My son has been diagnosed with ADHD. He has been kicked out of four different daycares starting when he was just 2 years old. He is now in Kindergarten, and my wife and I hoped that with his recent diagnoses, medication and change of scenery to "big boy" school he would show signs of improvement. He hasn't. School is in its fourth week and he has been sent to the principal's office every day but 3. He has run out of the class. Dumped things out of their containers in the classroom and principle's office. Thrown various tantrums. Threatened teachers and the principles.
Today they called my wife to ask if she would sit in the classroom with him to show support for the teacher. She said of course she would. We were in the conference room talking to the principal while he was in the office with the other principal and another student. Right before we were going to get him to take him back to class, he picked up a clipboard and smashed the other kid in the face with it. He said he was thinking about what it would be like to have a lose tooth so he wanted to see if he could make the other kid's tooth loose. So he's been suspended from school for a day.
He's a very smart kid. He already does pretty much everything they're supposed to be doing at the end of the school year, so he's not suffering academic-wise, yet. At home, he's really well behaved most of the time. When he does start acting up it's usually later in the day, and he's tired. So this doesn't seem to explain his behavior in the early afternoon when he's at school.
We've tried every type of reward/punishment we can think of to do. Right now he has the incentive of hosting a party which he can invite anyone he wants to where we'll have a movie night with popcorn and decorations and whatever else he wants, if he can go one week without being sent to the principal. His teacher knows about it, and reminds him about it when he starts to act up, but so far it hasn't stopped him.
He's told us that Kindergarten is boring and that he wants to go to first grade. We told him that's fine, but they're not going to let that be an option until he shows that he can be in class and behave. We have run out of ideas. The psychiatrist keeps saying to "look for the triggers", but there don't seem to be any. Sometimes he literally looks for something to upset him. His trigger is getting what he wants, when he wants, by whatever means necessary. He doesn't seem to care about rewards or punishments when he's set his mind to something. Has anyone dealt with something like this before? Any advice? We really need some outside the box thinking here, because we've tried everything we can think of. We've even read books about "kids like him", but nothing has helped.