SoCali, OT has been mentioned to me by a friend whose child required it to help with some impulse control (which we could also use) and sensory issues, and it is not off the table as an option.

When my son did his testing, the psychologist did say that he was very impulsive in answering, and in at least two areas(within VS and FR I believe) he answered enough incorrectly that questions had to be stopped for that section. But the doctor felt there was more ability in there somewhere, so he asked a few more "off the record" and he got three more in each section right. So his score is also a bit low, but I was told that all observations considered, it's likely only about 5-8 FSIQ points higher than the report shows. Not a drastic difference, but he did somewhat underperform due to impulsivity.

For now, we have him seeing the psychologist who did his testing, because they really got along well. I think the more the doctor digs in and gets to know him, the more we will figure out about what is really going on. The doctor did tell me in our last meeting that my son is definitely dealing with OEs, although we aren't sure yet which ones may be crossing a line into a problem that should be treated. For example, we see him at home working on the computer (math usually) and he is constantly making noise, cannot sit still, looks for everything in the world like a child with ADHD. But when he is at school doing MAP testing, which also requires sitting and working for an extended period, he does not do that--because he knows he can't. The doctor suggested that what we are seeing at home is a psychomotor OE. He can suppress it when he needs to, but it feels good to do it, so he does it when he can. If that particular symptom were ADHD related, he would HAVE to do it, no matter where he was, even though he didn't really want to. Learning some of these differences is important for us, and we continue to learn and observe.

Thank you for your input, and I hope your daughter's situation improves as well. It's so hard to know what to do when you are quite sure that where they are spending 7+ hours of their day is not the right environment for them.