Imagine this scenario: A 9 year old boy we’ll call “David” is brought in for counseling.  His parents are concerned about his angry outbursts.  They describe him as usually a mild-mannered and well-behaved child until this last year.  The parents have been getting reports from his 3rd grade teacher that David often fidgets, blurts out answers impulsively, “seems to be in his own world” too much and such things.  They became alarmed when the teacher suggested they have David tested for ADHD. At home, the mother reports that David has been having trouble sleeping. Most nights David climbs into bed
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