I once read the teacher comments on my DH's report cards from early elementary school. I was astonished. One said "Something is wrong here..I don't know what, but something is very wrong. Steve is very smart, but cannot focus..."
Some of the comments were just plain mean. I couldn't imagine what would have happened if I had written that stuff when I was teaching. But, people just didn't know in the early sixties. My DH got almost a perfect score when he took the SATs and he was accused of having someone take the test for him, because, well, how could someone like him do that?
So, yes, the self esteem issues that are part of ADHD are not small things at all.

