I don't disagree with anything you've said here, Christopher. You have recognized the problem -- there ARE side effects to medication, and the medication doesn't FIX the problem, only helps manage it. We don't get to decide how the student deals with his/her disability. We only get to have our impact in providing an opportunity for the student to demonstrate capabilities in whatever state he/she is in. I like your focus on accepting the student as eligible and capable, and letting everything else play itself out.