David couldn’t sit still in the waiting room. He crawled under the wicker couch, poured water from the machine into a cup that over-flowed and then proceeded to pull leaves off of the decorative plant. Mom was at her wits end. The constant cueing and intervention was taking its toll. When we moved to the treatment room, David was immediately fascinated by the sand table, the myriad of figurines to play with, the noisemakers and the colorful tent. I turned on some peppy music and began to watch as David moved from one area of the room to the next, calmer now…..more grounded. I talked to him while he played in the sand, his foot tapping to the music. I noticed that as long as he was occupied with two or three things going on at once, the hyperactive behavior ceased. The music was playing, I was talking, while simultaneously David created a story in the sand. Occasionally he would divert his attention to one of the noisemakers on the shelf and toot the horn or talk into the microphone. The tension had eased from his body and now he could easily concentrate on my questions and respond calmly. Many of our 21st century children are hardwired to do several things at once. The energy moving through their neurology is fast paced and intense. The more we help them channel this energy, the more successful and contented they will be.