Attention deficit disorder or the hyperactivity syndrome is a common and chronic disorder of childhood, with potential ramifications in adolescence and into adult life Treatment directed solely toward medication management has not been demonstrated to affect the outcome of this disorder significantly, and it is clear that comprehensive treatment is in order for these children The role of a clinical nurse specialist with skills and abilities complementary to that of the child psychiatrist or pediatrician who can provide many of the ancillary and direct services needed by these patients is described.