As a result of the behaviors listed above, students with ADHD are at greater risk of academic difficulties, social/emotional issues, and limited educational outcomes. The degree to which attention impacts a student’s academic and social performance is related to the interactions between the student’s academic and behavioral needs and the environmental demands. Therefore, it is not unusual for the student to perform differently across settings. For example, a student with ADHD may experience academic success in elementary school; however, when he enters middle school, the increased academic and organizational demands may increase his need for additional academic and behavioral supports.