Hello. I'm a special ed teacher with 9 4th grade students. All of my kids are LD and all but one also qualifiy under OHI with either ADD or ADHD. So, I'm used to working with kids with ADHD. However, I have a student that has severe ADHD and I'm at a loss of what to do with him. (If you've read Joey Pigza, picture him.) I've used chair balls, hand fidgets, frequent breaks, lots of physical activity. I'm pulling everything out here for this child and nothing is able to keep him still and quiet for more than a minute at a time. Very little learning is going on because I'm spending the majority of the time keeping this student from running around the room. It's not just the hyperactivity. He's also very compulsive and his social skills...well, they're nothing to write home about. The parents are very supportive and aware of what's going on. They're doing everything they can to help. He was on medication that was working okay (and by okay I mean not good, but tolerable most of the time) but due to some side effects, his doctor took him off of it and switched it. Now it's just chaos not only here at school, but also at home. I don't think it would have been such a bad week but we also had our state standardized tests this week. I've left school every night this week with a huge headache and near tears. So please, if anyone has some advice, maybe something I'm not thinking of, it would be appreciated. Thanks!