Does the mom stay at home (at least when the child is home from school) or does she work?
I also echo no TV, video games, monitored internet. I’ll say the that he should get outside and play some sports - at least first individual sports, then team sports if his behavior doesn’t preclude that.
Perhaps moving to a different location will push the reset button on your whole family dynamic.
We have tried changes in life, I now work from home and my wife switched to part time to accomodate new schedule. I have seriously considered selling while themarket is hot and moving close by, in a newer community.
All our changes seemed to work for a short while but the same patterns have emerged. the new school has bee great but they’re just a school and they have about 100 students for all grades (small classes too) so there can’t be 100% focus on my child.
we have removed the personal devices but I allow some monitored interaction with class mates, old and new.
I have all but forced exercise routines, it has turned into a way to get me to be quiet versus doing any good.
We don’t want meds but I’m not sure where else to turn.
You would think those are the easy things to do but from my experience it will have no effect. Kids like this have no sense of loss of stuff and will move on to find a new outlet and then they always have school to go to where you will be lucky to get them to help you out.