Jorge had been diagnosed with ADHD, encopresis, and daytime enuresis prior to his evaluation with me when he was 8 years old. His parents were divorced and his mother home-schooled him until eighth grade. A bitter dispute between his parents about whether he should be treated with medication was resolved by the court. With medication his schoolwork improved; he was placed in a small private school where he did very well. For college, Jorge moved to another state where he lived with his father and eventually graduated with honors, despite continuing difficulties with independent functioning and social interactions.