Hello. This certainly is a hot topic in my practice! While it would not be responsible to make specific recommendations about treatment for your chid, I would be happy to provide some important background. At your child s age it is very difficult to accurately diagnosis ADHD. Most children at this age are hyperactive, impulsive and inattentive to some degree. If your child s case is more extreme and out of ordianry, then it warrents further consideration. But.. the first thing that should be done is to rule out a medical problem!! - such as anemia, sleep related disorders (such as obstructive sleep apnea), hearing and visual problems. These commonly mimic ADHD at this age and can be easily missed if not considered. Unfortunately, many children are incorrectly diagnosed and treated with medications. Even if ADHD were to be diagnosed, at your child s age medication and cognitive behavioural therapy (CBT) are not appropriate treatments. Behavioural modification (different than CBT) and acquiring new parenting techniques would certainly be the best place to start. I would suggest reading up on becoming a COACHING parent. Hope this helps. Stay well Dr. Jonah Kruger , pediatrician.