Adolescents with ADHD and their parents experience a great deal of conflict and negative interactions in their relationships, particularly when the adolescent also has comorbid Oppositional Defiant Disorder (Barkley, Fischer, Edelbrock, & Smallish, 1991; Barkley, Anastopoulos, Guevremont, & Fletcher, 1992). Such conflict often involves specific disputes about issues such as schoolwork, homework, chores, and friends and is characterized by accusatory, defensive communication, frequent interruptions, angry outbursts, ineffective problem solving, and extreme thinking. A combination of contingency management and problem-solving communication training has been found to be an effective intervention for ameliorating such conflict (Barkley, Edwards, & Robin, 1999; Barkley, Robin, & Benton, 2008). The clinician helping adolescents with ADHD and their parents needs reliable and valid tools for assessing the parent-adolescent relationship. In the studies by Barkley and colleagues (1991, 1992), a number of uni-dimensional measures were used, each assessing one construct. Although clearly useful, these measures do not provide the clinician with a comprehensive profile where all relevant dimensions of the parent-adolescent relationship are presented on a common metric, permitting easy comparisons of the severity of problems across dimensions and facilitating treatment planning and outcome assessment. The Parent Adolescent Relationship Questionnaire (PARQ) is such a measure. In this article we will describe the PARQ, review a case study showing the role of the PARQ in the clinical assessment of the parent-teen relationship with an ADHD adolescent, and briefly summarize the psychometric properties of the PARQ.