Adult ADHD

ADHD doesn't disappear at 18

A large share of children with ADHD reach adulthood still with symptoms, even if they show up differently: hyperactivity turns into inner restlessness, and impulsivity shows more in decisions than in movement. Many adults come to the clinic after a child of theirs is diagnosed and they recognise themselves in the description.

How it shows up in an adult

• Difficulty getting organised, chronic procrastination, projects started and never finished.
• Forgetfulness, losing things, poor time and deadline management.
• Inner restlessness, difficulty stopping or resting.
• Impulsivity in decisions, purchases or conversations.
• Work or academic history below their ability, and relationships strained by the above.

How it's diagnosed

With a detailed clinical interview that includes childhood: to diagnose adult ADHD, symptoms need to have been present since then, even if they weren't picked up at the time. Old school reports or family recollections help a lot. Validated questionnaires are used and, above all, look-alike conditions are ruled out: anxiety, depression, sleep disorders — including sleep apnoea—, substance use or thyroid problems.

Treatment

It combines medication when indicated, with checks on blood pressure, heart rate and tolerance, and organisation and time-management strategies worked on in psychological therapy. For many adults, the biggest initial relief isn't the medication: it's finally understanding it was never a lack of willpower.