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It’s important to break it down this way because children look very different at various ages, their developmental tasks are different, and the environment in which they are behaving and living is different. Consequently, the underlying disorders of ADHD will manifest themselves uniquely at those ages and have a distinct effect on the most crucial aspects of development.When ADHD presents itself in an older school-age child, an adolescent, or even an adult, so much has gone into developing that person’s character that to say ADHD is the only force at work is extremely simplistic. We must go back to the beginning and look at how the syndrome first appeared, as well as how the difficulties related to it interacted with the child’s environment to distort his development right from the start.It often helps to think of attention deficit hyperactivity disorder as an onion, made up of layers, each having a dramatic impact on the next. Parents need to have a strong understanding of this multilayered aspect of ADHD in order to design the treatment approach that will be most helpful for their child.*14\173\2*