ADHD is diagnosed by clinical interview. It is essential to explore information on the key features of ADHD, current functioning, and childhood history as well as family history. History obtained from parents and report cards can give clues about possible attention difficulties. In cases like this one, in which the presenting problem is poor academic performance, it often is useful to obtain as much information as possible about the demands of school, the patient’s study habits and strategies, and what areas seem problematic (e.g., organization, completing tasks, listening in class, and so on). Inquiring specifically about how the patient approaches learning the material and accomplishing the required tasks will yield more informative responses than asking the patient general questions about her ability to pay attention. Asking about previous school situations—say, high school—can be helpful in determining why the patient now is having problems (e.g., it may be because the course work is more demanding or because college provides less structure) and when the problems first seem to have become evident.