In my expereince with ADD and ADHD children, they do not need the drug. Yes, they are very difficult to deal with sometimes, and it can be a real struggle. However, with enough persistent discipline and caring, they can and will tone down their behavior and learn to listen. I've also noticed that the kids wo do take the drug become much different once it is in their system, they are so calm sometimes that it's like a vital part of their personality is being repressed. Just my two cents. 
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"The world is so exquisite with so much love and moral depth, that there is no reason to deceive ourselves with pretty stories for which there’s little good evidence. Far better it seems to me, in our vulnerability, is to look death in the eye and to be grateful every day for the brief but magnificent opportunity that life provides"
-Carl Sagan
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