Berit Støre Brinchmann, University of Nordland and University of Stavanger Henrik Sollie, Norwegian University of Science and Technology Abstract The aim of this study was to develop a grounded theory of being a parent of hard-to- treat teenagers with the diagnosis of ADHD. Caretakers of 11 adolescents with ADHD were interviewed and analyzed according to the principles of classic grounded theory. The parents’ main concern was how to handle everyday challenges with the teenagers and how to get the help they needed and required. Struggling with and for is the core category in our findings. In addition, we identified four sub-categories: good “mothering”, advocating, seeking support, and giving up. The meeting with the helping services causes just as many problems as the relationship with the teenagers. Professionals should be able to identify family strengths and capabilities. In that way, professional support can be built upon coping strategies with which a family is already familiar. Keywords: ADHD, coping strategies, grounded theory, parents, professional services, teenagers Introduction Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood psychiatric conditions. The core symptoms of inattention, hyperactivity and impulsivity affect the child’s adaptive functioning. In addition, a high proportion of children with ADHD present with comorbid conditions such as oppositional and conduct disorders, anxiety and depressive disorders, tics, and Tourette’s disorder, with implications for impairment and clinical interventions (Barkley, 2006; Brown et al., 2001; Gillberg et al., 2004; Steinhausen et al., 2006). Studies have also shown that co-occurrence of clinically significant ADHD and autistic symptoms are common (Reiersen & Todd, 2008). An extensive review estimates an ADHD worldwide prevalence rate of 5.3 percent, but with a substantial variability across studies (Polancczyk, de Lima, Horta, Biederman & Rohde, 2007). Methodological characteristics such as diagnostic criteria, source of information, and the requirement of impairment for the diagnosis were associated with the different prevalence rates. A majority of children diagnosed with ADHD continue to meet criteria for the condition during adolescence (American Academy of Child and Adolescent Psychiatry, 2007; Faraone, Biederman & Monuteaux, 2002; Mannuzza, Klein & Moulton, 2003), but the symptoms of hyperactivity and impulsivity tend to decline at a higher rate and at an earlier age than the inattention symptoms (Biederman, Mick & Faraone, 2000). Compared with parents of children in normal population samples, parents of children with ADHD report consistently more demanding, disruptive, disorganized and impulsive child behavior with a significant impact on homework, family routines and playing with other children (Coghill et al., 2008). Children with ADHD and comorbid disorders display poorer functioning than children with ADHD alone, and negative effects on quality of life have been reported across several psychosocial, achievement, and self-evaluation domains (Booster, DuPaul & Eiraldi, 2012; Danckaerts et al., 2010; Escobar, Soutullo, Hervas, Gastaminza, Polavieja & Gilaberte, 2005; Wehmeier, Schacht & Barkley, 2010). Two comprehensive reviews present studies documenting associations between child ADHD and family and parental characteristics; such as higher rates of parental psychopathology, conflicted parent-child relationships, disturbances in marital functioning, inconsistent parenting practices, and reduced parenting self-efficacy(Johnston & Mash, 2001; Deault, 2010). Several studies also report high levels of parenting stress among families of children with ADHD (Anastopoulos, Guevremont, Shelton & DuPaul, 1992; Reader, Stewart & Johnson, 2009). The elevated levels of stress may result from the ADHD symptoms themselves, comorbid conditions, and the demands and challenges experienced by parents because of the child’s behavior. When ADHD persists into adolescence, the youth and the parents are faced with additional challenges related to normal developmental tasks of...