OP, boy I can feel your pain. My situation is a bit different, but similar in many ways. I have always suspected my oldest (now 10) has ADHD, really, since preschool. I felt this as a teacher who has worked with young children for many years. I felt that DH and I were very consistent and firm in our parenting, and yet, DS still had a certain amount of inattentiveness/impulsivity that he could not get a handle on. We had a great K year. 1st and 2nd grade were so so, with various behavior charts and varying successes. 3rd was great with an amazing teacher. Mind you, DS never got in trouble for hurting, etc. but rather could be distracting to others, or had a hard time following directions, needed them repeated, etc. For us, we kept putting off seeing an expert, as DS was doing extremely well academically, even though his "behavior" scores on his report card were middle-satisfactory range. Last year (4th grade), after the first day of school, for the first time, he came home from school crying, saying that he was never going back. After doing a bit of research, talking to him more, and to his teacher, it turns out, she had had to call him out on not listening many times that first day. She even said to me she felt bad, but it was a tough day, and he was acting out/being distractable.
Despite good grades, we finally decided to seek the help of a developmental pediatrician. For us, this involved a first visit with just DH and I. At this visit, she gave us questionnaires for us and his teacher, one on paper, one online. Then she met with DS at the second visit. At our 3rd visit, she met me to discuss the findings. She confirmed our thoughts that DS was extremely bright, but definitely had ADHD combined type, and was borderline for anxiety. We discussed our options and decided to try a medication trial. We went through some difficulties with the meds, but finally settled on a dose. We also requested a 504 meeting, and as a result, DS was found eligible for a 504 plan.
I think, with ADHD, as children get older, their impulsivity starts to have more social impact. (ie. who wants to hang out with that annoying child). Also, as attention expectations increase as children get older, children who struggle in this area may feel "stupid" (this was how my DS described it) when they are constantly called out on their behavior. I wish you the best.
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