I had previously posted in /r/ADHD about difficulties with my 6yo, and things are evolving, and I need help again. We're currently in discussions with his pediatrician about anxiety and prescribing fluoxetine (Prozac). 

We are conflicted because on the one hand, we're told it takes three weeks to "level out" which coincides with the start of school, so he would already be on the right track and potentially be better situated right off the bat. We're trying to find the right therapist, and other mental health services have a wait list, so the fluoxetine may be the way to go while we sort out the other avenues (therapy, CBT, PCIT). 

On the other hand, we feel much of what he's been exposed to is situational (stuck at home due to COVID, little social interactions over the past two years aside from school, moving, new baby, half of last year's classmates had IEPs or extreme behaviors which wasn't conducive to an ideal learning environment) so medication wouldn't necessarily fix these stressors. He would start school unmedicated while we try the other interventions. We also don't want to mess with his brain chemistry/development if he doesn't need it.

Here's the list of things we've already tried:

* Diagnosed with ADHD-Impulsivity (we're certain this is an inaccurate/incomplete diagnosis)
* Several ADHD stimulant meds which had negative side effects
* Filled out the SCARED anxiety questionnaire. Points mostly from the "separation anxiety disorder" section, but some points from all other sections too; not "diagnosed" with anxiety, yet. 
* Therapist 1: discharged my kid after less than two sessions because he couldn't get him to talk
* Therapist 2: only two sessions so far, but we don't like her very much
* Therapist 3: starts in 2 weeks.
* Seen by the Intake Coordinator for the local children's hospital mental health practice and is in line for services when they become available, TBD (not any time soon)
* Occupational Therapy services begin with school

Just trying to get some perspective on how we can best help him succeed, medicine or no. Thanks.