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If they are functioning pretty well with interventions in place and therapy, I would say there is not need for medications.  If they are having great difficulties with other help in place, then it might be time to think of medications.  medications are a trial and error solution.  Everyone reacts differently to the same one.  It might take several stimulant trials to find the best one and the best dose.  Sometimes kids are diagnosed with ADD/ODD as a first diagnoses, and there are often times other things that could be wrong in addition to and besides that diagnoses.  These kids often will not do well on any stimuant, and sometimes do even worse then without medications.  The right medications for the diagnoses will usually be helpful.


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