Thanks for all your responses on my last post regarding medication advice. I guess the thing that baffles me most about this is that my son was never officially diagnosed with ADHD. When the original testing was done by the school they noted sensory integration and auditory processing problems. ADHD was never mentioned. When I went to the behavioral psychologist, he only saw my son once (he sat contently and read a book) and talked to me and read copies of papers from the school. At the next visit, he started talking about medication and told me nothing else would work. When I went to the Neurologist last week, he examined my son for 3 minutes, read over all the IEP's, etc. and suggested I take him for an auditory processing test and occupational therapy. He said that medication can help but when I told him I wasn't a big fan of it he said that according to the school report cards, my son is already outperforming what his cognitive ability says he should be so he immediately dropped the medication discussion. He also said the services he is receiving at school are excellent and to keep him placed exactly the way he is which is all academics in a special ed class and mainstrem for gym, art, music, lunch and recess. He is now going to start mainstreaming for science and social studies as well. 2 weeks in and he is already reading. Sorry for the long history but my question is that when you research the symptoms of adhd, auditory processing disorder and sensory integration dysfunction, they are exactly the same. Since there is not a clinical test to diagnose ADHD how do you know for sure what the problem is when so many of learning disabilites mask each other? I've heard good things about OT for sensory integration dysfunction. Any experience in that area helping your children to focus better?