There is a significant overlap between attention deficit hyperactivity disorder (ADHD) and learning disability (LD) student populations. The inattentive subtype of students with ADHD, in particular, is difficult to differentiate from students with LD. What differentiates between these groups can be seen in their regulation of behavior and attention to attain different goals. In turn, their behavioral choices alter the social context and the social context alters their outcomes. These outcomes are increased emotionality and sensitivity to positive and negative social feedback, negative future expectations, as well as decreased social and academic participation and prosocial response. The educational implications presented are related to their primary goals and the long-term outcomes they experience.