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When the behavior is as compulsive as a sneeze or a cough, traditional discipline responses will not be effective in extinguishing the behavior. Look for instances and situations and circumstances and activities that seem to calm and focus the student. Ask the student’s parents, other caregivers, former teachers and colleagues what they do to calm and focus your student or students like your student. Read the literature. Keep researching. Construct these situations and circumstances and observe the results. What doesn’t work one day, may work another day. Record your action research with date, time, circumstances, backgrounds, etc information. The high energy levels of ADHD students interfere with their ability to monitor their behavior. Take the student outside and find ways to burn of their energy. Teach the lesson outside even on a cold day. Use a balance ball chair as a privilege instead of a chair in the classroom. It burns energy. Let the student use headphones in two way: with no connection to deaden classroom sounds that are too stimulating and distracting and with music or chants or soothing sounds to help the student manage their thoughts.