The child with ADD chronically fails to meet obligations, do chores, stay up with schoolwork, keep to family schedules—get out of bed on time, arrive home on time, show up for meals on time, be ready to leave the house on time—keep his or her room tidied up, participate in family life cooperatively, and in general “get with the program” at home. This leads to chronic limit-setting by parents, with increasingly stringent penalties and increasingly tight limitations on the child. This, in turn, makes the child more defiant, less cooperative, and more alienated, which leads parents to feel more
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