I agree with (almost) all the possibilities mentioned. My 9 year old daughter was just tested last year through her school to see if she qualified for special education. Strong districts will offer this without having to ask, but ALL public schools should have it available...and it is not the special ed we all grew up with. It is not one size fits all and testing results will dictate what kind/how much support the school is obligated to offer (parents can accept...and they can refuse too). At any rate, my daughter tested well and did not qualify. I had already had her food-tested (finding out she was highly sensitive to wheat dairy and eggs). When it was determined she did not have "special ed" needs and we had long since removed food sensitivities from her diet and had her on high-omega 3/DHA fish oil for a full year....we accepted that she has some serious focus/attention issues...but she is selective. She can memorize a Taylor Swift song after 1-2 listens, and can read easily. But math/math concepts have been a struggle for her since kindergarten.
Now....I will say that it is hard to determine if the attention issue is chemical or "learned". I say learned because she figured out early on how to survive "not understanding what all of her peers were understanding". First (before we knew there was a problem), she cheated/copied. It was a survival mechanism, not 'being naughty'. And unfortunately, math is a "building" subject. So if you don't have the initial foundation, you can not move forward truly understanding. In in today's curriculum (and my daughter's district, Bloomfield Hills), the curriculum moves fast (and ALL over the place, which I hate!). But then secondly, after we found out she had cheated...we had to leave room for the possibility that she was not daydreaming in the classroom, but instead "checking out"/going someplace safe/comfortable in her mind where she didn't feel so inadequate from not understanding. So is she really attention challenged or just unconfident and scared? Either way, we were on a mission to get her cofidence up or make sure it hadn't suffered too much. I will never care if my kids get amazing grades. I just want them to be happy, healthy and kind...and confidence/good self esteem are critical to that goal. And so in order to make sure she could keep up and not feel inadequate (esp as things get more difficult in the older grades), last year (actually the end of the previous year) I went into full swing with an action plan:
1) Had her placed into the right teacher's classroom (this teacher is solid, and she sets the standard in her classroom as calm and structured...as opposed to a more laid back classroom where students can get out of their seats/talk whenever they want---that is the WORST atmosphere for a child who struggles to focus)
2) Made sure she received the support (she is entitled to) to help in the areas she may be struggling with. The school offers it with a "support" teacher, and I asked her (excellent) main teacher to determine when she needed it outside of her classroom (only during lessons she believes my daughter was strong enough in to miss)
3) Found her/stayed with an excellent tutor once a week. This has been for the past two years (right after we discovered the poor thing was cheating to keep up), and we continue through the summers (though she gets a few weeks off here/there). Our particular tutor is a retired "support" teacher from the Farmington Hills district. All she used to do was come up with various ways (trick, almost) to help the kids who struggled with the regular curriculum, to learn the same essentials but in a 'customized' way. She is not cheap, but she is the only reason my daughter figured out her basic addition subtraction, multiplication facts.
4) Limit the TV!!! TV makes a daydreamer's mind even more mushy. During the schoolyear, I do not allow any Hannah Montana, Wizards of Waverly Place, Disney-anything basically...or any of the other garbage that makes my daughter "check out" even more. I let her indulge in it in the summer, but even then I limit it.
5) A clean room and neat place are critical to a daydreamer/attention challenged child. Less distraction/less chaos is critical. This one is admittedly hard for me because my husband is gone every week and I also have a 10 year old that sometimes needs my help and a 2 year old who ALWAYS wants my attention! So chaos almost always ensues :( but we try hard to keep things calm.
6) I have just resigned myself to the fact that I will be basically doing her homework with her (NOT "for" her) for an indefinitely long time/as long as she needs me to.
7) Healthy discipline/structure are actually something my daughter needs (even when it's not convenient for me). So I try to keep her/my other kids respectful with consequences...but with a lot of explanations so they understand. Then, when I say time to do homework, they don't fight (quite) as much and it ends up getting done at the same time every day.
The only thing I have not done is medicate her. And I never will because I don't want to tamper with her personality (LOVE her heart and exactly who she is!!!) and we have had luck/improvement with all of our other efforts (fish oil and good diet included). We are nowhere near home free, and it will always be ongoing work, but it we are SO far ahead of where we used to be! Everyone has their own views on medicating for this issue, I am personally not an advocate but have nothing against anyone who is. It's a very personal decision.
Hope this helps a little, and sorry to go on so much...I just have a soft spot for these kids who struggle.