WE tried this when nothing else was working and it did a great job of keeping our boy on track. He took it for 2 years and then he outgrew it. One day he said he didn't think he needed it anymore and so we stopped. He's doing good now and has learned to stay on track without the focus -but we know without it in the beginning - he wouldn't have gotten this far! He still takes the mindsoothe & brightspark though!