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Can Role-Play Help Children with ADHD Control Interruptions?Ā 

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Children with ADHD often interrupt others because of impulsivity and difficulties with self-regulation. Evidence from NHS and NICE guidance shows that role-play and social skills training can meaningfully reduce impulsive speech by helping children practise control, empathy, and turn-taking in structured, supportive settings. 

Why Role-Play Works 

Role-play gives children a safe environment to rehearse real-life situations, learning when to pause, listen, and respond. According to Oxford Health NHS CAMHS, role-play and rehearsal help children with ADHD ā€œpractise impulse control, turn-taking, and social communication.ā€ 

Practising scripts such as ā€œwait before speakingā€ or ā€œhow to ask a question politelyā€ strengthens executive-function skills like working memory and inhibitory control. It also supports emotion regulation, giving children strategies to handle frustration or excitement without blurting out. 

Evidence Behind Role-Play and Social-Skills Training 

A large Cochrane Review covering 25 clinical trials found that social skills programmes, including role-play and games, improve children’s self-control and ability to wait for their turn. Recent trials using both traditional and digital role-play tools reported measurable gains in cooperation and conversational restraint compared with control groups (JMIR Serious Games, 2024). 

In line with these findings, NICE NG87 recommends structured teaching of ā€œsocial skills with peers, problem-solving, self-control, and active listening,ā€ often delivered through role-play. 

Practical Ways to Use Role-Play 

  • At School: Teachers can use circle-time activities, peer modelling, or ā€œtalking-objectā€ games, so each child practises waiting and listening. 
  • In Therapy: CAMHS and NHS Trust programmes use scenario-based group sessions to teach greeting, listening, apologising, and waiting for cues. 
  • At Home: Parents can role-play everyday moments, waiting to speak at dinner, asking for help, or responding calmly when excited. Kent Community Health NHS advises ā€œmodelling, praise, and rehearsal of waiting, listening, and using helpful words.ā€ 

Tips for success 

  • Keep scenarios short and specific. 
  • Use props or visual cards to make it engaging. 
  • Praise immediately when your child remembers to wait or listens well. 
  • Correcting gently and practise again repetition builds confidence. 

A Reassuring Takeaway 

According to the NHS and NICE, role-play is not just play; it is structured learning that strengthens attention, patience, and empathy. With consistent practice at home, school, or therapy, children with ADHD can learn to pause before they speak, turning impulsive moments into opportunities for positive communication. 

Victoria Rowe, MSc
Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.Ā 

Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.Ā 

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