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Well, if you tell him the medication is to make him like other boys, I can see why that wouldn’t be good for his self-esteem. But why not tell him the truth? Tell him that he’s a wonderful boy, and he’s perfect the way he is. The problem is, that school isn’t the real world. You can’t enter the real world until you finish school. Until he finishes school, he’ll have to slow down his mind to match other kids so that the teachers can keep up with him. As soon as he goes into the real world, he can set his own pace. The medication can help him slow down and focus on slow moving material. That way he’ll have the advantage of learning on a higher level than if he would have to settle for the teachers willing to teach a boy with a faster brain speed.