“…Despite the fact that earlier research has demonstrated that skill building approaches, such as social skills training, have not been of much benefit (Abikoff, 1985(Abikoff, , 1987Barkley, 1990;Diaz & Berk, 1995) and that short-term psychosocial treatment effects do not typically generalize outside the context in which they are applied (Abikoff & Gittelman, 1984;Barkley, 1987Barkley, , 1990Barkley, Copeland, & Sivage, 1980), one should not conclude that psychosocial approaches should not be employed. In fact, more recent research, such as the National Institute of Mental Health (NIMH) Multimodal Treatment of ADHD Study (MTA, 1997), the largest randomized treatment study ever done, found that psychosocial treatments in combination with medication resulted in the best outcomes.…”