I have lived this and it is tough! My son was diagnosed at about age 4-5 with ADHD. It was obvious to us when he was a toddler that there was something different with him. His behavior was out of control, he had trouble in school, making and keeping friends was impossible, and to top it all off he was labeled a "bad" kid at school. We put him in sports to help use up some of his energy. Luckily we had some understanding coaches because he was a problem on the bench too. He began on medication when he was about 5(ritalin). For him, the medicine helped improve his life. It is a personal choice and you would have to do your own research to find if it is the best thing for your child. His behavior remained out of control through most of his time in school but was at its worst when he was in junior high school. He is lucky that he had no other learning disabilities and maintained honor roll grades with the exception of conduct. In jr. high I think he was suspended 7-10 times. As a mother, my heart broke for him everyday. There were many days when I felt I couldn't handle it anymore. We did go to councelling off and on to help us get through this. All during high school I watched him like a hawk because I didn't want him to self medicate and I knew this was a possibility. Well, he graduated from High School with honors and is in his freshman year of college living away from home. He made deans list first semester. The battles seemed endless at the time and although there were many days I could do nothing but cry, it was all worth it. My son was never allowed to use his ADHD as an excuse BUT he was held accountable for everything he did wrong as well as right. Unfortunately, I am now going through this with my 10yo dd without the hyperactivity. No meds so far but we are getting very structured with her. I also have a 4 yo dd that will probably be diagnosed eventally. It can be hereditary and several people in my dh family have been diagnosed with it. Just be strong and supportive and hold your ground. Set up lots of structur ie: homework right after school, chores etc and don't waiver from this. As adolescents continues, keep communication open with him. Talk to him when he comes home so he won't risk drinking etc because he knows you will be waiting for him. I also worked with troubled teens for many years so I have experience on 2 levels. Feel free to pm me if you have any questions or just need someone to listen. My son can now tell me he knows I was firm with him for a reason and he appreciates it. No mother could be prouder of someone that has learned to deal with a disability.(yes, he still takes his meds at his own request).