f symptoms for ADD/ADHD are only present in one setting,

 f symptoms for ADD/ADHD are only present in one setting, what could be a likely reason for this? For example, a parent is reporting extremely hyperactivity and inattentiveness within the home setting; however, the child is doing well at school and the teacher is reporting normal behavior. What are a few possible rule-outs and ways for the therapist to look closer at possible diagnosis or family system problems?  

 

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