how would you handle a child with ADHD

I agree that the issue may be her parenting style. If a child is great at school but acts up at home ADHD is usually not the problem. They can not turn on and off ADHD. My child was out of control at home and at school. I was not going to persue the ADHD issue until his teacher talked to me about what she saw. He did go through much testing, not just his pediatrician diagnosing him. I took him to a Dr. that ONLY sees kids with ADHD and knows his stuff. But, as you said, who are we to judge?

syou just need to be calm and talk with them not at them or maybe give them something interesting to do 'or do it togetparents don't seem too do that too much these days seriously think it;s a sign of attention

I agree with you as being a sign of ineffective parenting. Your friend has a child who knows no limits at home but yet at school rules were set and followed by the child. If the medicine is not working then she shouldn't be on it. I think your friend should try some different types of discipline and be consistent with it. Like time out or loss of privledges. Also reward the good and appropriate behavior consistently too. Children love praise and if she gets lots of appraisal from mom she will want to repeat the good behaviour that got the praise!