S.,
My daughter is now 8 and was diagnosed with ADHD when she was 5. We struggled with whether or not we should medicate and finally decided to do so. She took Adderall XR which did help her but we felt that she lost her "personality" as well. We took her off of it over the summer and decided to see how it went without it. So far, she is doing well overall in school this year. However, we are keeping a close eye and are not opposed to re-starting medication if needed.
Here is what I will tell you. Unfortuantely, much as I love her pediatrician, we were given two choices... medicate or don't medicate. There was never any suggestion of alternative methods instead of or in addition to medication. So, I ended up doing a lot of research independantly to see what other modifications we should make as well. We have done several things that have worked. We do a lot of positive reinforcement as before we were doing a lot of negative reinforcemnet by yelling and getting frustrated with her when she would act out or get distracted which was causing more bad behavior (in my opinion).
When she is doing something well, even if it is as simple as sitting quietly looking at something or not arguing with her brother, I will say, "wow, you sure are being a good girl, thank you". When she does the simplest thing like gives me an answer to one math problem, I will be like, "oh my gosh, you rock! awesome job pal!" She thinks it is funny that I make such a big deal but she really likes it and it keeps her motivated and on task.
Another thing we have learned is to keep as much routine as possible. This is critical for kids (and adults) with AD(H)D. We do homework at the same time (as much as possible) every day. We do it after dinner so she is not distracted by hunger and one of us sits with her for the most part. There is often some type of reward waiting such as playing Webkinz or calling a friend. If it is a really tough assignment and I can see she is starting to lose focus I will let her take a break. We learned that the hard way after spending hours of trying to get her to focus when she just couldn't. The reward waits though until the assignment is totally complete.
On school days, I don't allow sugary stuff for breakfast or lunch. I try to give her protein and fruits and veggies instead. Although she does of course eat the occasional birthday cupcake etc. in school. I don't restrict that.
If I were you, I would go to the library and find a book that appealed to you and gave some suggestions about behavior modifications that you can use with or without medication. It is a lot of work to do these interventions but in the end it is worth it.
Also, there is a network called CHADD which is an excellent reource for familes and people who have AD(H)D.
Good luck and please feel free to e-amil if you have further questions. I certainly don't have all the answers but I will be happy to share anything I know.
M.