Well, it's funny how things change. This time two years ago, I was sceptical about J having ADHD, really didn't want to saddle him with a label and was quite firmly opposed to the idea of medicating children. Today I am absolutely sure J has ADHD, though he has a lot of potential and is good at rising to the occasion when he needs to. I'm also pretty sure that he has - though I'd love to be wrong on this one - some form or forms of learning difficulties, seeing what is happening for him with reading, which he is just not relating to at all as yet. And medication... well, of course I still don't like the idea of it and am very frightened of the side effects of loss of appetite, stunted growth and (most of all) difficulty getting to sleep. Not to mention the rebound effect. But we have now had so many incidents where J's impulsivity causes problems for himself and others, so many incidents of rejection and misunderstanding, so many dents, doubtless to his self esteem, that really I am open to it now if medication would improve his quality of life. Of course I realise that there is the whole question of which stimulant and what dosage, but what could be realistically expected might change if J were to try a stimulant in due course - he is still not 6, the age at which it is prescribed here.