We didn't know if DS has ADHD or not so the doc did a provisional diagnosis and prescribed meds to see if they make a difference. My only caution with this is that even "normal" people may feel more focused on meds...but the question is whether they really make a remarkable difference or not. With DD9 the difference between when she is medicated and not medicated is VERY obvious. If I sent her to school unmedicated I can guarantee that the teacher would ask her within an hour if she forgot to take her medication. Of course, if you wouldn't consider medication whether or not there is ADHD, none of this makes a difference. I think there are interventions you can try and skills you can teach even without meds (or an ADHD diagnosis), for instance organizational skills for executive functioning issues. You can follow the advice in ADHD books for these issues even if you don't know if it's really ADHD, or if you do get the diagnosis but don't want to use medication.