My family is not socioeconomically challenged, so the "drug the poor kid" label doesn't fit. When my 12 year old was in 1st and 2nd grade, the teachers and counselors pushed us to get him on Ritalin, or an analogue. We vociferously fought against it. His grades were in the low Cs and D, with an occasional F. He wasn't happy, had no friends, wasn't sleeping, and had impulse control problems. We tried play therapy, and other counseling, but to no avail. In third grade, I brought it up with the pediatrician who had known him for several years, and she told us that she never recommended ADHD drugs unless the parents suggested it first. We put him on Concerta. I got a constant raft of crap from well meaning friends who thought I was an awful parent for drugging my kid. However, he made the honor roll, started to sleep at night, and became more confident and made friends. He's now in 7th grade, and we are probably going to reduce his dose and see what happens. He still makes the honor roll, and is significantly happier. Say what you will, blame the drug industry, whatever you like, all I know is it worked for us. One interesting aspect is realizing that I also had/have ADHD (I'm 45), as I was very similar to my son when I was a child. I got horrible grades, was socially awkward, and also had insomnia. My doctor has recommended that I try Adderol, but I feel that I've managed to work around it. Now I'm happily hyper, but I often wonder how life would have been different had I been diagnosed at an earlier age and not written off as a waste of space in school.