It is estimated that attention deficit disorder (ADD) affects from 3 to 10% of school age students. The ratio of male to female is reported as high as six to one. Children with ADD display signs of inappropriate inattention, impulsivity, and hyperactivity and are more likely than other children to have a variety of academic and social problems. ADD problems lead to difficulty within the family and at school. Combined with psychological problems associated with preadolescence, middle school ADD students often become frustrated and suffer low self-esteem. The school counselor has a special role in helping these children, their teachers, parents, and peers. The middle school counselor has two important functions in serving ADD students: (1) coordinating multidisciplinary services; and (2) counseling with ADD children and significant others. No one else is as able as the counselor to provide individual and group counseling and encourage a sensitive and supportive environment for ADD children, their significant adults, and their age mates. Contains 18 references. (JBJ)