Pardon my English reply, I am not able to express myself clearly in Afrikaans.
Five years is very young to be considering medication, I agree with the doctor. The best thing to try instill at this age is good habits.
For example, if he is eating, he should remain seated; if he stands up he is saying "I am finished" and his meal is removed. It is important to explain to him exactly what is expected of him prior to starting a task (colour the picture as neatly as you can, finish the whole thing before you stand up) and praising him and rewarding him when he does so. Should he start to rush through his work so he can stand up and move around, a new worksheet can be presented with the same, clear set of instructions.
If it is difficult for him to remain still, it is important that he have appropriate opportunities to move around and expel his energy during play time. Small breaks during longer tasks may also be permitted, provided he knows what must be completed before he can walk aroun - quietly mind you so as not to disturb his peers.
It is important that he not be singled out in the classroom so his self esteem is not hurt, and/or that he does not begin to use his moving around time to "act silly" and disrupt the class.
In short: clear instructions are to be given prior to the task being done with a single negative outcome should he not comply and a single positive outcome should he complete appropriately so as not to confuse him.
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