Susie is a 10 year-old girl who was diagnosed with ADHD at age 8. She was placed on medication which appeared to help with her attention difficulties. However, Susie was still performing poorly in school. Her parents sought a neuropsychological evaluation to clarify the reasons for her academic failure. The results of the comprehensive assessment revealed an undiagnosed learning disability in addition to the ADHD. Once Susie’s curriculum was changed, and the appropriate accommodations were put in place, Susie’s academic performance and attitude regarding school improved dramatically.