Mental Health

Here's Why ADHD Often Goes Undetected in Adults

By Dynne C. | Update Date: May 16, 2024 09:07 PM EDT

Attention-deficit/hyperactivity disorder (ADHD) frequently remains undiagnosed in adults, causing significant personal and professional difficulties.

Prevalence and Detection of ADHD

ADHD, typically identified in children, impacts adults too. Psychologist Ari Tuckman noted that the disorder is often overlooked in adults, especially women, minorities and those over 40. Only a small percentage of adults with ADHD receive proper diagnosis and treatment, with estimates suggesting around 3.1% of adults are affected. The condition manifests as inattention, hyperactivity and impulsivity, which can severely disrupt daily life.

Challenges in Diagnosis

The perception of ADHD as a childhood disorder contributes to its underdiagnosis in adults. Adults often exhibit less hyperactivity, making their symptoms less noticeable. Furthermore, many healthcare professionals may misattribute ADHD symptoms to anxiety, depression, or other psychiatric conditions. Dr. Britta Ostermeyer notes that ADHD symptoms must be present before age 12 for a diagnosis, and other conditions may mimic ADHD-like symptoms in adults.

Subtypes and Symptoms

ADHD presents in three subtypes: inattentive (ADHD-I), hyperactive (ADHD-HI) and combined (ADHD-C), with ADHD-I being the most common among adults. Inattention can manifest as difficulty staying focused and organized, while hyperactivity may present as excessive fidgeting or talking. Impulsivity might lead to hasty decisions without considering long-term consequences.

Impact on Life

Untreated ADHD can exacerbate other mental health issues and impair one's educational and professional achievements. Adults with undiagnosed ADHD may struggle in relationships and the workplace. Dr. Lisa MacLean has pointed out that the disorder's genetic component often leads parents to recognize their symptoms after their children are diagnosed.

Treatment and Management

Medication, primarily stimulants like Ritalin and Adderall, is the cornerstone of ADHD treatment. Non-stimulant options are also available for those who cannot take stimulants. Dr. Jeremiah Hopkins stressed the importance of managing expectations and understanding that finding the right medication may take several visits. Psychotherapy can complement medication by teaching coping strategies and organizational skills.

Lifestyle and Support

Behavioral interventions, such as cognitive-behavioral therapy, can be beneficial, especially in managing stress. Strategies like using reminders and breaking tasks into smaller steps can aid in daily functioning. Dr. MacLean advocates for good self-care practices, including a healthy diet, regular exercise and meaningful relationships. Supplements like omega-3 fatty acids and mindfulness practices can also support ADHD management.

Recognizing and treating ADHD in adults is crucial for improving their quality of life. Seeking professional help for proper evaluation and a tailored treatment plan is essential.

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