Hello, my son is 11 years old. Since starting school at age 5 there have been symptoms of ADHD that went ignored primarily because I attributed it to him being so young, also because I was terrified of both the stigma and of medicating. At age 7, when I finally did mention to his pediatrician that I wanted to have him evaluated for ADHD, I was given a questionnaire to fill out. Although the results seemed clear that he did have ADHD, the Dr. was not 100% convinced and suggested that I try modifying his diet, and told me that typically the recommendation for having a child evaluated for ADHD should come from a teacher or school administrator. I worked on adjusting his diet and implemented a more structured system at home, also set up incentive based rewards. I have stayed in close contact with his teachers and he has been on behavioral checklists in every class. Last school year there was an IEP meeting in which the school determined that he did not need an IEP. In my opinion his inattentiveness and impulsivity has been a distraction in the classroom and his grades have suffered for it. He is now in the 6th grade and I have recently went through the process of having the Vanderbilt assessments filled out by his teachers (he has 6 teachers). All of them were very happy to hear that this course of action was being pursued. I submitted the assessments to his pediatrician (a new one) and I have an appointment in a week or so to follow up with her. His first quarter report card has three E's, one D, one C, and one B. He is seeing a tutor with the hopes of bringing up his grades. I am searching for a psychologist or therapist as well. I am just curious as to what the next steps should be, or what I should expect. The process is not very clear to those who have not gone through it and I want to get him the help he needs as soon as possible.