The benefits of swimming for children with disabilities include improved motor skills, physical fitness, executive brain function and improved social skills. Swimming can also be an activity that provides a positive environment for children suffering from attention-deficit hyperactive disorder (ADHD). This article provides an overview of ADHD and includes best practices associated with teaching and coaching children with ADHD in an aquatic environment. Specifically, the article explores ways in which physical educators can use swimming to provide effective differentiated instruction for children with ADHD.