What is Adult ADHD?

Adult Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition that affects attention, executive function, time management, and emotional regulation. While it often begins in childhood, many individuals are not diagnosed until adulthood. This is especially true for those who have developed strong coping strategies or whose symptoms didn’t fit the stereotypical childhood presentation.

 

 

 

Q: What are the common symptoms of Adult ADHD?

A: Symptoms of Adult ADHD can vary, but often include:

• Difficulty staying focused or completing tasks
• Frequently losing track of time or deadlines
• Disorganization in work or home life
• Impulsive decision-making or difficulty waiting your turn
• Trouble following through on plans
• Feeling overwhelmed by routine tasks
• Chronic procrastination
• Restlessness or difficulty relaxing
• Difficulty managing emotions, particularly frustration or boredom

Some adults experience more inattentive symptoms, while others struggle more with hyperactivity or impulsivity. Many have a mix of both.

Q: How is Adult ADHD different from being “distracted” or “stressed”?

A: Everyone experiences occasional distraction or forgetfulness. What sets ADHD apart is the consistency, intensity, and impact of the symptoms. If your focus issues are interfering with work performance, relationships, or your ability to manage day-to-day responsibilitie, it may be more than stress or being busy. It also must be a pattern over time. ADHD is not about willpower or motivation; it’s about how your brain is wired.

Q: Can I have ADHD if I did well in school or have a successful career?

A: Yes. Many high-performing adults with ADHD go undiagnosed because they’ve developed ways to compensate. Also, the strategies and patterns of comensating often come at a high personal cost. They may rely on overworking, perfectionism, or last-minute adrenaline to get things done. Success doesn’t rule out ADHD; in fact, many professionals seek a diagnosis later in life when their coping strategies become less effective or when demands increase.

Q: I didn’t have major problems as a kid. Could it still be ADHD?

A: Absolutely. While ADHD symptoms begin in childhood, they don’t always result in academic or behavioral problems early on. Some people were bright enough to get by, had a structured home environment, or were simply labeled “lazy” or “disorganized.” Symptoms often become more noticeable in adulthood when responsibilities increase and structure decreases.

Q: What does the evaluation process involve? How to Get Tested for ADHD?

A: A comprehensive Adult ADHD evaluation typically includes:

• A detailed clinical interview
• Review of your developmental and academic history
• Standardized rating scales
• Screenings for anxiety, depression, sleep issues, and other conditions that may mimic or coexist with ADHD
• When possible, collateral input (such as past report cards or family observations)

In my practice, I conduct a full psychiatric assessment to ensure we’re accurately identifying ADHD and not missing other treatable conditions.

Q: What if I’m not sure I want a diagnosis?

A: That’s completely understandable. Some people worry about stigma or being “labeled.” But getting clarity can be empowering. Understanding how your brain works can open the door to more effective strategies, whether that includes therapy, coaching, medication, or structural tools.

Q: If I do have ADHD, what are my treatment options?

A: Treatment for adult ADHD is highly individualized and may include:

• Cognitive Behavioral Therapy (CBT) CBT therapy for ADHD focused on executive function and performance and specific organization and time management strategies like maintaining a calendar
• Schema-focused therapy to address deeper patterns of self-doubt or overcompensation
• Medication, such as stimulants or non-stimulants, when appropriate
• Coaching and productivity tools
• Lifestyle adjustments including exercise, mindfulness, and structured routines

 

In my practice, I provide both medication management and therapy, working collaboratively to help you reach your goals.

Q: How do I get started?

A: If you suspect you may have ADHD, the first step is a professional consultation. I work with adults throughout New York and New Jersey, offering evaluations, treatment, and strategic guidance.

You can contact me to schedule a consultation or learn more about Adult ADHD here. You don’t have to keep struggling in silence—there are strategies that work, and help is available. Contact me at 212-631-8010 or scott@scottshapiromd.com.