Social Issues
When the child with ADHD does not receive proper treatment, or if the treatment is not fully effective, the child may not only fail in schoolwork, but also in social scenarios.An inability to cooperate with peers at play or other social activities makes it hard for friendships to develop. Impulsiveness, difficulty in awaiting one's turn in a group situation, and an inability to play games for the same length of time as other children of the same age are all characteristics of ADHD. These characteristics may make it difficult for the child to be a good team member and to maintain friendships.

Children have great difficulty being patient or delaying gratification. They may therefore often speak out of turn or interrupt others. They may also engage in what looks like—but is not—intentionally risk-taking behavior. The child with ADHD may climb to the top of a tall structure or tree, may run into traffic without looking, or may leap on or off a moving vehicle. And, after the behavior has occurred, such children may be surprised to find themselves in a dangerous situation and not be able to get out of it. The behavior is risky—but the child is not risk-taking—simply impulsive. Psychiatrically, impulsivity and hyperactivity are not considered to be separate features of ADHD. They are a pattern that stems from an overall difficulty in inhibiting behavior.

Other associated features of ADHD can cause social problems at school and with peers outside of school. The features, which may change depending on the age and the developmental stage of the child, include outbursts of temper, bossiness, difficulty following rules, and disorganization.

Most children with ADHD have some social difficulties. Children who are not socially functional have a higher rate of coexisting psychiatric disorders and experience more problems at school, with peers, and at home.