My son was severely ADHD as a child (he's still ADD as an adult and uses Wellbutrin for it now). 5mg is a very small dose--DS took I want to think 35mg a day before we switched to something else.
We tried therapy for a few years before we went the meds route, I wish we had done meds earlier. In my sons case the meds were prescribed by the pediatrician, but there was no doubt in anyone's mind that he needed them, including his pediatric psycologist. But a pscycologist can't prescribe meds.
Ultimately afte a couple years on Ritalin we decided that there was more of an issue than ADHD and did see a psychiatrist, and to make a long story short found additional DX and he got treatment for those as well. But the Ritalin did help him a lot.
You have to be careful with almost all ADHD drugs, as children enter puberty they can cause depression and other issues, but you've got a lot of time to plan ahead, and most kids outgrow ADHD before that point anyhow.
All of that said, DO NOT allow the school to bully you. If YOU don't feel that your child needs meds, find out exactly what rationale they have behind their suggestion. And it's only a suggestion, they can't force you into this. Often a behaviour modification program will work with a mildly ADHD kid without having to medicate.
THe difference is that the teachers have to be willing participants. Don't be afraid to fight for this, even if it means your child is classified. IMHO having an IEP is the best thing you can do for your kid, it REQUIRES the school to make accomodations for their needs, and "we can't afford it", "Don't have the staff", or "Don't have the raining" is NOT your problem. Federal law required the school to come up with a solution.
But if deep down inside you know that your child is having difficulties, then please take her to see a pediatric psychiatrist, psycologist who will work in tandem with your pediatrician, or a pediatric nuerologist. One of the reasons we went the psycologist route is that our DS continued in therapy which stressed behavious modification, and we felt it worked well in tandem with the meds. Most pediatric psychiatrists do not offer therapy, rather "how are things, OK, here's your scripts."
Let me know if you have any questions.
Anne
Anne