he is 6 years old and has always been a challenge and very high needs. We are going through a particularly bad patch. He has been in trouble at school every day this week and we even had a phone call from the headmaster yesterday. He runs around the yard aimlessly, stopping every so often to say a few words to other children - then he will run over to someone and hit them for no apparent reason and without any provocation. At the park yesterday, he pushed a smaller child who was standing at the top of the slide, and it was only by the grace of God that the child didn't fall off the slide to the ground. And yet it was so out-of-the-blue, impulsive, always un-pre-meditated, no one could have predicted it. He is lying a lot and being defensive. By nature he is very impulsive and prone to angry outbursts and rages / tantrums and stamping if he doesn't get his own way. He seems to have no self-control - he continues to misbehave despite (or perhaps oblivious to) the consequences. Rewards, consequences, threats, punishments don't work. This morning I went into the kitchen to find he had picked bits of the top of a cake we made together yesterday (not taken a slice, but picked at it all over - I would have thought that a 6 year old might have had some subtly about this, instead it is blatantly obvious). He takes toys away from his sister and hides them, then denies it (even when I find them under his bed), he wastes water, he puts far too much paper in the toilet. This week he has a couple of times raced ahead on the way home and crossed a number of quite busy roads without me, even though he knows this is against our rules and not safe. And yet when I talked to him about this (and I was in tears when I finally caught up with him, I was so worried he might have got run over) he didn't appear to understand why it was a problem, why he shouldn't be crossing on his own and how dangerous it is. He is having difficulty hearing properly at the moment (we think). At school he has broken another child's property and then tried to blame another child even though the teacher saw it all happen. At home he doesn't play with toys much unless there is another child around (i.e. competition). He often just runs around wildly, making strange noises and occasionally flapping his arms. He is not afraid of anyone (adults in particular), and will strike up conversation with complete strangers, the headmaster, builders etc. without fear. He seems to have his own agenda - he isn't so interested in others ideas - when he is talking about something he is so roundabout and detailed and takes forever to get to the point. He has been taking longer to get to sleep at night and it quite restless, and he has started shouting out at night in his sleep again. We are (and have been for a while) waiting for referral to the educational psychologist. But in the meantime we could do with some help as to how to deal with all of this. The school have no ideas and no suggestions. Someone watches him at playtimes. Apparently he is fine in the classroom. Academically he is doing really well. He goes to a Welsh-medium school and his Welsh is fluent and unlike many of the other children from English-speaking homes he chooses to speak Welsh to the other children. Help!!!