<s>[INST] the teached wont communicate directly with us as parents but she emails to principal and the principal sends email to us. He is continually in trouble or getting disciplinary referrals to the principals office. I dont know what else to do.she says he disrupts the class and she tells us he has adhd i dont know where to turn [/INST] Hi,Thankyou for your quiry.Since ADHD is attention deficient hyperactivity syndrome,and a syndrome may have multiple particular symptoms to be diagnosed .With ADHD child not only behaves like this in school,the symptoms should also be noted at home or other visiting places.As hyperactivity and loss of concentration are two major symptoms in a child with ADHD,thats why he may need evaluation by a counselar as there is no test or investigation for diagnosis,it is diagnosed symptometically only.My opinion would be get checked him by a professional counselar and discuss further,you may also discuss about the need of some medicines for treatment for example methylphenidate and acetaminophen and follow accordingly.Regards,Dr.Maheshwari </s>