Hi J.,
My husband and 10 year old son are both classic ADD (not ADHD, there's a big difference). We were really resistant to getting our son tested, feeling that we would be pressured to medicate him. Having dealt with it his entire life, my husband's philosophy is that once you learn to manage it, rather than it managing you, it becomes a great asset and has served my husband very well in his career (software engineer who runs his own consulting firm because he truly can work on 5 projects effectively at once).
Over and over, I heard myself saying things like, "but he can work on a lego building project for 7 hours straight and forget to eat... how can this be a lack of ability to concentrate?" It truly is just part of how this affects some kids. Once my son is truly engaged in an activity, he has an extraordinary ability to focus! The problems that we were having were primarily when he was bored in school, and when he was taking timed tests. His grades were slipping and he was getting totally apathetic about school. We ended up moving him to a private school a year and a half ago, and having him tested for ADD. Sure enough, there was no doubt whatsoever. Without putting him on medication, he has made fantastic progress in his ability to keep himself organized, and after taking the state tests last year (which were timed), we just received notification this week that he was invited to join a Johns Hopkins University program for gifted youth because of his scores on the state test.
The thing with the diagnosis is that it gives you the power to advocate for what your child needs to the school. If she is diagnosed as ADD, then you have that club to wield if the school isn't making the necessary concessions.
Here's what we have done that has really made our lives easier and helped him:
At home, we have an after-school checklist... things like put your backpack and coat away, clean out lunch box, have a snack, do homework, do chores, etc. We also have a before bed checklist: put your homework in your backpack, set out clothes & shoes for tomorrow, take a shower, brush your teeth, feed the dog, etc. These lists give him a way to get himself back on track when he forgets what he's supposed to be doing, and eliminate me constantly nagging him about what he hasn't done yet. It also eliminates the frantic search for the other shoe, library book, etc. in the morning
At the beginning of this year, we sat down with his teachers and set up a method for helping him be successful. She moved his desk right to the front so that she could see whether he was spacing out or not. She makes a written list on the board of all sets of instructions, lists of materials that they need to gather, etc., because my son has a hard time remembering a long verbal list. However, she's said that it seems to be helping everyone get things done more quickly... We set up a homework planner where he writes all of his homework down, and keeps everything together in a binder with folders for each subject. Before he leaves school, the teacher checks to make sure that he has everything he needs for homework. When he gets home, he does his homework at the dining room table so that I can monitor without hovering, and I initial the list of homework when it's done and back in the binder. She also gives him as much time as he needs on tests and makes sure to send projects home if he didn't finish in class, and let us know about it. At school, we sent in a couple of little squeeze-balls so that he has something noiseless to fidget with. He's found that if he's getting distracted, this keeps his hands busy so that his brain can focus on what's being said. Above all else, we email regularly with the teacher about what is going on so that we're all on the same page. We're lucky that he has an exceptional teacher this year and even though it's breaking the bank to have him in private school, the result has really been astounding. He is so excited about school now, and I feel like the investment is going to pay off down the line.
I think the thing that has helped our son the most was after the diagnosis was made, he stopped feeling like there was something wrong with him, and that he "should" be able to focus better. Instead, now it's just the big joke that he's exactly like his dad, who he idolizes. So, when they both forget that they were supposed to be cleaning out the garage and end up playing video games together... well, they're just my lovable ADD boys :)
Good luck! Medications work well for some kids, but we just felt that it would be our very last resort. Don't let anyone push you into medicating unless you feel that it's the right decision for your child.