Thanks for all the thoughtful comments. We thought this year was going well until a couple of weeks ago and so are the more disappointed to find out it's not. epoh, I simplified the explanation--the psychologist showed us a questionnaire from the teacher, which indicated 'clinical' levels of I think inappropriate physical activity (can't remember the technical term) and suggested that we consider medication--for which I assume she would refer us to a physician, so I'm not worried about that part of it. DeeDee--I agree; we are going to go forward with seeing a specialist, particularly now that DD is still having difficulty with school behavior. We're just working with this local psychologist at the teacher's request to try to help improve DD's behavior and help the teacher deal with her, which I think is helping the teacher somewhat even though she's not seeing the improvement in DD's behavior we had all hoped for. I'm in the process of trying to arrange further appointments with a specialist, but it's an eight-hour drive (or a 3-1/2 hour drive, if I can hook up with another new one, which I may need to do if it's going to take more than one or two sessions). I just liked this psychologist and thought we were kind of on the same page more or less and plus I had shared our concerns about 2e stuff not being handled well at all last year, so I was disappointed when she seemed to jump over all that and suggest medication--without a formal diagnosis. And as I've said, I'm really not convinced DD has ADHD--I think she's 'gaming the system' to get out of stuff she considers boring by, for example, going to the bathroom or going and getting a book to read. I wish the teacher would try some kind of 'point system' or something with DD because I think that would work well, but the teacher is being as nice as possible and is really trying in her own way, so we really can't complain. But it's still very frustrating, especially because we have had some great teachers in the past and so I really think DD can succeed in the right environment, without medication. I guess we'll tell the teacher and psychologist that we need a diagnosis and will be seeing a specialist about it before considering medication, but I bet that won't make either of them very happy. Thanks again for all the thoughtful comments--it really helps to bounce this off other people besides DH, who is also somewhat upset by all of this. frown