Laura, My son is now 17 years old. Before he was born, we knew we would have an active child (didn't know gender at the time). We struggled for years with BOY vs ADHD. We fought meds, diagnosis,stereotype, etc. Late into 1st grade, our doctor asked us to please try ritalin. If his hyperactivity increased, it was the wrong thing to do. We tried it and I sat on the living room floor and cried-he was a completely different child. That weekend, on medications, we went to a zoo with a friend. I watched my completely excited son go from display to display in delight! At one point he came running back to me with a bit smile-Mommy I can read the signs! Don't know if this helps you, but it is our experience.