Older children suffering from the effects of emotional trauma are frequently misdiagnosed as having Attention Deficit Disorder or Chronic Depression. Misdiagnosed characteristics of trauma are typically gender related, with boys who are hyperactive and act out and girls who dissociate and withdraw. An accurate assessment of the problem is critical to the success of intervention. Common trauma-related problems for adolescents also include learning difficulties, test anxiety, difficulty in forming relationships, difficulty with authority figures, substance abuse, acquiescence to abuse, and violent behavior. Since teachers spend so much time with this age group, this program especially targets teachers to help them form positive attachments and offer concrete help to their students. Sample guidelines include being respectful, giving positive reinforcement, investing quality time and attention, being consistent, and building honest relationships.