Thank you I have read all the stuff for ADHD and Autism and I really do not believe that he fits into any of these criteria, He very rarely acts like this at school and when he does its usually with younger nursery children. There is no trigger or pattern it just seems to be if the younger children are doing silly things then so does he but he seems to get to a point (sometime) when its like he switches off and no matter what I say to him he keeps going and it results in me shouting or just holding him and then he stops. I really do think it looks worse due to his height he is only 4 still at nursery school and wearing size 6-7 clothes and a size 1 foot. He can ride a big bike without stabilisers enjoys shows and the cinema and loves stories, he is good at sharing and is very aware of his peers feelings, However he does seem to be easily manipulated and reacts to the environment around him ie if younger children are being silly then so will he if the older ones play football and chat etc so will he, but also if an older child tells him to do something he would do it even though he knows its naughty.
I am hoping this is just normal development for his age? I have deferred him to start school next year in hope that he is emotionally ready, oh he also gets very upset if he hurts himself. like I say he seems more immature more like children around 6 months younger