Children with Attention-Deficit Hyperactivity Disorder (ADHD) are at risk for behavioral problems and so are frequently brought to the attention of counselors. The literature is limited, however, in examining specific counseling techniques for this population, and particularly in discussing counseling in a developing country where children do not readily access mental health services. Based on parallels in symptoms between children with ADHD and those with violence exposure, the author has adapted the components of a trauma intervention model and applied it to counseling children with ADHD in Jamaica. This article examines a structured counseling approach based on the trauma model, and concludes with a discussion on the usefulness and limitations of this approach in regard to children with ADHD.