My Vito was diagnosed with ADHD a year ago. He was speech delayed, had some sensory problems as a toddler. Was in a special pre-school that allowed him speech and occupational therapy. I kept him in pre-school an extra year because I knew he wasn't ready for kindergarten. With all that said he was realesed from all "special services" when entering kindergarten and as expected he suffered for it. His behavior was awful, hitting, pushing, uncooperative, cutting tiny pieces of paper, hiding under the table and in his cubby, hitting himself. The school tried a few strategies without diagnnosing him, but when you see the pain in your child's eyes from not being understood...it's hard to stand by and wait. I had a neurological pschological evaluation by a great child pschologist.Not only did he have ADHD, he had anxiety, low-self esteem, and slight depression. All symptoms to the ADHD. We put a behavioral plan in place at school, started taking him to a therapist once a week. As a family we learned strategies to help him cope and get his behavior back on track. Here we are a year later...he has an amazing teacher with the patience of a saint. Vito is unable to work independantly. If she does not sit with him and give him constant reminders, nothing gets done. He is now below average and as the demands get higher he falls more and more behind. The sad part is he doesn't want to not do the work, he can't. He goes off into another world. He's extremely bright, but can't seem to get it down on paper and learning new things is almost painful to him if it's something he is not interested in. We wanted to try to avoid medication, but the demands keep getting harder and his teacher can't help him with state given tests...which will result in a 0. Vito will not do any work without the constant reminders and walk throughs of work. So is it time for medication? At this point he is suffering internally so much over this....I don't see how it could hurt. Any advice or testimonials would be greatly appreciated.