I need advice and am thoroughly confused as what to do. difficult child is Kindergartener who has just been diagnosed ADD (with- possible ODD) by neurologist who examined her as prompted by CST at her school. Behavior has been a problem since day one. husband and I started seeing therapist over two years ago. Tried to implement recommendations (i.e., Magic 123 book and the like). Nothing worked. Began integrated therapy at home with- therapist and partner (not covered by insurance - still appealing). Therapy had little effect. Observation by therapists, as well as by teacher, it was discovered difficult child was "severely behind in her fine motor skills." School felt to reason to get involved, as she was very "clever." Therapists referred us to O/T who performed evaluation in 12/06. Demanded action from school. Met with- CST beginning of the year. They all performed their evaluations and agreed to give o/t at school. Continue to go to o/t by the private o/t to make sure she is getting enough. Behavior at home greatly improved initially, but has since regressed. Neurologist tells me yesterday difficult child should be on medication and that extra therapy is a waste. O/T thinks difficult child's behavior will continue to improve with- therapy (neuro said don't let o/t bully me into more therapy). I see difference in difficult child and am reluctant to medicate. Should I continue o/t and hope for the best or just agree to medicate? Do I trust the more learned, experienced doctor? I can't just discount o/t altogether -- after all, it is offered in the schools and the like. I'm thinking I should try to get a 2nd opinion from another neuro. Also, neuro didn't see need for mri or other tests. O/T thought she should have. . . I know its alot of info to read, but I would just like some feedback from some parents who think difficult child's behavior could be modified with- just o/t therapy alone or I'm fighting a losing battle and should just succumb to the medication? Appreciate anyone's thoughts!