Go to Dr. Hawit in Pr. Fred.
He will not prescribe if he doesn't agree with diagnosis.
He takes the time to ask the same questions your mention.
How is school, how are doing with friends, etc.
I understand both sides of the fence on this. A year ago I would have said no way to medication and I still believe that there are many who get it and shouldn't because they truely don't need it. My husband and I struggled over whether to medicate our daughter and finally decided to give it a try and it has helped. I cried for days over this and still do. It's not needed during long breaks or over the summer. The problems are all about attention and had nothing to due with hyperness. She's not a space cadet (on or off the meds) but during class EVERYTHING goes in one ear and out the other. She has learned to look busy and engaged but isn't.
I believe alot of our decision was based on the teacher, in 1st and 2nd grade if she wasn't "with" the teacher both were able to notice and get her back with them, however she did still struggle with grades. Her 3rd grade teacher doesn't seem to be able or willing to give that effort - it was this teacher that suggested her focusing was a problem. When she begins 4th it'll be without medication. If she's still having this problem and the teacher can't draw her in then I'll have her reevaluated before meds again. There are no behavior issues, no lack of wanting to learn, no reasonable explanation except she can't focus.
Even after coming to this decision I am still trying to find out if it's the right one. She pays attention in class and her grades have slightly improved. Math is wonderful and everything else is average, which I am happy with, but Reading/Language is still a struggle. Because of this we're looking into a learning disability vs. ADD. Unfortunately until then meds have been the best solution so far.
Now on the other hand, I have a nephew who's mother wouldn't/couldn't ever tell him no or correct him. Now that he's school age and uncontrollable she's been able (at request, "because she had another on meds and she knows he needs it") to have him put on meds. I've never had any problems with him, he came to our house for weekends and we'd battle for about 2hrs., after he was fine till she came to pick him up. Granted he is high energy but I find something for him to do to burn it off and no soda or candy at our house - simple but works. His situation is absolutely a parent unwilling to dicipline and structure their child and he shouldn't be on meds. We do not see the same pediatrician and never will.