One more addition. You said your daughter is in the 4th grade, she is starting to creep up on the grades in school where things might actually start getting tough for her, I was ok in 7th and 8th, it was to bad at that point but looking back on it now I could see the seams of me starting to burst but when I hit I high school, all was good the first year then I fell apart, it was the hardest thing. I was told I was lazy and could do something if I wanted to etc etc. could do something if I wanted is the key statement for adhd, I knew I was failing but no amount of will power in the world could make me do something my mind didn't want to do. My high school years were hell and I try not to look back at them. So I really do hope your daughter gets the help she needs and as she gets older be more proactive about here own treatment!