G.,
I can offer a view from many sides of this. First, with a brother and father who are ADHD, myself and my husband are ADD, and so as a parent I am concerned about my children developing ADD or ADHD. As a teacher I had other concerns, and with a degree in psychology I had yet another perspective... so I've become pretty well rounded on this subject.
I can't agree more that every child and every situation is different. It is also well known that ADHD is over diagnosed. Generally speaking children who are diagnosed ADHD are lacking full consistency in their lives and are often exposed to too much TV at a young age. This leads to a misdiagnosis. Children in this situation need some behavioral therapy and sometimes a modified diet, but should not be placed on medications.
I am of the opinion that medications have their place. Used outside of "their place" they can do more harm than good. I'll use my brother as an example.
My brother was hyperactive at a very young age, but he always had respect for authority until my parents divorced and we moved to a new area. We went from living with both our parents to living with my mom and step dad and seeing my dad and his girlfriend on weekends... 2 hours away. It was a huge adjustment to make, and he didn't handle it well. That is when his bad behavior started. He lacked consistency from then until many years later. While growing up we also lost our mom while he was 11 and I was 13. When we moved in with my Dad and his new wife my brother began having very bad behavior in school. He went from causing minor disruptions and not paying attention to literally giving his teacher a heart attack.
The school insisted that my brother be medicated or he could not attend school there, so off to a psychologist my brother went. The woman did not listen to his full history and came to the conclusion that he had ADHD and Opposition defiance disorder (ODD). Well my brother is in no way ODD, he was just going through a rough time and needed some proper attention. They also stated that he was severely depressed and started him on an extremely high dose of Ritalin. When my brother started becomming suicidal they never even thought to try taking him off the medication or changing the medication dosage or trying a different medication. They just insisted they knew that was what was right for him. Well after a few weeks of him being suicidal I convinced my parents to take him off the Ritalin and take him to a different doctor. The new Doctor threw us a life line. My brother needed medication in the proper dosage to be able to help him control his behavior and then while slowly weaning him off the medication all our family members and his teachers and doctors worked with him on ways to help him have control over himself without the medication. It worked! It took about 6 months for the full "weaning" but he was back to being my wonderful little brother and did very well in school. I won't say he became an angel, I could tell you stories of the trouble he got into, but I attribute that to normal guy mischief.
I learned a lot while helping my brother, and its part of why I decided to study psychology. The other reason I studied psychology was because while studying for a teacher I became very famiiliar with IDEA 97 and figured there was no way I could implement it properly without more training.
Something that is difficult to understand is the amount of pressure that is put on teachers to perform an immense number of tasks. Next to mothers, teachers are some of the most underpaid workers in the USA. A teacher is expected to give the students a lot more than just a quality education. Often a teacher must do her lesson planning and paper correcting at home, they also have to spend their own money on teaching resources since often schools do not receive the necessary funding, teachers are also expected to recognize the social and psychological needs of their students and provide for them, they are also required to go to classes to keep current in their field, and most schools require teachers to be actively involved in student clubs, sports or other recreational activities. IDEA 97 also states that all students have the right to an equal education no matter the limitations of their disabilities. While I wholeheartedly agree with the principles of IDEA 97 I find that the majority of schools do not implement it properly and the weight of it falls directly on the teachers. For example, in one school they put all the IDEA 97 kids in a classroom together with all of the behaviorally challeged inviduals. That meant that 1 class of approx 35 students had 12 mentally handicap students, 1 blind student, 1 deaf student and the remaining students either had a psychological or medical diagnosis that impeded them or a behavioral challenge (including students who were part of juvenille detention or paroll). I am sure that you can imagine that no matter how much effort went into teaching that students often did not learn much in that class. Had they been spread out between the other class groupings each class would have had about 3 to 4 students that needed extra attention at a time. Since it was middle school and the students rotated classes, it would have made a big difference in the quality of learning that ALL students received.
The good news is that the school cannot force you to medicate your son. They can enforce that he follow certain behavioral guidelines and they may not be as cooperative as they should be in helping him in the areas he needs most, but they cannot force him out of school for lack of medications.
My suggestion would be to discuss with your Dr the possibility of getting him off the medication slowly. Also look in your area to see if there are any resources that offer free or low cost counseling to students with ADHD. If you live in the Scranton PA area I have some excellent resources I can share with you.
By working on behavioral interventions at a young age, it will help him for the rest of his life. It can be rough at first, but it is worth it. My brother is now in charge of a 32 million dollar company and he's only 25. I am so proud of him! Not a drop of medication needed.
Now, keep in mind that because every child is different that your son may indeed need medication, however, it is best to try other alternatives that are available. The benefits of the medication must strongly outweight the risks/harms of the medication.
If you decide to do a trial weaning, some things that could help your son while transitioning to life without medication, and in doing things without medication later on are as simple as letting him play with silly putty or doodling while listening to his teacher. The teacher may not like this, she may feel it is more of a disruption than a help, but there is actually evidence to support that students that have ADD/ADHD that doing simple tasks helps them listen and pay attention much better. My husband paces while on the phone. It drives me nuts but if he doesn't do it he has no idea what the person on the other end stated while on the phone with him. For me doodling or taking notes worked well.
With ADHD the hyperactivity comes from the brain trying to connect with what is going on. While we see it as a disruption, those with ADHD have little control over this activity when they are attempting to pay attention.
You will also find that your son most likely has a very high IQ. People with ADHD are incredibly intelligent, they just have a hard time focusing their energy on their tasks. You would also find that your son would learn best kinesthetically (hands on). So, your sons strengths would be in areas where he can learn by doing rather than listening/watching.
His teacher should have resources available to her to help her know how he would learn best. She won't be able to use a lot of them for the entire class, but if you find specific things that work that can be done in a way that won't disturb the class, she will be more open to them.
I have a lot of resources available if you need some more help, or if you just need to talk I can listen :).