Attention Deficit Hyperactivity Disorder (ADHD) is receiving popularity as a childhood diagnosis and is estimated to occur in 3% of all school age children. Most commonly hypothesized to have a neurochemical etiology, treatment for children is generally medication. This paper offers a psychogenic conceptualization of ADHD and emphasizes the role of trauma in the development of these symptoms. It is believed that most children who display these symptoms have concurrently suffered trauma and the ADHD is a response to such life events. Case examples are presented and recommendations for evaluation and intervention are offered.