I worked in a children's psychiatric hospital as a case manager so I had a good idea about the diagnosis. It was, however, overshadowed by the hypothyroidism diagnosis at age 14. Taking thyroid medication helped with the ADHD and she got through high school and sixth form college by using her wits. The doctor had already diagnosed me with ADHD and I had declined meds as I had made it to 47 without them. I think this influenced her decision to decline them as well.