I had a school meeting today, and apparently my child is having tremendous problems with saying aloud every thought that goes through his head. Obviously the ADHD meds are not controlling impulsivity well. While we try to find the right dose/right med, what strategies can we use to help him keep his thoughts to himself? He is calling out excessively while she's trying to teach, and more concerning, he frequently is telling other children what they're doing wrong. DS is extremely observant, and he notices whenever someone has put a paper in the wrong place, has gotten up at the wrong time, etc. He's alienating himself from the other kids by constantly telling them what they're doing wrong. They're also annoyed that he keeps interrupting lessons by calling out. DS is at the point that none of his classmates want to be his partner, he's been shunned by some kids on the playground, and people openly say that they do not want to be his friend. I'm concerned about his interpersonal relationships and the effects on DS' self-esteem.
Give him a form and ask him to keep score of all the times he wanted to say something out loud, but did not. Also have a place for him to mark how many times he observed someone not doing something right. This will help him work on internalizing his dialog. Have the teacher mark a score on the paper for how he did as far as these items. Set up a small reward for each day he gets better than an agreed upon score. Set up an extra weekend reward if he gets a good score on at least 3 of the 5 school days.
Vicki's idea is a great one. My sister did this with her two boys telling on each other. Or observed the other doing wrong. I reward my son with a toy at the dollar store on Fridays for good behavior at school. Right now it is a little different because he has started wearing glasses and he was breaking them each week at school. Thank god for the extra pair and the year long protection plan. Now he gets to go if he doesn't break his glasses. But the writing down helped my sis's kid not have to be a tattler every five minutes.