Mom needs to take away the X-Box and hand the kid a basketball. For less than the $250/month she's spending on meds, she could enroll him in a YMCA program after school.
Regarding my 3YO grandson, the entire family (parents and all 4 grandparents) is in agreement that we will not allow any diagnosis of ADD. When he comes to our house (usually 1-2 days a week), he never naps, because he's having too much fun. He gets plenty of physical activity, thanks to his 11YO uncle and his Opa. lol - He keeps me young, too.
My son just completed football, in two weeks basketball season starts. With sports and Boy Scouts, we're doing our best to maintain a high level of activity.
Looking back on my past thru today's glasses, I could easily have been diagnosed as having ADHD starting in the 5th grade...
Due to family issues, my straight A's up to that point began to decline but at least I wasn't subjected to being drugged out of my teenage years......