Being a young person I can understand your consern for your little boy's self esteem. Sometimes I feel like I'm different and I don't belong in school or with other people. Sometimes I feel worthless because I have ADHD; on the other hand sometimes I'm proud to be different. It's a curse and a gift. The best thing you can do to help him improve his self esteem is to make him understand that he is differnt and tell him to embrace it, but keep it undercontrol. It is hard for a child with ADHD to keep the ADHD under control because we work a million times faster then normal people. Like someone changing the channels on the TV.

Medication is another thing. Some time childern can not take centain medications because of the side effects. I can not take any stimulant medications because them make me go absolutly nuts. At such a young age it is going to be hard to find a medication that will work well with him. I've taken every single medication there is for ADD and ADHD! I found mine which is Stratera, a not stimulant. It helps me focus but understand, he has to put in his OWN EFFORT. The medication won't just 'Poof' make him pay attention.

Good luck. Sorry that is all I can offer you