Impulsivity and hyperactivity can push other children and adults away so the child may feel isolated, ignored and different, which may affect his/her self-confidence. Since a hyperactive child often doubts his/her competences, it is adults’ task to be positive, to observe and reward appropriate behaviour and adjust their expectations to child’s competences, avoiding criticism and praising his/her personality, achievements and behaviour, emphasising strengths and abilities. All this strengthens child’s self-confidence.

If the hyperactive child has difficulties in peer relationships, s/he needs additional adults’ help. This help includes social skills practice, giving clear instructions how to approach a peer and giving a model of appropriate behaviour, involving the child in extra-curricular activities according to his/her interests and choice in order to expand his/her social network, teaching non-violent conflict solving and when s/he makes social mistakes with peers, helping him/her to identify what can be done better next time in order to facilitate better integration into his/her peer group.

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