6 year old with ADHD w/impulsivity

[Cathy30]

I have a 6 year old son diagnosed with ADHD w/impulsivity disorder at 2. He had been in a program in the public school since he was 3. Then in kindergarten and 1st grade has been in a co-teaching environment. He is smart and very affectionate but has still been having issues in school at least once a week where he will push another child or hit one. Then he loses prove ledges at school like recess, which he loves. He knows this behavior is not acceptable and when asked he says he doesn't think before he does it and doesn't know why he does it. He says he's just not good at first grade. He doesn't seem phased by consequences like going to the principals office. He has an IEP and a reward chart at school for exhibiting good listening skills and behavior. I am thinking about bringing him to a counselor but don't know if that will help if he knows it's wrong to do but can't help it because it's his impulsivity. He also started a vocal tic at the end of august that sounds like he's sniffling g in hard and then clearing his throat. His developmental pediatrician said it should go away soon. She recommended the drug tenex for this but I have read bad things about this. Up up this point he has not been on any medication. Any advice would be greatly appreciated.

[Cathy30]

I have moved this post over the ADHD forum, thank you!

[Sandman2]

   Oh, forgot to mention,  ya I would try an avoid the Tenex.  It is sedating and once started must be continued to be effective.
    its always possible that the tics were caused by the pressure of school.
    Check out this link. http://www.additudemag.com/slideshow/63/slide-1.html?utm_source=S@S&utm_medium=email&utm_campaign=October
    

[Sandman2]

   Well, your school is certainly not helping by taking away recess.  Recess is highly recommended for ADHD kids and should be a part of the IEP.  I am the CL on the ADHD forum - http://www.medhelp.org/forums/ADD---ADHD/show/175.
     There is a lot of information that you or the school does not seem to have gotten.  Lets continue the discussion on the ADHD site.