The parents took him off his meds this past weekend because they think that his ODD tendencies and aggression are a side effect of the medications. I know this is a possibility. The admin and teachers were all prepared for this on Monday. The trade off is now he is doing nothing, no work, no output because he cannot sit still or stop moving at all to do it. He cannot focus at all, he cannot control any of the impulses; I took him for a walk in the hall and he did cartwheels down the hall. The behavioral point chart is not working because he no longer cares about the reward time. I feel for him because he has to be coming out of his skin. OT has given me free access to everything in the room for him, but nothing is helping. The aggression and defiance was bad, but at least he would focus and work output was good. Now he is so disruptive that the class is getting affected. Ideas would be great. Things in place already are a points/reward chart, daily ABC Chart, redirection, OT techniques such as putty, yoga moves, stress relief moves, scooters, an exercise ball for sitting, other tactile seats, stress ball, etc.