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The issue of meds was well-answered....//... is there any reason to not get him exited and talk scuba with him and then he get dissapointed when the doc says no?
I will add my personal insight as I believe the OP would tolerate the momentary hijack.
My ADHD son was doing very well under a fairly high regimen of the typical drugs that were titrated for everything including the ability to do homework reasonably independently (primary school through high school). He spent a couple of weeks in a juvenile facility under his doctor's suggestion. I asked the psychologist for insights into my son on discharge. He said that he saw my son twice, once on intake, once on discharge. No insights into my son. Why is he here then? Ans: to give you guys a break. We do group therapy and your son participated and enjoyed it. He is fine with his peers, he likes it here.
Just great. So for some unexplainable reason, I asked the right question. "You have to give me something. How about, of all the children you have seen what do all the ones who become successful have in common?" He complimented my question, never heard that one before, and then said: "They all found something that they could be passionate about, something that defines them, and something that is non-competitive."
He was the only local diver even through high school. It defined him.
Talk scuba with your son.