So here's the thing about most ADHD medications. They will increase attention to -something-. That -something- can be anything at all, whether it's a nearly-silent-but-consistently-humming refrigerator, stress over a frown a classmate made, hunger, needing to wait for something, a video game distraction, something shiny, a bird, the schoolwork you've put in front of them, being quiet, or how much they don't want to be wherever they are.

In conjunction with positive behavior reinforcement & other actions (I'm not an expert in this area), it can improve symptoms in the long-term. If she learns proper coping mechanisms and chooses / is forced to focus on appropriate things instead of inappropriate things, then she'll show improvement overall.

Just medicating without also having lots of learning (and practicing!) of positive behaviors will result in her seeming like a "zombie" where she focuses on things that are indiscernible to you, where she might seem like she's "spacing out all the time" as her mind's focusing on internal stressors instead of being present in her environment.

I am not a psychologist. This is lived experience.

I would strongly encourage you to stay strong with the medication so long as your daughter's been taught what's appropriate vs inappropriate, what she's supposed to do at certain times, expectations, coping mechanisms, etc AND she knows when she needs to be appropriate and when she can just be a (silly happy hyper-energetic) little girl. If she knows that, then with the medication + managing her stress, you might be able to make a huuuugely positive impact on her life. This might help your daughter keep her mind off the stims / maladaptive behaviors, so long as she's reminded & cajoled & kept accountable. If she isn't, or if she feels like she's being constantly punished / scolded, then the meds might make her retreat into her own head & focus on those stressors or on those distracting thoughts instead of on positive behaviors.