Medicating a child for ADHD should consider the adaptation of the phenotype if it is disruptive to education, future success, or pro-social relationships.

“I think a person who's sophisticated would hopefully not make a judgment like that without understanding the fact base a little bit more would you agree that the best argument against that logic which is not an argument that says every kid should be on medication it's an argument that says you have to weigh the pros and the cons of being unmedicated and what the impact on your education is going to be um and the long-term success you're going to have as an adult as a well-adjusted adult versus the the accepted risks of any medication and the potential upside it has towards allowing that child to learn”