Making decisions about whether or not to medicate a kid with stimulants can be agonizing. I totally get where both you and your son's father are coming from - and the concerns above about labelling - never mind medicating - a four-year-old as ADHD.

I guess the way I would try to come at it is - - - does your son find that he does things that he can't control, can't explain, and is this behaviour making him unhappy? Could the meds help him be the person he wants to be?

Or is he happy being who he is, and the meds would just try to make him into the more compliant, normal person that others - say teachers - want him to be for their convenience?

Would meds help him access and thrive in an appropriate, challenging educational environment that is meeting his needs? Or would they be to get him to stay still and quiet in an environment full of inappropriate behaviour expectations and/ or insufficient engagement?