Can you define what you mean by accidentally hitting someone? I am struggling to imagine a situation in which hitting someone would be accidental. Are there certain scenarios in which she is more likely to lose control? I would recommend tracking these occurrences to try to find out what is triggering this type of impulse control and see if you can provide alternative behaviors that would be more suited to the classroom environment. Additionally, you say that she attempts control for a little while, but then resorts to her old ways. Are these attempts being reinforced. I would look for ways to reinforce any instances of positive impulse control as much as possible, until she is regularly engaging in self-management of her own behavior.

I think that more information about the student would be required in order to fully help her. I would consider involving the school psychologist, if your school has one, and look at a possible diagnosis of ADD/ADHD, as others have said. It sounds like there are underlying issues here. But I also agree that positive reinforcement would be beneficial here, as well as self-monitoring.

I have several questions but my main one would be, does this student have any diagnosis that may lead to their impulsivity? ADHD? ADD? This could be something that they may not be able to control or the result of fidgeting possibly? I have seen where consistent positive reinforcement throughout the day works better than waiting longer periods of time.

This student may need higher support services and may need to be evaluated for a behavior-related problem so talking to the school counselors and admin in my advice since this behavior is continuous and won't stop.

I think that possibly working with this student individually may help. You can explain/ work through strategies that would help her better and maybe even have that in writing form if that would help her better practice. She may have some troubles at home and her parents may not know what to do and just let it happen, which may be causing her anxiety. Nonetheless, showing her proper ways to react and what to say during scenario practice may better help her work through real life scenarios. She does have to understand that what she says and does has consequences, but I think with time working with her will show some progress.

I think impulse control is a manifestation of a larger problem. It sounds like the student understands the consequences of her actions, but genuinely has no control over them. I would test the student for an LD or MD. As a teacher in a room full of other students, it is next to impossible to give this one student the help she truly needs.

This is an issue that should go straight to the parents attention. People are being harmed by her doing and the behavior doesn't seem to be changing. There needs to be a parent/teacher meeting to speak about her unusual behaviors and if there are any underlying causes of it. She feels guilt, she can't control herself.

This student needs to have intervention immediately and maybe the admin needs to get involved. Physical outbursts that result in hitting another student is not okay. You need to address the student and let the school admin know what is going on and the parents need to be informed and called down to the school for a meeting.

I would reach out to other teachers that have that student in their classroom and gather information to see if they also see impulse control with this student then I would reach out to the parent with the support of the other teachers and explain what is going on.

I would start a behavioral management plan with the student. Such as setting goals to learn how to effectively communicate and act accordingly to the expectations set in the classroom.

I would first notify the parents and ask them if this behavior is also displayed at home. If so, they might have certain tactics they are using at home to get this under control. If the problem continues, I would inform administration and see if a resource at the school could help the student.

I would recommend that the student be placed in a self contained ESE classroom, so that they have adequate support during the times where they feel out of control of their actions.

How well do you know the child outside of the classroom? Have you spoken to her family? There may be something underlying the behavior that needs to be addressed. She needs to understand that hitting is wrong and won't be tolerated. Is she able to understand why her friend is mad at her? Maybe if she could see how she feels when her friend is mad and relate it to how she made the friend feel, she could understand.