Counseling and parent training are very important in successful treatment of ADHD. ADHD can be associated with poor academic and work performance, interpersonal difficulties, family and parental stress, marital stress, depression and poor self-esteem. Counseling can help to decrease depression and anxiety, bolster self-confidence, and address behavioral problems. In therapy skills are taught and practiced to manage stress and anger, improve communication, and resolve conflicts. Parent training is effective for the reduction of parent-child conflict, parental stress, and disruptive behavior. Therapy can also help to reduce marital conflict and enhance the happiness and relationships of everyone in the family.