ABSTRACT

Attention deficit hyperactivity disorder (ADHD) is a chronic and impairing disorder of childhood, adolescence, and adulthood and is characterized by primary symptoms of inattention, impulsivity, and overactivity (1). In addition, ADHD is usually associated with one or more comorbid conditions, associated features, and functional deficits, or combination of these, which add to the impairment picture and complicate treatment planning. Oppositional defiant disorder (ODD) is the most common comorbid condition with 35% to 60% of ADHD children also meeting criteria for an ODD diagnosis (2,3). Conduct disorder (CD), another significant comorbid condition occurs in 30% to 50% of ADHD cases. Among the functional impairments, difficulties within the family and parenting domains are prominent.