Hi there, I have an 11 year old fifth grader who was diagnosed as ADHD/Expressive Language Disorder. He was seeing a counselor originally due to severe grief issues. I lost my first husband when my twins were just 5 years old, and my son was deeply depressed. After working through his grief, I thought things would be fine. However, last year, he started having some real behavior issues at school and his grades started dropping dramatically! After several discussions with his teachers and the counselor, we had him formally tested for ADD. The Expressive Language Disorder diagnosis was such a relief. My son has a hard time with vocabulary and that was part of the problem with his grades. He couldn't find the words to tell the teachers what it was he didn't understand. So of course his grades were falling!
With the official diagnoses, I was able to get him an IEP at school, which means that support accommodations are mandatory. He meets with the social worker and has a special ed teacher assigned to him to make sure he brings his work and books home, and they actually track to see if there are certain times he is acting out. If so, they will give him a task, such as bring something to the office, go pick something up, etc., so that he gets a break. They also gave me an extra set of textbooks to keep at home, so he cannot say he forgot to bring something home. Plus, he sees the speech therapist to help with his vocabulary.
We also worked with our pediatrician in regards to medication. At first, we didn't put him on anything, because we wanted to see if the accommodations were enough. When he continued to struggle, we went ahead and started him on the lowest dose of Concerta possible. It took a few tries with different doses, but we finally have one that has been working. As he grows, we will have to watch to see if the meds need to be adjusted again.
All in all, he has come a long way since the beginning of the year. And he is much more happy. He still has focus issues and some days are more of struggle than others, but overall, we have seen a HUGE improvement.
I believe you need to do what is best for your family. Some kids can function without meds. You just need to be on top of it all.
Good luck to you!
C. S