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ADD effects around 3-5% of all American children. ADD is a leading cause of school failure. ADD characteristics often are noticed during early childhood. As many as 50% of children with ADD are never diagnosed. Boys outnumber girls. Though it is harder for girls to be diagnosed. ADD is not an attention disorder like most people think it is, but is a disorder of impulse control. (Pfiffer) Signs of Attention Deficit Disorder can include, fidgeting with hands or feet, difficulty remaining seated, awaiting turns in games, and shifting from one uncompleted task to another. They also have trouble playing quietly; they interrupt conversations and intrude into other children’s games. Also at times can do dangerous things without thinking about the outcome. (Mills) It is strongly supported that ADD is genetically inherited although not all cases of ADD may be genetically links. Studies have shown that 20-30% of all hyperactive children have at least one parent with ADD. The environment is a big influence on a child during pregnancy and after. Studies show that smoking, drinking alcohol and using drugs during pregnancy, influenced a small percentage of ADD cases. Also if you are exposed to toxins such as lead can also alter the brain