Hi there ~

I understand your concerns. Attention-deficit/hyperactivity disorder (ADHD) is a chronic condition that affects millions of children and often persists into adulthood. ADHD includes a combination of problems, such as difficulty sustaining attention, hyperactivity and impulsive behavior. ADHD may be a very difficult diagnosis to live with and a lot of medications and coaching can help effectively deal with the symptoms of the disorder. I believe that you have a problem with blurting out into a conversation as a symptom of ADHD. This can be treated with the help of a psychotherapist. After reviewing your history, it seems like you are not on medications and wonder if it is a choice you have made, since medications can be highly effective in ADHD. A combination of medications and therapy (coaching) would be ideal.

Children with ADHD often benefit from behavior therapy and counseling, which may be provided by a psychiatrist, psychologist, social worker or other mental health care professional. Some children with ADHD may also have other conditions such as anxiety disorder or depression. In these cases, counseling may help both ADHD and the coexisting problem.

Examples of therapy include:

- Behavior therapy. Teachers and parents can learn behavior-changing strategies for dealing with difficult situations. These strategies may include token reward systems and timeouts.
- Psychotherapy. This allows older children with ADHD to talk about issues that bother them, explore negative behavioral patterns and learn ways to deal with their symptoms.
- Parenting skills training. This can help parents develop ways to understand and guide their child's behavior.
- Family therapy. Family therapy can help parents and siblings deal with the stress of living with someone who has ADHD.
- Social skills training. This can help children learn appropriate social behaviors.

The best results usually occur when a team approach is used, with teachers, parents, and therapists or physicians working together. Educate yourself about ADHD, and then work with your child's teachers and refer them to reliable sources of information to support their efforts in the classroom.

With regards to having to deal with your specific situation the following may be useful:
- Use timeouts or appropriate consequences to discipline your child. Timeouts should be relatively brief, but long enough for your child to regain control. Children can also be expected to accept the results of the choices they make. The idea is to interrupt and defuse out-of-control behavior.
- Be patient. Try to remain patient and calm when dealing with your child, even when your child is out of control. If you're calm, your child is more likely to model that behavior and become calm too.
- Keep things in perspective. Be realistic in your expectations for improvement — both your own and your child's. Keep your child's developmental stage in mind.

Consult a psychiatrist who can help deal with the condition and advise more specific and targeted approaches to treatment.

I hope this helps. Take care and have a lovely day!

---