Hi astronomama,
I would only be speaking from very limited experience, so instead I would ask the question to others who will hopefully respond:
Isn't it terribly early to diagnose a child with ADHD at age 4? And isn't there at least a chance that his behaviour has more to do with overexcitabilities rather than ADHD? There's at least one book on misdiagnosis as it relates to giftedness, I wonder if it might be worth questioning. I don't want to offer false hope, but it seems awfully young for a diagnosis.
We had some serious concerns with DS7 when he was around 3 and 4 years old. Luckily for us, his emotional intelligence has essentially caught up to his "big feelings" (as we all call them). In his case, it seems that it may have been an issue of asynchronous development more than anything else. He is doing significantly better now.
In any case, good luck!
