Wilfred, Strange as it may seem from a practical standpoint, from a legal standpoint the student is not required to "do his best to overcome a disability". That would suggest that the student has to earn the right to equal access. That's not how it works. The student is entitled to equal access (and to reasonable accommodations to assure that access). We HOPE the student will make good use of the access we assure. That having been said -- I agree with you. It is not up to us to tell a student HOW to make the most of the opportunity, and we have no right to insist on medication because WE think it will help. Dr. Jane Jarrow