Adult attention deficit hyperactivity disorder

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Adult Attention Deficit Hyperactivity Disorder (ADHD) is a mental health condition characterized by patterns of inattention, hyperactivity, and impulsivity that are more pronounced than typically observed in individuals at a comparable level of development. While ADHD is often diagnosed in children, it can persist into adulthood and affect an individual's daily life, including their work performance, relationships, and self-esteem.

Symptoms and Diagnosis[edit | edit source]

Adult ADHD symptoms can be divided into two main categories: inattention and hyperactivity-impulsivity. Inattention symptoms may include difficulty maintaining focus, following detailed instructions, and organizing tasks. Hyperactivity-impulsivity symptoms can manifest as restlessness, an inability to stay seated, excessive talking, and impulsive decisions without considering the consequences.

Diagnosis of ADHD in adults requires a comprehensive evaluation, often including a detailed history of the individual's childhood behavior, academic performance, and a review of symptoms. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria are commonly used to diagnose ADHD. It is important to rule out other conditions that may mimic ADHD or occur as comorbid conditions, such as anxiety disorders, depression, and substance abuse.

Treatment[edit | edit source]

Treatment for adult ADHD typically involves a combination of medication, psychotherapy, and lifestyle changes. Stimulant medications, such as methylphenidate and amphetamines, are often effective in managing symptoms. Non-stimulant medications, including atomoxetine and certain antidepressants, may also be used. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can help individuals develop coping strategies and address any co-occurring mental health issues. Lifestyle modifications, such as regular exercise, a healthy diet, and adequate sleep, can further help manage symptoms.

Impact[edit | edit source]

Adult ADHD can significantly impact various aspects of life. Individuals may struggle with organizational skills, time management, and maintaining relationships. These challenges can lead to underachievement in the workplace, academic difficulties, and low self-esteem. Recognizing and treating ADHD in adults is crucial for improving quality of life and preventing the long-term consequences of untreated ADHD.

Epidemiology[edit | edit source]

The prevalence of ADHD in adults, while difficult to estimate accurately, is thought to be around 2.5% to 4% of the global population. ADHD is more commonly diagnosed in males than females, though this may reflect a bias in diagnosis rather than an actual difference in prevalence.

History[edit | edit source]

Historically, ADHD was considered a condition that primarily affected children, with the expectation that they would "outgrow" it. However, research over the past few decades has shown that ADHD can persist into adulthood and that adults can be diagnosed even if they were not diagnosed as children.

See Also[edit | edit source]


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Contributors: Prab R. Tumpati, MD