We spoon feed too sometimes, especially in the morning. I find that oatmeal is great for this as I can follow him around with it and it is thick enough not to spill if he has a wild movement! We also dress him on school mornings because otherwise we would have no chance of getting him there on time. We brush his teeth most of the time and he needs someone to talk him through showers to keep things moving along and to make sure he doesn't forget any important steps. When he is medicated he is super responsible, even reminding us of things we need to do when we get ready to go out. I know he has all of the skills in him, he is just limited by whatever is wrong in his brain. I hope that someday we can do more for these kids, but for now we will happily use the stimulant.