Many adults with attention-deficit/hyperactivity disorder (ADHD) often have subtle signs of the disorder that can cause significant strain on their lives and health. The hallmark symptoms of ADHD – inattention, impulsivity, and hyperactivity – are not as noticeable in adulthood, as individuals who were not diagnosed in childhood have likely developed coping mechanisms. ADHD symptoms can also be mistaken for anxiety or depression, leading to misdiagnosis and ineffective treatment. Some sneaky signs of adult ADHD include extreme procrastination, hyperfocusing on tasks, impulsivity, time blindness, emotional outbursts, irregular eating patterns, trouble sleeping, slow decision-making, restlessness, and rambling in conversations.
People with ADHD have difficulty sustaining dopamine during routine tasks, leading to extreme boredom and avoidance of these tasks. Hyperfocus can cause neglect of other important tasks as individuals become absorbed in a single activity. Impulsive behavior, such as impulsive purchases or reckless financial decisions, can also be a sign of ADHD. Time blindness makes it challenging for individuals to keep track of time or plan their activities effectively. Emotional dysregulation can lead to unpredictable and intense emotional reactions.
ADHD can also manifest in abnormal eating patterns, including binge eating or forgetting to eat entirely. Sleep disturbances are common in adults with ADHD, possibly due to dysregulation in the brain’s nerve pathways. Slow processing speeds can lead to difficulty making decisions, as individuals need more time to navigate the decision-making process. Restlessness and excessive fidgeting can also be signs of adult ADHD. Difficulty tracking conversations and impulsively jumping into discussions are other symptoms to watch for.
If an individual is experiencing five or more symptoms of ADHD for longer than six months, across multiple settings and impacting daily functioning, they should consider getting evaluated for ADHD. A primary care doctor can help review symptoms and refer to an ADHD specialist for further assessment. Diagnosis of ADHD involves taking a proper history, gathering relevant data, and ruling out other potential causes for the symptoms. Treatment for adult ADHD may include medication, psychotherapy, and managing other mental health conditions in conjunction with ADHD.
Receiving an official ADHD diagnosis can be a turning point for adults struggling with unrecognized symptoms. It can provide a framework for understanding lifelong challenges and help individuals regain confidence and motivation. Treatment for adult ADHD is similar to childhood ADHD, focusing on improving daily functioning and addressing co-occurring mental health conditions. Overall, gaining clarity through an ADHD diagnosis can empower individuals to take control of their health and well-being.
