ITA. This year we have given ds things to do prior to school work: feed dog/cat/fish, make bed, etc. He does take pride in doing these things. It helps quite a bit to have our lives on more of a routine. I don't know why I fought it so hard in the past, but it has made a HUGE difference.
I put ds's list of things to do academically on a white board. It changes from one day to the next, so a white board works best for us. That way he can mark off what we've done.
I've done small breaks between subjects, but no t.v., computer, etc., until schoolwork is done. Anything else is fair game.
As noted before, we've done A LOT of work orally and if need be condensed the lessons.
I think, too, that if ds were in PS, he would be recommended for meds. He's a lot of energy in one boy :D
I'm curious about other's answers here, too :)