lightdance - I agree that if the situation is complex, evaluators often disagree on what the primary issues are and where to start with the treatment. I suggest more information because it seems like Cricket thinks there is more going on than just ADHD, and if there are other disabilities such as a language based learning disability such as dyslexia or dysgraphia, it would be important to recognize this and begin treatment in every area of need. And, if her child qualified for an IEP, this would afford the student accommodations and instruction in school. EF skills can and should be addressed by an IEP.

As far as ADHD, at some point it makes sense to take the plunge and begin treatment. I know in my son's case, once began treating with medication and a change of educational placement, life got a lot better for him.