I have concerns that we are seeing an upsurge of ADHD diagnosis in school. The medication can be seen as a way of keeping a child focused and well regulated but also under control. I am astonished that the family have not tried any intervention before going down this route. I know this is done in the US and it worries me to see it on the rise here. A good Clinical Psychologist or Psychiatrist would never diagnose ADHD without school input. I would be considering why the parents have done this.