My 13 yr. old son had the same problems. since kindergarden every teacher he had said, test him for A.D.D he was evaluated 4 times. that was not the problem. He got dioganosed with a mild case of turrets. Most teachers that see these sympot,say A.D.D. However some of the same treatment that work with children that have turrets, work with children with A.D.D and A.D.H.D. I have done alot of research and talked with therepist, child psychologists, and child psychicaitrists. We have found, Limit sugars, structured days are helpful. Same thing everyday at about the same time, smaller class rooms, sitting your child up front near the teacher gives less distraction to whats going on in the room. helping with organization. focus on the little postitives, rather the little negtives. Get her invloved into energy filled activties.Find something that interst her enough to focus on it. karate, dance, basketball, drawing, etc..With my son he has always had the go of 6 kids in one, even since a baby. my mom said the daycare should charge me for 6 instead of just one. As he got older, more and more things started coming out. Inablity to focus and stay on task. howework was a battle. him screaming and crying and yelling etc.. didnt want to go to school, .. outburst. We would be sitting quitly and next thing he is burtsing out, before we knew why, we figured he was just being rude, we would put him in time-out or take things away. when we found out he has turrets and they told us alot of children that have the symptoms of ADD actually have turrets, and medication used to treat ADD on a child with turrets will make the symptoms worse. My son is on 2.5 mg of Ablifiy. half a pill one a night. It helps to slow down the nurotransmitters and balance out the chemicals in the brain. Thats what ADD and ADHD and turret are, chemical inbalance. I would talk with your DR. about her seeing a child psychologist and child pschyratrist if she is not already seeing them. Talk with your teachers about setting up more one-on-on time with her through Occupational therepy or AIS. where they would come and take her out of regular class 2-3 times a week and work woth her on her sruggles, reading, writting, math,,etc. even teacher more ways of being organized to help her and give her less stress . I hope this help in some small way. please let me know how things turn out.