Consistent with the idea that ADHD is not simplex but complex, the treatment is just as multifaceted. Of course, if it is ADHD-simplex, then the treatment is fairly simple. Medication is the basis of all treatment. It is important to realize, however, that not everyone with ADHD needs or wants treatment. If an adult with ADHD is doing very well without treatment, my advice is always to go by the old adage "...If ain't broke, don't fix it...." In a childhood population, if a child is adamantly opposed to taking medication, it should not be forced upon him. Of course, if he does not perform to the level that his native ability would suggest, then he should not be given the privileges that he may desire. Also, if his behavior is getting him into trouble, he may want to re-consider. In a teenage population, they also commonly don't want to take any medication. I tell these youngsters that of course, it is their choice. But I tell their parents that they are responsible for their children's driving until they are of age and without medication, there is a significantly higher risk for accidents.