Successful intervention for severely disruptive children is likely to require effort and collaboration among pediatric mental health specialists, parents, and school staff. Children with severe disruptive behavior disorders usually require follow-up with credentialed pediatric mental health specialists and may need special classrooms, schools, or even residential treatment centers. Still, school counselors often find themselves as the first line of defense with these children. Children who disrupt the classroom may have a variety of psychiatric disorders, including attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). Disruptive children often have problems getting along with adults and peers. They typically have problem-solving deficits and trouble controlling their anger. This article discusses some interventions for anger management and problem solving skills and classroom strategies for improving attention and compliance, organization and productivity for children with ADHD. (Contains 2 figures.)