Typically, there is a lot of blame and frustration associated with Attention Deficit Disorder. Depending on how long the problem has gone before being diagnosed, there may be serious mental and emotional scars as family members and the child dealt with issues associated with ADD. This disorder is not only difficult for parents, but also the child with ADD and other siblings in the family.

The obvious victim of ADD is the child it affects. Being accustomed to negativity, these children usually suffer from very low self-esteem. Although they want to behave well, they have impulsive actions that typically result in constant punishment. Parents and teachers of an ADD child often are not aware or do not accept that the child suffers from a disorder and they are not always acting on a conscience level. The child, after being reprimanded and not being able to control their actions, is left feeling as though they will never be adequate or meet everyone else's expectations.

The parents of an ADD child suffer from incredible frustration and doubt of their parenting skills. Often ridiculed by teachers, family members, and other acquaintances, they are often viewed as being the cause of their child's behavior, as though lack of discipline is the root cause of their child's actions. Attention Deficit Disorder sometimes places a strain on the parents' marital relationship as well, as parents blame each other for being overly lenient or harsh in their rearing habits. This can lead to many arguments and disagreements that prove to be difficult on spouses.

An often forgotten casualty of Attention Deficit Disorder is the siblings of a child with ADD. Often not apparent, siblings in this situation often experience similar frustration and anxiety as the parents and child with ADD. Jealously sometimes plays a factor in their feelings as their sibling requires so much more attention, even if it is negative in nature. Also, these children often get the brunt of their sibling's impulsive actions, including aggressive behavior typical of ADD. These children may also find themselves being categorized in school and other social environments because of their sibling's behavior, which can also have a negative connotation.

In addition to immediate family, grandparents, aunts, uncles, and cousins may also be affected when a child has ADD. Depending on the closeness of the family, behavior outbursts and discipline issues may be a factor dealt with on various levels. In extreme cases, ADD may actually cause some familial relationships to be severed.