There are many steps that a family can take short of medication. Usually, these involve close attention to problem behavior and developing a strategy (not a punishment) that might change the behavior. Some are straight forward – tighter routines in the morning while getting ready for school, close monitoring of homework assignments and school projects that require planning, or accommodations at school for tests. Some families benefit from counseling to examine conflicts at home.
There are many other “treatments” on the market that promise to be the answer for your child. Most of their claims have not been adequately tested for safety or long-term benefit. In this area, parents have to be very informed consumers. A conversation with your child’s pediatrician is a good place to start.