If an impulsive child is not improving after four weeks, what should be introduced or changed?

Introducing heavy work can be beneficial for an impulsive child who has not shown improvement over four weeks. Heavy work activities involve tasks that provide proprioceptive input, which can help the child develop body awareness, self-regulation, and focus. These activities often engage large muscle groups and can be calming, thereby improving the child's ability to control impulses and react appropriately during sessions.

In a therapeutic riding context, heavy work might include activities like grooming the horse, leading the horse, or performing tasks that require physical effort and focus. These activities can also provide a structured outlet for energy, which is essential for children who may struggle with impulsivity.

On the other hand, while more verbal instructions, less structured activities, or one-on-one sessions can help in certain contexts or with different challenges, they may not specifically address the needs of an impulsive child who might benefit more from physical engagement and sensory input provided by heavy work.