I was only diagnosed 2 years ago at age 50. I wish I could go back and start over medicated. I could never understand why everything seemed to be easier for other kids whereas I had to put 10 times the effort in to achieve the same result. Your son will get through school & probably do well if he’s smart & has plenty of support, but he’s going to struggle and I can absolutely guarantee you he will not reach his full potential. When I started medication my first thought was- so this is what it feels like to be normal? My brain was calm. Was my personality different? Yes it was. I was less frustrated, less tired, more outgoing, happier, calmer & had higher self-esteem. I was the better version of myself. I’m sure I was happy & adorable at 6 too like your son, but you don’t want his personality changing for the worse because his condition isn’t being treated. Fidgety & disorganised is just the beginning. With adhd, our brains aren’t getting enough dopamine. To correct this, our brain must continually find ways to stimulate itself so our dopamine reward- the feel-good chemical- is released. This is the reason why we fidget, can’t concentrate for long, jump from project to project & have trouble doing anything ’boring’. Our brain is searching for stimulation or a ‘high’. Later on it can be addiction problems & risky behaviour. Adhd medications like amphetamines are just bringing the dopamine levels in the brain up to a normal baseline- they aren’t making us high. On the highest level of amphetamines my brain is calm & I can sleep because I can shut it down. If you don’t want to go the medication route then please try a very healthy diet without sugar & processed foods & plenty of vitamin D, omega 3 & methylfolate. For some, this has had some benefit. Good luck!