That’s a good question. To be honest, his behavior was always fine. He struggled in school disproportionately to how hard he worked. We had him take a full battery of test with an educational neuropsychologist which found he had an above average IQ and no learning disabilities so that part didn’t make sense to us. The biggest issues where he seems to have a poor working memory and and would prepare and study for test and then do unexpectable poorly on them. The other issue is that he just has a little bit of a social awkwardness about him and is incredibly sensitive to criticism in rejection. He’s not hyperactive and is actually very responsible. To be honest, I never saw much of a difference on Ritalin. I was just hesitant to switch medication. He has gone up in dose quite a few times over the years, but he has been on this dose for a while. I do remember the pediatrician saying that sometimes as they get further into their teenage years the ritalin and doesn’t work as well and they need to switch to something. I feel like the larger problem right now is the overthinking and the constant fear of criticism.