OK, brief intro. My son is 11 and in the 6th grade. He's one of the younger ones with an Aug. 29th birthday. He has also always been in gifted education and in the fifth grade (after some more evaluation at his records) he was switched from a once a week pull-out GT class to an all day, every day gifted center. Now, this has been GREAT for us, but we realized that our very bright son, just wasn't bored in school, but probably had ADHD. NOW, after reading and learning I realized we should have known since birth practically and DEFINITELY should have known WAY< WAY before now, but when it's your first kid and when you think ADHD means they can't concentrate on anything, you just think your kid is being lazy or obnoxious. But... It's not so. We went through a battery of tests after a really bad experience last spring where a psychologist basically spent ten minutes with us and said, "Yep, ADHD" and gave us a drug and told us to come back in a month to see if it worked. This time there were several questionaires, a child interview, a parent interview, teacher evaluations, and a day of testing for my son. Well, it is 100% sure that Adrian has ADHD and probably nothing else (no mood disorder, behavioral disorder, etc). He just has a pretty GOOD case of ADHD (no doubts about its impact on his life)- combined, meaning both attention deficit and hyperactivity disorder. We are SOOOO much happier with HOW this was diagnosed over the 10 minutes interview we experienced in May. With this diagnosis, we now know he really needs a drug to help him and he needs to WORK on things he knows he'll always have problems with and they gave us resources and things to DO to help... unlike the other psychologist who said, "research has shown that only drugs work and behavioral work is pointless." If there is a 70% chance he'll have ADHD through college and a 50% chance he'll have it for life, I want to know that we're doing more than just "popping pills." But, despite that, this psychologist also feels that he has so many other positive factors, that he will be very successful in life even with a pretty strong ADHD problem, but that Adrian needs to always be aware he has a TRUE disorder. We will now need to take this to the pediatrician's to get him on a drug therapy and then take it to the school to get him an IEP. Besides the usual, helping him with staying on task, making sure outside distractors are minimized, etc.,it's EXTREMELY important that he get help with testing, not now necessarily, but in the future when he needs to take timed tests. Despite us coaching him on HOW to pace himself, he just doesn't have the ability to regulate time well. It's what kept him out of the Gifted program initially here because on the TIMED intelligence tests. On those he scores in the 80th percentile or so (need to be around the 96th or higher we figure to get into GT schools), but when you look at his results, there will be 60 questions in a section, say, and he'll attempt 50, get 49 right, but leave 10 blank because he ran out of time. On the NON-timed intelligence tests, he scores in the 99th percentile. HUGE discrepancy there! For this ADHD testing, they had him take another intelligence test to see his intellectual "potential" and compared that to intelligence tests that target processing speed and then gave a test that shows academic level for age. TYPICALLY these three should all be about the same, but if a child has ADHD the processing scores should be significantly lower. For my son his overall IQ on the Kaufman test was 135 (99th percentile for that test), but his WISC III processing speed subtest scores were 108 (55th percentile) and his WISC III Academic Achievement tests were back up to 99.9 percentile in math and science stuff, 90th in spelling and 96th in verbal. THIS discrepancy is what has been causing the havoc. He has all the "smarts" in the world, but he processes slow and can't keep to task. So... when it comes time to get into high school (he really wants to go to Thomas Jefferson High School of Science and Technology - it's a magnet school and it offers some AMAZING programs in math and science which my son ADORES, but... it's the #1 rated school in the nation and difficult to get into!!!), but there is an entrance exam. He will need some time accommodations. Same with ACTs/SATs in the future. I just want him to be able to SHOW what he can do instead of getting all caught up in the "ran out of time" thing. Plus, right now, it TERRIFIES me of imagining him having to organize himself to make it through college. So... he needs all the help he can get at helping him be more focused. I'm really hoping the drug therapy will help him a lot in other ways than academics too. It's REALLY trying that he TRULY can't remember more than one step directions. He and my two year old are at the same level there, honestly and the older he gets, the more they EXPECT (and we expect) that he can think for himself and look after himself, but right now??? He can't remember or attend to ANYTHING. I just thought you all might be interested since some of you might be dealing with this down the road. I'll be doing more and more studying and learning because I have a feeling this will be here for LIFE and it's not "just a boy who can't sit still". It's a boy who can't remember ANYTHING, has impulse control problems and more, and someday he won't have mom to remind him to put on his backpack for school! LOL I'm just mad at ourselves that we didn't figure it out earlier, but the psychologist said that his smartness was a protective factor because it HELPS that despite the ADHD he can still succeed, but that it's showing more and more behaviorally because other kids are settling down while Adrian is all still revved up. I SUPER hope that this helps him. He is such a NEAT kid and so curious and so funny, but the ADHD is getting in way of making and keeping friends and it's hard to CONSTANTLY being after him to do this and that and this and that... everything repeated at least three times and in only one step directions. I think it will help his confidence level too as he realizes he just needs HELP to get it together and not that he's a weirdo for not being able to do the things everyone expects him to be able to do. Anyway, that's it... now's the process of getting him on a good medication that doesn't make him drop weight. He's already THIN, so losing weight is a bad thing. Kind of a ramble, but I'm hoping our experience might help some other parents who wonder, "maybe yes? maybe no?" with ADHD... it takes SOOOO many different forms.