Thank you Knitting Mama. I have taken in all of the wisdom given to me on this thread and I am still confused. He has a great week and I think he is fine without meds. Then he has a rough week (getting emails at work from his teacher saying he is a mess) and I think he does need meds. Back to back weeks that are so different.

Yesterday we tried something different. We told him we were giving him his medication (but gave him a placebo). He had a much better day at school and said he was happy.

What to make of that???? I feel badly deceiving him but when we are contemplating stimulants as an alternative I rationalize that it is ok.