This is a challenging read. The book focuses almost entirely on deficits and pathology. Barkley begins by citing research study after research study explaining why those with adhd will perpetually struggle. Understood that "the facts" can't be sugar coated. However, not all with ADHD are identical. Many actually have strengths and talents! Wow, what a concept! Barkley's other book, raising your defiant child, is much better (also co-written). That information is easier to digest, and as a parent or treating professional, leaves one with a sense of optimism. Other authors better articulate this information with a positive stance. I conclude by reiterating that this is difficult to read in its entirety.