1. Make an appointment to speak with your daughter's pediatrician or the doctor who is monitoring her medication and explain your concerns. An adjustment in medication may be helpful for her.
2. Call the toll-free number for Children and Adults with Attention Deficit Disorders at 1-800-233-4050 or look at their website to see if there is a branch of this group in your community. Ask if there is a social-skills program available where your child might get some direct instruction about how to interact with her peers appropriately. A psychologist or other mental-health professional may be able to guide your child through this process.
3. Make sure your child's teacher knows about your concerns. Work together at preventing problems before they occur. For example, ask your daughter's teacher if she can have your child use the bathroom before she begins a stimulating activity like free play time. I'm sure there are many other children in her class who have similar problems. Enlist the help of other support personnel in the school, including the nurse and guidance counselor, so you can brainstorm together some more proactive strategies to head off problems before they arise.