. Be careful about written reports on your son. I had one teacher write a horrendous report on my son in second grade. She was deeming his future as troublesome to say the least.

The best way we found to help our son was behavior modification. In a nutshell, it is following through with what you tell him is going to happen (don't feel guilty that he is losing a privilege and then change your mind), make sure he gets enough sleep and exercise, try hard not to 'escalate' the situation (that is too easy to do when everyone is tired and angry), and keep your voice down - yelling really sets my son off even if it isn't about him!

If you look for my name on this board, you'll find lots of info that may be similar to your situation. I too struggled with the meds and am glad we tried them only to realize and know that they didn't work for our son. He was 'tested' too, which is just basically a questionnaire and some puzzle type exercises. They said he was fine, but they sent someone to observe him in his daycare setting when he was only 6 and they said his social behavior was a concern. If you got into 'his' space, he would get whiney and push you away (other kids that is).

I'm ramblin now so if I can answer any specific questions let me know and I'll stick to the point. good luck. The last thing I'll say is that when you start conversing with a teacher when you think your child is having issues, they will find every single one of them, even though other children may do the same thing or they may even be worse, your child gets the focus because someone is deeming him a problem.

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