Children with ADHD often experience academic challenges and interpersonal difficulties which may impact their educational success. Using a case study approach, the authors explored the experiences of a child with attention deficit hyperactivity disorder (ADHD) in a fifth grade school setting. Findings indicated that the student had an elevated intelligence, but was working below her potential, and that despite taking psychostimulant medication for several years, the student's academic success was still being compromised by ADHD symptoms. Therefore, in addition to psychostimulant medication, teachers may help children with ADHD, and themselves, by utilizing strategies focused on conflict resolution, improved communication, increased organizational skills, as well as individualized homework and instructional assistance.