Hi - I'm new here and hoping someone who has been there, done that can help.

DS is 8 and has always had behavior concerns -- mostly around not fitting in, being bossy/aggressive and impulsivity. In classrooms he gets bored and becomes the class clown. He also moves a lot when stressed, worried, happy, etc. He was identified gifted early and spent K and 1st in an accelerated program. 2nd grade was mainstreamed into a 2nd grade class when we moved but with a year-ahead math pullout program and differentiated reading. Behavior issues all year long. Things got better but did not get fixed. We did a private neuropsych eval this summer. The neuropsych jumped right to ADHD because his father has ADHD but I've read enough to really worry about misdiagnosis for them both. Here are a few of DS's results:

WISC-IV: FSIQ 130. Verbal 133 and Perceptual Reasoning 136. Working memory 123 and processing speed 91. Tester very much keyed into the discrepancy as positive for ADHD. There are fine motor issues with handwriting, which could explain some of the results.

Tester then did TEA-Ch for attention and the results were scattered all over the place from High Average to Moderately Deficient. Then he used BASC inventories from DH, DS and me. All showed concerns with attention, but DH and I showed lots more concern about impulsivity. All three of us were answering largely about school.

The thing that is troubling me is that I feel like his dad's diagnosis biased the tester toward ADHD. I don't feel like my son is like his father. DS is impulsive and emotionally intense and 100% has trouble with behavior in lecture-type school and in large groups of peers. But he does not show those behaviors at home -- they are situation dependent. I told the tester all of this but it didn't seem to register. He says ADHD explains it. Maybe I'm too used to his father's disease, but my gut is telling me to question this. I think his emotional and social problems are coming from somewhere else.

For those of you who have been there, would you question these results and conclusions?