We began medication in fourth grade after trying the least invasive methods possible (tri-pod chair, ball, moving to a space alone…) She fell off the chair first day, bounced on the ball and hated being singled out. She was so smart but sat under her desk making Folders for her paperwork during packet time (I hate packet time for so many reasons). We knew she would not able do the critical thinking that was necessary for her at a fourth grade level (where you are no longer learning to read but reading to learn). Medication was necessary to slow down her brain. I will say we had a mother who chose not to do medication and made her opinion well known. Flash forward four years later this same mother stated clearly…I should have-I always knew she could do the work and get the grades and this finally allowed her to do it.