Why ADHD in adults is often missed—and why it matters

Anesthesiologist Maire Daugharty, who expanded her expertise by earning a master's degree in clinical mental health counseling, discusses her article "Why ADHD isn't just a childhood disorder and what that means for adults." Maire discusses the critical importance of timely diagnosis and treatment of ADHD, highlighting its negative impacts on self-esteem, mood disorders, substance use, and even criminality when left unaddressed. She clarifies that ADHD is not solely a childhood disorder, with many adults having missed diagnoses, particularly girls due to different symptom presentations. Maire delves into the predominantly genetic nature of ADHD and discusses factors contributing to its complexity and the reluctance to treat it. She emphasizes that accurate diagnosis requires a careful history and medical examination beyond assessment scales, and outlines multi-modal treatment approaches, including psychoeducation, behavioral therapy, and medication. Maire also discusses the core role of executive function deficits in ADHD and offers practical strategies for environmental modification and task management that benefit both children and adults.

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