At the risk of overgeneralizing, I would say that most cases of ADHD could be handled with better discipline and routine by the parents. Notice I say most, I do realise some children really are afflicted by this condition and life is hard for them and their families and they do need medication or other intervention to help. But, as a teacher time and time again I come across plain, old fashioned naughty children, who know how to wrap their parents' around their little fingers, and come into school thinking they can do the same to the teachers. And it often isn't teachers who want them to be labelled. I'm fairly new to teaching but my mum's been at it for over 40 years. She's worked with plenty of kids that she says have learnt the rules at school, and their behaviour improves, yet the mum takes them to the Dr and without even consulting teachers about how the children are in class the kids are suddenly on medication. Well, personally, I think that if a child can learn to follow rules when they are enforced, such as in a school environment, then they don't have ADHD. They just need the rules to be enforced at home too! Also, not wanting to overgeneralize but I know a fair few children with the diagnosis of ADHD who have been in and out of different nurseries, childminders, holiday clubs and before and after school clubs. So when they are at home, the parents often feel guilty about not spending enough time with them, and let them run riot, and not get enough sleep. And, subsequently, the children's behaviour becomes dire. Also, I think people just don't have high enough expectations of kids behaviour anymore. They let them get away with too many little things, and then by the time the big things start occurring they can't cope and want to slap a label on them. Too often you hear things like, 'Boys will be boys,' well yes they will, but that doesn't mean you can let them run amok in the supermarket while you blithely ignore them and let them knock things over and get in everyone's way! This question reminds me. The funniest label I've ever heard slapped on a child is 'Oppositional Defiance Syndrome.' That's doctor speak for 'won't do as he/she is bloody well told!' And yes, maybe some children really will refuse to do everything because of a medical condition, but I've known children with this condition, and after being in school for a little while they learnt to do as they were told. It was just at home that their parents couldn't enforce things. Perhaps in those cases parenting classes would do more good than labels.