We decided to medicate when my son’s symptoms were so extreme that he was constantly getting in trouble at school and home and we felt it was harming his self esteem. We decided to medicate when my daughter came home every day from school having no idea what she learned and I had to reteach her the lesson in order for her to do her homework. We decided not to medicate our other son because his symptoms were not interfering “enough” with his home or school life to make him unhappy or his teachers unhappy and he improved a lot with some simple behavioral organizational strategies. If symptoms are mild you can try fish oil capsules aimed at helping ADHD symptoms. There are no known risks and there are studies that show benefits especially in concentration.