First off, I know it's super hard, but don't panic. I'm giving you this side of the scale, where your child could be totally opposite of the scale, or he could be somewhere in the middle. I do NOT give this out lightly or with judgement. You choose what is best for your family & that's all that matters. No one thing works for everyone. Again, I'm only giving you my opinion based on what you have described & my experience with this subject. It does not mean in any way, shape or form that I think he is or isn't "labeled" anything, meds or no meds, just my ideas. I could be 100% wrong, 100% right, but probably somewhere in the middle. PLEASE don't bash me for stating my opinion. She asked for help & I'm giving suggestions. I respect your opinions, even if I don't think they are correct, it's your life, your child & your decisions. He sounds like he might be ADHD or even some form of Autism. Asperger kids tend to super focus on something & they become experts at it & can tell you everything about it, to the point that they can become very upset, cry, anger, when the object of their focus is not readily avaliable. You said he will make some hand movements. Does he not verbalize at all? If not, then I would say with 75% accuracy, he is autistic to some degree. Alot of kids who are ADHD, Autistic, Aspergers, which fall under the PDD (Pervasive Development Disorders) are actually ahead of their peers in academics, so they can be bored in class. You couple that with the inattention, impulsiveness, having your hearing, smell, taste & sense of touch hightened to a degree of uncomfort for them & it's incredibly hard for them. Imagine having all your senses turned up to the maxium. You can hear the person across the room tapping their pencil, you can actually feel the breeze across your skin, the teachers perfume is burning your nose & the waistband of your underwear feels like sandpaper. Then think of this all being at once & your required to sit quietly & do your work. Pretty hard stuff for anyone to handle.. The social aspects, the focus, sitting still, need for continual prompts to stay on task, only eating certain things, clothing can really bug them, the line of the socks, the collar on a shirt, long sleeves, buttons, decorations that stick up on clothing, all of these things can feel painful to them. Does he like things to be a certain way in his room, on his bed, on his plate, same cup, lines up things? All classic Autistic/Aspergers signs. Does he walk on his tippy toes, clumsy, drools when concentrating on something, does he have any vocal or physical tics (clearing his throat, grunting, blinking, rocking, rubbing a particular spot, flap his hands (picture acting like a seal, arms together & hands flap back & forth. Does he sleep less than "normal", doesn't pick up on social cues or body language. Does a change in the normal schedule really throw him off or really upset him? All these things I'm mentioning are PDD signs, specifically Autism/Aspergers. ADHD has some of these symptoms, but not the severity & are more about inattention & hyperness. The good news is, that you are catching this early, if it's the case. Talk to the teachers & ask them to screen him for ADHD. Their test results can help you, if they indicate ADHD or more. Then your child becomes available to extra assistance. I would also tell you to NOT rely totally on the school. They can & only will do so much. You really need to know what you can & can't ask for as far as accomendations for your child & the schools can't afford all the things your child may need. It can be a real battle to get the schools to do things, but research his rights in special education regarding whatever or if any diagnosis is given. The FIRST thing I would do is find a child Psychatrist with knowledge about ADHD/PDD. They can diagnose, treat, point you to the right direction, help you with getting help at school & mostly make things better for your child. Of course, med's are typically required to treat these conditions, but if your against that, then that's a decision you have to make. It's your child & you have to live with the choices you make about this & as long as you feel in your heart that you are making a well informed & thought out decision, you can't ask for more. I won't get into debates about no meds vs. meds. That's a personal decision & I respect any of the choices parents make about the care & well being of their children. 99% of us only want great things for our kids & no one can tell us what that is or isn't. I'd also get online & start educating yourself about these possible issues. You may find that your child doesn't meet any or meets all of the typical symptoms. Don't be afraid of a label. We all have labels, the S. one, the quiet one, the rowdy one, the sweet one, the stubborn one, the schools are full of these "labels." If the "label" HELPS your child get the SERVICES he NEEDS, then who cares! To me, it just shows that the "labeled" child is working very, very hard to overcome & work with his best abilities in a more difficult environment, that they can't control, than any other student in the same building. I live in the D/FW area, so if you wouldl ike to contact me privately, please feel free to do so at ____@____.com I hope I didn't scare you too much. I know it's overwhelming, scary, sad, anger, disbelief & total chaos in your mind & heart right now. Just remember he's your son, you love him no matter what & YOU are his best advocate. I hope this helps you in some way. M.