I'll start by saying I live in the state of NC.  My SS10 BM desperately wants to put him on ADHD medication even though our pediatrician has advised against it.  Our pediatrician says there are to many variables to say that he definitely has ADHD and the behaviors alter dramatically depending on which parent he is with. She adviced to make more natural modifications and then meet again to go over data and discuss the next steps. BM has taken SS to at least 3 diffferent doctors that I know of until she finally got a Dr to prescribe him vyvance (30mg).