Thanks for the reply Grinity.

His teacher at school actually thinks he is doing fine. She seems to understand that he needs movement and it does not bother her. She accepts him for who he is and just lets him be.

It is his afterschool tutor that feels like he needs medication. She says that he is constant movement and she spends the majority of the hour trying to re-direct his focus back to the work they are doing. It is definitely "boring" stuff...mostly language arts remediation to help with his disorder of written expression.

So tutoring MAY be understimulating because of the rote nature of the work. It is Orton-Gillingham...meaning it is multi-sensory....but it still pretty rote stuff. If it is that tutoring is understimulating, I'm not sure how to help. I'm guessing that this is a common problem for the 2e child when trying to do remediation.