One concern which is often expressed by adult clients who have been diagnosed with ADHD is that they don't want the diagnosis to be an excuse for them not to accept responsibility for themselves. Many clients have stated that they were relieved when they were given the diagnosis of ADHD because it helped them better understand why they have been struggling in so many ways.
Recently I was looking at a recorded lecture by Dr. Russel Barcley who is a respected researcher in the area of ADHD. During the lecture he stated that "children with ADHD need more accountability not less" Frequently we do not hold children with certain disabilities very accountable for their actions because we are unclear regarding their capabilities. Also we may not want to intensify their already difficult and challenging lives.
One major challenge for parents is that they often do not know how much to expect from their child. It is often difficult to know when a child needs to be held accountable and when they are really not capable of doing what we might ask of them. When we expect too much we may set them up for increased stress and acting-out behaviors. If we don't hold them accountable for what they are capable of doing we are providing a disservice and not helping them develop their full potential. It seems as if this issue of accountability is not only a challenge for parents but also for adults who have been diagnoses with this disability.