*First off, I want to mention that I work in a private school that does not have any type of support for special needs children. The child's parents are very much in denial about there being any problem with their son. Basically, I'm out of ideas and I need help deciding how best to approach this child. He is an ELL student, 6.5 years old, from a very wealthy family. He has great difficulty in sitting still and about a 5 second attention span when it comes to independent work in class. He requires absolutely constant teacher supervision. At first, I thought he was just a bit hyperactive or maybe ADD, but over the past few months I have also noticed the following things: - He has trouble with basic addition (for a question like 2+1=, he will use his fingers and take up to 20 seconds to figure out the answer.) - He has trouble writing letters and numbers correctly. This is mostly mirror writing, but also transposing letters in words. This includes a tendency to misspell his own name and to repeatedly forget how to spell basic words like "the" or "at." - He frequently wets himself in class or during playtime and will simply allow the urine to dry on his clothes instead of asking for help. When someone notices the smell and/or wet pants, he will shrug and say he forgot to pee. This happened twice today. - He has very limited emotional control and will hit, kick or scratch other students for very minor reasons such as when someone sits in a reading spot he wanted. He will also cry uncontrollably over very small disappointments, like not getting to go first when playing a game. - He has trouble answering questions about his behavior and/or his school work. Sample exchange from yesterday... Me: "The art teacher tells me she had to give you lots of warnings today. Can you tell me more about what happened?" Him: "Can I go play now?" He has learned virtually nothing so far this year and is wayyyyyy below grade level in reading, writing, math, etc. etc. His behavior also disrupts the rest of the class and takes away from everyone's learning. If you have any idea what all this might be a symptom of and/or how I can improve the situation, please let me know! Thanks! *Also, I want to say that I don't think his behavior is malicious in any way. It just seems like he doesn't pick up new information no matter how often he is exposed to it. He often seems genuinely confused about why teachers and peers have problems with his behavior.