Still do not have a great handle on my son's ADHD. I go through periods thinking it's going okay, and then things change. We started him on Adderall in December, then upped the dosage and added a small dose of Ritalin for late afternoons. Then, I wanted to try the Daytrana (methylphenidate) patch, which seemed okay for a while, but his symptoms seem to be getting worse again. He is much better than when he was not on meds--and for certain hours during the day, he is great. My main complaint is how long it takes for the medication (all of them so far) to take effect. I give him his med (apply his patch) around 7:30 am--but, on the days he's home and definitely when he's at school from teacher's report--it doesn't really take effect until around 10 or 10:30. Does anyone else have this problem? Have you found any med that works faster? The ped. said that the patch should work faster because it didn't have to go through his system first, but nothing has changed since we started it a couple of months ago. Also, he often seems to get very sleepy after dinner. We take the patch off at 4:30p. I know we will probably not get a "perfect" effect with any med, but I have read a lot that people find their meds to be effective within an hour. I don't know why this isn't so for my son. Right now, we are relying on his pediatrician for medical advice on this, but I'm wondering if we should switch to a psychiatrist, who I'm sure has more expertise on the medications. I feel like we need a more refined approach to his meds. Does your child with ADHD see a pediatrician or a psychiatrist?