Attention deficit hyperactive disorder (ADHD) is a prevalent diagnostic disorder for many students, which correlates with negative academic, social, and personal consequences. This article presents an integrative, cognitive-behavioral, systemic approach that offers behaviorally based interventions for professional school counselors to support students and their parents/caregivers. Specifically, this article (a) reviews the influences of ADHD on students' development; (b) introduces a cognitive-behavioral, systemic approach; and (c) presents a case illustration in which this approach was employed.