Our expert says:
I'd think the potential impact on his self-esteem would be part of what a good counselling psychologist would take into account, and would depend very much on how everything was explained to him. I don't think a lifetime of explanations is required, if he understands what is happening now.
He will need to see a paediatrician or child psychiatrist for re-assessment before styarting on medication for ADHD, and their opinion would be most important in reaching the decision about what to do about schooling.
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