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The concerta helps a lot... it's truly a life saver in the classroom.
(And because most teachers are walking around the room during class, being in the back is no reason to feel isolated.) When he wanted to try the front of the room, he was free to move into a desk reserved for him in the front; he got pretty good at self monitoring and being considerate of the rest of the class when he knew he couldn't sit still or be as quiet as was expected.
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