A.L.
I know this experience can be a really bad thing for a child. Once they have a label like this put upon them, many people will view them for only their disorder and not who they are as a whole person. Still, more people refuse to acknowledge ADD/ADHD as a viable disorder (which I think is because this particular label was handed out to far more people than really was needed) and so they just think the child is "acting up".
My oldest daughter has had behavior problems since she was 2 (she's 9 now) and we have been in and out of counselor and psychologist rooms in hopes of dealing with it. Several times, people (Counselors, school advisors..) have tested her as having a "high probability" of ADHD and ODD as well at times. They have always encouraged me to have her "officially diagnosed" but I refuse.
I know once that label is put upon her she will be dismissed as a problem child and many people will insist I medicate her. In fact, one of the counselors we were going to continued to pressure us into putting Torri on a "trial run" of medication even though she had never been diagnosed with anything!
If you're wondering why I am so against it all, it is because of two main things. The first of which is because I believe people in America (children, especially) are over-medicated. As a child my older brothers and I were placed upon a drug called Pamelor (which I have come to know now is an antidepressant) simply because my father complained that we were "acting up". None of us were diagnosed with any condition, the psychiatrist just decided to place all three of us on this drug that my mother later said turned us into "zombies" and she used the drug's cost to appeal to my abusive father to allow us to stop taking it.
The second reason I feel so passionately about these things is because my boyfriend was barred from joining the military because he was diagnosed with ADD. While I don't believe the government bars applicants due to ADD anymore (due to the simple fact that just so MANY people "have" it now!) this was one of the many ways he was discriminated against simply from having ADD. His mother now says she regrets ever having him diagnosed.
The possibility of my girl having ADD is real, as several family members have the diagnosis and you're right it is largely an inherited condition, but I still refuse medication. I view drugging her as an absolute "last resort". After doing some research, I've found other ways that can manage conditions like ADHD - such as dietary restrictions.
Those with ADD/ADHD - their brains just work differently than the other/"normal" people in the world. But who is to say that its a bad thing? While my boyfriend's having the condition has caused some communication problems in the past, I have learned to understand him better. I think that you will be able to do the same thing with your little boy. Its a little confusing and frustrating first, but great once you've reached the point where you understand each other and you know what his line of thought is like.
I think that communication will be your biggest challenge, along with finding a treatment that works well without changing his personality. You might have to do some trial and error for a while and I just hope that he won't have to bounce from medication to medication as you're searching for the "right" one. In the mean time, keep all your other options in mind and see what you can do to remain patient with him (as well as all the people who are giving you grief over this!) I've been at my wit's end with Torri on more than one occasion but I have found that things have definitely been improving as she gets older. So that should be some good news for you. :)