Typical characteristics of impulsive children and adolescents are reviewed and strategies for changing this behavior are considered. Self-instruction training requires the child to verbalize a given problem, alternative approaches to resolution, and attentional strategies. Language becomes a mediator for self-monitoring and regulation. Cognitive behavior modification approaches may use problem solving activities, modeling, self-verbalization, and training and feedback. The need for giving interventions time to succeed is emphasized. (CL)