Our daughter Annie turned 11 last week. We love her so much, but she has been quite a handful for us as long as we can remember. As a baby she was difficult. She did not want to sleep. She did not want to eat. We remember her screaming and screaming. We felt terrible, blamed ourselves, and tried out the suggestions of the many people who offered advice, only to feel frustrated once again when nothing worked. As a young child Annie showed many strengths. She is a good athlete, liked by other children, and very intelligent. She has also been a hyperactive child her whole life and this has helped land her in a good deal of trouble. In the classroom, Annie has trouble sitting still. She fidgets constantly and has even left the classroom impulsively. As you can imagine, the teachers were not pleased. If Annie is interested in a subject, like science she can focus and do extremely well. On the other hand, if she finds the subject boring, like writing, she cannot stay on track and disturbs other children. We are concerned that she is not doing as well as she can in school and fear that it could get worse. We worry about Annie socially, especially as she is getting older, because her impulsivity makes her a follower. She is a good kid, but makes bad choices. She is clearly frustrated as well and returned from school once in tears and said “what is wrong with me? I just don’t get it? Why am I like this?” We are definitely feeling in need of some help and wonder if having a therapist to help Annie work out her feelings might be useful for her and for our family.