Deonne, I have recently posted about my struggles on whether or not to medicate my DS9. Similar to your son, his grades are great and he is functioning fairly well without the medication. I could not help but wonder though, could he do even better without medication? This past summer, we started the medication merry-go-round. It has been very difficult, but we have finally found something that works for him without any side effects. His ability to organize his thoughts on paper has improved somewhat, but otherwise I don't see a big difference academically. Where I do see a big difference is in what I would call the "wierd kid" behaviors. Without the medication, he is constantly fidgeting, making funny faces, just plain acting strange. On the medication, he is much more appropriate and stands out less from the rest of the crowd.