Thanks for the replies. I hope that my responses did not seem defensive - they were not intended to be. It is just that I have thought much about many of the issues brought up and we are confident in the diagnosis and our efforts so far. My DS is doing really well in school right now but a few months ago he was struggling and we were worried about his ability to make friends and to adjust to a the new environment. I just want him to be in the best position to take advantage of all of his gifts so that is why I am still pondering whether to try medication. Thanks again for your thoughts and input.