The problem: Children with attention deficit disorder (ADD ADHD) are often labeled unruly or aggressive because of their impulsive physical and social interactions. Even though these children can be caring and sensitive, their good qualities are often overshadowed by their impulsivity.
The reason: Children with ADHD act before they think, often unable to control their initial response to a situation. The ability to "self-regulate" is compromised; they can't modify their behavior with future consequences in mind. Some studies show that differences in the brain in those who have ADHD are partly responsible for this symptom.
The obstacles: Many children with ADHD seem to spend their lives in time-out, grounded, or in trouble for what they say and do. The lack of impulse control is perhaps the most difficult symptom of ADHD to modify. It takes years of patience and persistence to successfully turn this around.