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Work with a psychiatrist over time- sometimes it takes some time to get the right med and figure out the best way to use it.
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Have the psychiatrist write a letter with a list of accommodations. You can research accommodations and write the letter yourself for the MD to sign, if you want.
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He needs to register with the Office of Disabilities. They give him letters for professors (which don’t indicate what the issue is) and he negotiates accommodations- or sometimes the professors are told by the O of D.
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He needs to use the accommodations. Late submissions, extended time, single room, exams in a separate room, excused lateness, whatever fits.
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See if the school offers coaching/advising/tutoring. If not, or if not satisfactory, and if affordable, hire a coach.
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Contact Landmark for a list of coaches. They also offer summer programs.
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Physical exercise is good for ADHD. Sports, walking, tai chi, martial arts, dance, whatever…
Is he on probation? Does he have the summer to try meds and get some coaching? I am not sure what a gap semester will accompllsh unless he still needs to try meds and therapy of some sort.
As a parent, I had to have flexibility in what I envisioned for my kid(s). There is a saying around here - something like you think you are headed for Italy but you end up in France. College is not as structured. Failure is not the kid’s fault. Many kids resist accommodations and I hope he can understand the concept of a level playing field. He deserves to do the best work he is capable of and needs supports.