This chapter presents a case study of a Hispanic female of Mexican descent. To assist the patient in addressing social deficits and relationship issues, the author engaged her systems of family, peers, and school. Furthermore, her pediatrician diagnosed her with attention deficient hyperactivity disorder (ADHD), inattentive type, and prescribed Focalin XR. Specifically, the patient participated in a psychoeducational group for girls that focused on self-esteem, confidence-building, and social skills. The theoretical approach the author used for the treatment included solution-focused counseling integrated with cognitive behavioral and play therapy. Individual counseling sessions utilizing directive play therapy followed by psychoeducational group counseling appeared to provide the patient with the most success in developing a stronger sense of self, enhanced social skills, and reduced anxiety in social situations. She showed improved academic performance, increased positive self-esteem, and improved ability to describe and identify healthy social skills and relationships.