@polar - well even with the discrepancy in the VCI/PSI, his PSI is still average. But, to answer the question - yes she did about 4 hours of testing. He does not have DCD - he is just slow at writing and has quicker thoughts than fingers. He is actually really athletic and plays multiple sports pretty well. Plus there is a family history of ADHD.

epoch - my DS eats a good balanced diet - he eats little packaged foods but he loves fruit and it would be incredibly difficult to eliminate that from his diet.

ABQ - I would never medicate my DS just because a teacher wanted him to be less of a pain. His teacher has not said word one about medication and I don't think she finds him a pain. She initially contacted us because his behavior at that time was effecting his classroom performance and she was concerned about his interaction with his classmates. Some of that has been addressed through accommodations and him getting used to the transition to the class. My DS also gets exhaustion from his sports - he just finished fall baseball, basketball starts this weekend and wrestling next month (he just practices 2 nights a week but does not do the tournaments.) We also ski in the winter, hike/bike in the summer or until the weather gets bad. I try very hard to make sure he gets the optimum amount of physical and mental stimulation each day.

I feel like we are doing a lot of the right stuff for him but I am still trying to work out my thoughts on the medication. Thanks for all the input.