In this edition we return to the topic of ADHD and driving. Eensoo et al suggest that undiagnosed and untreated ADHD plays a significant role in road traffic accidents and should become an important consideration for driving schools. Epstein-Ngo et al describe some of the risks and pressures adolescents with ADHD experience at school. Hassan found a surprisingly high prevalence of ADHD among those with learning difficulties, while Huss et al looked into the new non-stimulant medication guanfacine, and its merits for patients who are unable to tolerate stimulant treatment.