H Shawnda:

I understand your fear. Five feels like a very early age to start medication, doesn't it? If your son is truly ADHD and has been diagnosed by a psychologist through testing, then you may want to try alternative approaches such as diet changes, holistic use of herbal remedies and/or therapy with someone who specializes in attention problems. You can find a specialist in your area through Psychology Today.

I am also an extremely strong proponent of Neurofeedback. I have used it very successfully in ADD/HD clients, both in children and adults. I would encourage you to learn more about, if possible. You can read "ADD: The 20-Hour Solution" by Steinberg and Othmer. I have seen students who fit your daughter's description, turn completely around and become honor students by doing the training. If you decide to go that route, it requires a 40 session committment. Find someone who has a background in understanding the brain. I try to discourage people from going to a neurofeedback therapist who decided to "try" it out instead of really knowing how powerful it is in changing how the brain functions.

The problem with ADD is that mood disorders and low self esteem is usually part of it, and a good therapist needs to address that as well. On the other hand, if, after trying some alternative measures you aren't seeing the results you would like, then you might consider medication.

I hope this helps,

Dr. Diana Walcutt