I don't have much to add to the discussion of medications at this point; I am curious about a few things, though OP.
At what age did your child start watching TV/cartoons, even if just plopped in front for some entertainment while parents were watching/dinner was being eaten/etc.? Also, does your child have any handheld gaming device (smart phone/game system/etc.) that he plays?
As much as I dislike it, my wife is one of those people who turns on the TV as soon as she gets up, even if she has no intention to watch; she likes the background noise. Typically it's just the news.
We let him watch cartoons for a limited amount of time (typically no more than 30 minutes) starting around probably around age 2. Too young, I know. Hindsight. He'll take 'screen time' any chance he gets - totally different from his older sister, who's in the same environment and got cartoons at a similar age/exposure level.
We got a Fire last year. There are a number of games on it, mostly educational (though it hasn't always been this way). Use time crept up to almost an hour/day, most days at one point and we've drastically cut back on it. For months it's been ~30 minutes on weekends only.
I'm crystal clear that this may be our fault in whole or - more likely imo - in part. I believe at least part of this is genetic; many of the behaviors I see in him remind me of myself at his age. I'm interested in saving him some of that stress.
Of course the difference is night and day. Give any 5 year old those drugs and it will be a night and day difference in thier behavior.
Yep. But is the difference a change from constant class and team sport disruptions and constant distraction to active, happy participation?
It's not turning him into a zombie.
Trust me, I'm reticent about the medication; I'm one of those weirdos who actively avoids pills as a rule. But as I've mentioned before in this thread, I see my kid having a hard time doing the this thread and it's my job to do whatever I can.
What exactly is the problem with your 5 year old that requires the use of a psychotropic drug? Focalin has not been approved by the FDA for 5 year olds.
I've only found out about the age recommendation through this thread (but had similar reservations before it). We're just a few weeks from 6, and he's a big kid, so perhaps that figured in. I'm looking at the FDA guide and digging up studies currently.
His issues are, as redundant as it seems to type out, attention centered. If the activity is something super active, he's fine. If it's something he likes and requires concentration (coloring and Lego, mostly) he can stick with it. Outside that, he struggles. He loves playing soccer and basketball - can't wait to go to practice/games but once there if he's idle on the field or bench for 30 seconds, he completely loses focus to the extent the pack of kids with the ball could rumble right past him without him noticing. Afterward he's upset with himself over it. Not for long, but he is.
It's challenging him similarly socially and scholastically. He's a bright kid; a natural problem and puzzle solver. I don't think he (or all kids, as alluded above) needs to get As but I also don't think he deserves to fall (farther) behind because I didn't act when I should have.
I know what you're thinking - he's a 5(almost 6)-year old. And a boy. But I've been watching him among his peers for a long time and it's just not in the same league.