I have one diagnosed, and two more that probably have it (I'm 90% sure on one of them, and biding time on the other). For me, the question is what's the benefit of the diagnosis? I got the one diagnosed because he needed some accommodations and medication. The other one I haven't bothered to get diagnosed. I'm pretty well versed on ADHD stuff, so I try to work with her on managing it. She does well in school, except for getting marked down for having a disorganized desk and for blurting out answers -- but I can live with that for now. If she gets to the point that she needs accommodations in school or where I think she needs the meds, I'll look into a diagnosis then.
So, OP, I would say just to wait and see --- little boys are often very active and don't have well developed frontal lobes. Oftentimes, they just need a little more time to catch up. If it starts impacting him negatively (low self esteem because kids don't want to play with him, etc.), then go and get the assessment.
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