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[quote=Anonymous]My 2nd grader with combined type ADHD is a very literal rules follower.  But you do have to get his attention individually, tell him the rules explicitly (including the "why"), and have him repeat the rules back to you.  And you have to do this before you actually begin otherwise he will not be able to focus on absorbing the rules.  If you wait until he's amped up to tell him the rules or don't include why, behavior can be extremely variable.  Overstimulation or missed meds, even though he's not on stimulants, really impacts his behavior.

It can also be helpful to give him something he is supposed to do.  For DS, going to an art museum with his oil pastels and drawing pad in hand would be appropriate.  For some kids the job may be more in line with helping navigate using the map or perhaps keeping notes in a notebook about some specific topic.  Then if the child gets hyper or distracted you can ask them how they are doing with their job (can you show me where we are on the map?  what artist names did you write down?).

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