Hi All, I have a child who is very impulsive, has a very hard time during whole group instruction. Besides the impulsivity, he is constantly trying to attract the attention of others, which often works. When he is put in a break to quiet his body, he ends up sitting upside down in the chair or being silly saying LOOK AT ME LOOK AT ME! He uses inappropriate language (talking about body parts, bodily functions), which his peers thinks is hilarious. We've had many talks about it, and he can always say what is the right/wrong thing to do. We are in a co-teaching situation so whoever is not teaching is sitting right next to him trying to keep him regulated the whole time. He is a sweet kid, but he is really taking away from the learning from his peers, and himself because of how disruptive he is. I have documentation of when these behaviors occur. I feel like I'm spending more time redirecting because he riles the whole class up, and we have another child who is very disruptive too, but not quite to the extent he is. Often times he says things that are mean to peers too. We've been talking to mom about our concerns, because he can't focus one bit and we're worried he's going to start falling behind. Apparently he was on medication at the end of last year for these same issues, but then mom took him off of them throughout the summer, said she would make an appt with the psychologist again to see what he recommends, but hasn't yet. (this was at the end of September). It seems to be getting worse and worse. Any recommendations? I'm getting him a manipulative to hold in his hand this weekend, but anything else?? Please offer any ideas you can...I feel like the time that we have whole group instruction is not great right now and I want to reign this class in!! If I can get this little one to stop being so distracting, things would go so much smoother. Even the kids were asking him to stop because they can't hear/learn/are frustrated.