My son was recently diagnosed with severe ADHD. I can definitely tell the difference when he is taking his pills and when he doesn't. The best thing is that he actually WANTS to take his medication. He WANTS to please his teacher and do well in school. Off meds, he is unable to learn properly and disrupts class. I used to think ADD/ADHD were overly diagnosed, and didn't want to put my son on any meds cause I thought the teacher was just having a hard time handling him.
There is no way to coach a child through ADD/HD. You can try to tell them to pay attention all you want, it just won't reach them. Even if they want to, they won't be able to.
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