I went through that. You didn't mention who diagnosed him with ADHD. A pediatrician alone cannot give the diagnosis accurately. It should be diagnosed after full series ofdiagnostic assessment tests have been administered by a licensed and experienced clinical psychologist.
When my son was diagnosed, we were given recommendations which included the use of stimulants as well as monthly (sometimes bi-weekly) sessions with the therapist (his psychologist). We worked together with her for close to two years. He was also placed on a stimulant, which I really hesitated to at first because I am so anti-drug. But with the help of therapy and behavioral modification, we've been able to keep him on a low dose of the stimulant. He focuses so much better with the medication so that he's not so distracted by the petty little things and nervous habits. We're lucky that we have a family doctor who is willing to work with us, instead of against us, and is not forcing us to up his meds on a schedule (scale) as I've seen others do.
I felt bad about placing my son on a stimulant at first, but seeing how much happier he is with himself, I don't regret it. He's almost nine now. We started this treatment when he was six and a half, although he had been officially diagnosed with ADHD (and some Aspergers) at the age of six. We were told by others he had all the signs of it since he was three but we hoped he would "outgrow" it. Unfortunately it just got worse as he was in grade school so we had to make serious decisions so he wouldn't suffer and fail.