My 6 year old son has moderate to severe ADHD. His primary symptoms are hyperactivity, impulsivity, lack of focus, and excessive talking. He was switched from Vyvanse to Focalin to see if Focalin would better help him. It did not. In fact, Focalin XR only exacerbated his symptoms, especially his hyperactivity and impulsivity. After taking this medication for a week he began getting into more trouble at school than ever before. He was jumping off desks, aggravating other students in class, and completely unable to stay seated. He was rolling around in the floor and acting as rowdy as possible. I spoke with my doctor about this the following week and we switched his medications again. Within a week of being on the new medication he begain to calm down and his symptoms overall began to improve. For my son, Focalin XR was absolutely not the answer. The doctor switched him from Focalin XR to Adderall 5mg 3 times a day. He has improved in every area since beginning Adderall.