I would bring up the BRIEF and tell them "look, here it shows he's impaired with organization and working memory but good with attention. Let's try to make some concrete adjustments to help with the executive functioning issue and see if he improves." If they put a plan into place and he STILL is struggling, then look at ADHD, medication, etc. Medication is great--it works wonders in my DD but not something you want to give to a very mildly affected kid who can do well if given more structure. My DD is a basket case when she is not on her drugs. It's obvious that she needs them. With my DS I don't even want to go there unless nothing else works. And like your DS he comes out fine on the computerized testing, the "attention" parts of the inventories, teacher says he listens with rapt attention in class. It's just organization. And who knows if meds would help if that's the only issue anyway. They need to be able to separate in their minds if it's an "attention" issue, or an "organizational" issue. There is a definite difference.