Find a place that does gene site testing. It tells you which meds will work best for you and which aren't compatible. Its just a cheek swab completely painless. Though of course you need the correct diagnosis as well. If your treating ADHD but your child really has anxiety it will backfire. True story unfortunately. Make sure you have a current diagnosis. You should be doing a new eval every few years.
No way to actually know from clinical testing what's causing the symptoms unless someone's running neurotransmitter testing.