Book excerpt: "Although the causes of ADHD are largely neurobiological and genetic, the manner in which parents respond to their child's challenging behaviors can influence both the severity and developmental course of the child's difficulties. What makes this more challenging for many families is that ADHD, and many of the problems that go along with it are highly heritable-- making it even harder for many parents of children with ADHD to create the consistent, calm, and organized environment in which the child with ADHD is most likely to thrive. Even parents with the very best intentions may not have the self-regulation skills, motivation, persistence, or organization to do what our evidence-based interventions require. Until now, few interventions for ADHD have given adequate attention to this very important issue, and none have integrated the focus on parent mental health and parenting in exactly the way we do in this program"--