N o one knew what to do with Sharona. At school the ten-year-old struggled to follow her teacher’s directions. She’d space out during class and seemed to be in a world of her own. When her classmates would do benign things like touch the corner of her desk she’d explode. The teachers assumed that Sharona’s difficulties with focus and impulse control meant she had attention deficit hyperactivity disorder (ADHD). Diagnosed by her pediatrician Sharona was started on a stimulant.