I agree that working with a specialist such a developmental pediatrician is preferable to working with a general pediatrician. I work with a developmental neurologist that heads the LD unit in a large children's hospital. For me, it was important that the doctor understand my son's learning disabilities and their relationship (or possible cause) of his inattention. Other families work with psychiatrists with great success.

Most pediatricians are generalists and may not see enough ADHD cases to be able to treat and monitor complex patients as well as other specialists.