Thanks for putting up your query on HealthCareMagic. I am sorry that your 10 year old grandson is not doing quite well alongside the fact that he might have had a traumatic childhood. It is not easy to deal with children approaching their puberty, moreso if they have conditions like ADHD. Pubescent children often cannot deal smoothly with the transition that might be going on within their body. Traumatic childhood conditions like abuse make it even worse. Proper reassurance and guidance from your side may do wonders. Nocturnal enuresis or Bed-Wetting is unrelated to ADHD. Enuresis is common; it occurs at least once per week in 16 percent of five-year-olds. Enuresis resolves on its own in the majority of children Goals of treatment for nocturnal enuresis include: * To stay dry on particular occasions (eg, sleepover) * To reduce the number of wet nights * To reduce the impact of enuresis on the child and family * To avoid recurrence These can be achieved by simple interventions like: * Education and reassurance (given the high rate of spontaneous resolution) * Motivational therapy (eg, sticker or star chart) wherein the child is motivated not to soil his pants using some simple tools and reward systems (eg, star charts) were associated with fewer wet nights, higher cure rates, and lower relapse rates * Enuresis alarms which are activated when a sensor, placed in the undergarments or on a bed pad, detects moisture; the arousal devise is usually an auditory alarm and/or a vibrating belt or pager * Medicines like Desmopressin Once again, your doctor would be able to tell better. I would like to ask whether the diagnosis of ADHD has been confirmed by an expert. ADHD stands for Attention deficit hyperactivity disorder and has two components - attention deficit and/or hyperactivity. Symptoms include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity (over-activity). The details that you have given are not adequate for the diagnosis and are not indicative of ADHD and I suggest that you consult an expert in the field. Let me point out that not all doctors have adequate knowledge on the matter and there is a tendency of stamping many things as ADHD when they are actually not. In case the diagnosis has already been confirmed, let me point out that currently available treatments aim at reducing the symptoms of ADHD and improving functioning. Treatments include medication, various types of psychotherapy, education and training, or a combination of treatments. There is currently no cure for the disorder. With treatment, most people with ADHD can be successful in school and lead productive lives. Once again I would suggest you to consult your doctor about how to customise the treatment for your grandson after proper evaluation of the ailment he actually has.