ADD is essentially a neurobiological disorder and needs to be treated as one.
I have done play therapy and cognitive behavioral therapy with children who suffer from this disorder and found it to be minimally effective in many cases. In many cases, the children I worked with were placed on medication and the difference was beyond compare. Although I am not proposing everyone with this disorder should take medication, I am proposing that it should be considered and monitored by the spparopriate professional such as a school psychologist. There is much confusion about Prozac although the literature reports it to be very safe medication with few side effects. It appears that some people may become more irritable or more depressed although they are in a limited number.