Understanding and awareness is the key to successful management of ADHD, and to improving the public health impact of a chronic condition when it is not identified and treated. It starts by getting out of the muddy river of denial.
It's a catch 22, really. There is a public outcry against "overdiagnosis" of ADHD, but the rigor required for thorough diagnosis is extensive, expensive and not well supported by our public health system. So what are we to do?
I've never been against using medication in children. I am against a first and only use of medication in children who are minimally impaired. I believe first one must try to employ effective non-drug interventions of behavior modification and special education.