One of each here.
In general I absolutely agree with the statement that each students needs are wildly different and you really need to explore what works for your child.
My ADHD son was diagnosed sophomore year of HS though in reality we always knew but it had been manageable without treatment. When his rigor hit a tipping point, he requested assessment and treatment. Freshman and Sophomore years of HS were rough but he improved once on a solid treatment plan. For him medication made an amazing difference in schoolwork but it was not without consequences that he is still dealing with. The side effects messed up his eating (common) and actually impacted his relationship with food overall. He has changed medications to a short acting one that works better with the college schedule. While he does not use services, he does avail himself of professors hours, TA hours, study groups and really all resources out there to help him as he recognizes his tendency to be easily distracted and lose focus, these groups help keep him on task and he had a very successful freshman year and is now in his sophomore year.
My current HS senior was misdiagnosed as ADHD in his Sophomore year, but is actually HFA/Aspergers (though Aspergers isn’t given as a diagnosis anymore) with Executive Functioning issues. We’ve always assumed he fell on the spectrum, as did his teachers who would make comments occasionally, but never had diagnosed. Many of his issues seemed personality driven but in retrospect are very EF related. The ADHD misdiagnosis, at first seemed to help (meds) but became disastrous and an absolutely horrible first 2/3 of junior year at which point we had him retested. He does have a 504 but as he has high rigor and is considered gifted in the HS’s eyes…they really don’t do much at all for accommodations as frankly they don’t see the need. Though he might not be performing to potential, he is still above average from their perspective (aka not failing). Many of the issues (when he had the ADHD diagnosis) were perceived to be personality driven versus a 504 issue, such as refusal to do homework or turn it in when he didn’t see the value in it, but then would test well and so would still generally do ok grade wise.
The new diagnosis, combined with weekly therapy and some very different strategies around homework has truly turned his life around in a way that is remarkable. 6 months ago I was thinking we were looking at CC, a branch campus or maybe a gap year and having fears he’d never live on his own. Today we may be looking at a school across the country and he’s happier, more settled, more independent and more grounded than I could have imagined during those dark days. He still does not identify with his HFA diagnosis but as the root of his issues really is EF focused, we are ok keeping that as the focal area. We did look at EF coaching and I think it’s a valuable option for many but the weekly therapy really has been incredibly important in his improvement as has been the consistency of that relationship and the weekly appointment.
For him, as he has embraced the EF diagnosis and worked very hard at strategies to improve that (and prove to mom he didn’t need EF coaching!), we are focused on schools that have strong support programs if he needs them, OR, staying nearby and continuing with the therapist he has. If he does go away, he will be required to register with disability services, even if he never uses it and we will either hope he can skype with the current therapist or find him one at school. I am hopeful. He is off to a wonderful start this year and I feel his college list matches well with his needs and abilities.
So, all that said, it can be tough, it can be a rollercoaster and boy…they can grow and change. Dark really does not always stay dark, but you have to work at it and more importantly, so do they.