School Psychology Review

Remediating Hyperkinetic Behavior With Impulse Control Procedures

Mike Berger

pp. 405-407

Neuropsychology in the Schools

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John had been medically diagnosed hyperactive. He was eight years old and just starting the third grade. He was average in height and weight and appeared in good health. Teacher observations were confirmed by base line data that indicated John had peak periods of intense activity just prior to the 10 A.M. recess. He took 30 mg. of Ritalin orally, 10 mgs. each at breakfast, at 10 A.M. and at 2 P.M. A history of the child was not immediately available. His family had moved recently into the school district and the parents had delayed several weeks coming into the school to sign permission slips to obtain records. A review of John’s daily test scores and assignments indicated that while there was a significant decrease in hyper kinetic behavior following the administration of Ritalin, his academic performance also dropped significantly. The frequency of hyperkinetic behavior increased markedly after lunch. A time sample base line taken in the classroom indicated 1.5 episodes of out-of-seat behavior per five minute interval (taken at 11:30 A.M.). By 2 P.M. the frequency of hyperkinetic behavior increased to eight (8) episodes per five minute period. John received an additional 10 mg. of Ritalin prior to the 2 P.M. afternoon recess. The frequency of hyperkinetic behavior following recess would return to or near the base rate level of 1.5 out-of-seat episodes