Neurodiversity – ADHD

ADHD in Adults

ADHD (Attention Deficit Hyperactivity Disorder) isn’t just a childhood condition. Many adults live with ADHD, either diagnosed later in life or having managed symptoms since childhood. Understanding ADHD and recognising its signs in adulthood can be life-changing, providing insights into challenges you may have faced for years and leading to effective support strategies.

What is Adult ADHD?

ADHD in adults often presents differently than in children. While hyperactivity tends to decrease with age, adults may still struggle with inattention, impulsivity, and feelings of restlessness. Living with untreated ADHD can make work, relationships, and daily responsibilities more challenging than they need to be.

Adult ADHD often falls into three categories:

· Inattentive type: Persistent issues with focus, organisation, and memory.

· Hyperactive-impulsive type: More pronounced impulsive behaviours and feelings of inner restlessness.

· Combined type: A blend of inattentive and hyperactive-impulsive symptoms

Recognising ADHD in Adulthood

Adult ADHD can be harder to spot, often confused with stress or even dismissed as “personality quirks.” Common signs of ADHD in adults include:

· Trouble focusing: Losing track in conversations, missing details, or “zoning out.”

· Poor time management: Struggling with deadlines, frequently running late, or procrastinating.

· Disorganisation: Losing things, forgetting tasks, and having trouble with prioritisation.

· Impulsivity: Making hasty decisions, interrupting others, and acting without considering consequences.

· Restlessness and fidgeting: Finding it difficult to relax or sit still; sometimes described as “always on the go.”

· Emotional regulation difficulties: Mood swings, irritability, and becoming easily frustrated.

Many adults with ADHD also report challenges with low self-esteem, feeling they “should” be able to do things that others seem to manage effortlessly.

Why Adult ADHD is Often Missed

ADHD in adults is frequently underdiagnosed, with many people only realising they might have it after years of feeling “different” or struggling to manage daily life. Some adults initially seek help for anxiety, depression, or relationship issues, only to discover that ADHD is the root cause.

If you’ve consistently struggled with organisation, concentration, or restlessness throughout your life, it may be worth exploring an ADHD assessment.

How ADHD Affects Daily Life

ADHD can impact a variety of areas in adulthood, including:

· Career: Difficulty with focus and organisation can make managing tasks, deadlines, and career progress challenging.

· Relationships: Impulsivity, forgetfulness, and difficulty with attention can affect communication and connection in personal relationships.

· Daily routines: Household management, bills, and general organisation can become overwhelming without effective coping strategies.

The impact of ADHD on adults varies widely. Some people develop effective coping strategies on their own, while others may feel as though they’re always on the back foot, struggling to stay on top of tasks or to reach their potential.

Diagnosis and Treatment

If you suspect you may have ADHD, getting a diagnosis can be a game-changer. While ADHD can’t be “cured,” treatment can greatly improve symptoms and quality of life.

1. Assessment: Diagnosing ADHD in adults usually involves a detailed evaluation with a GP or mental health specialist, who will discuss symptoms and how they impact your life. You may also be asked about your history and family background, as ADHD often runs in families.

2. Medication: Medications can help by boosting concentration and reducing impulsive behaviour. Stimulants like methylphenidate (e.g., Ritalin) or non-stimulants such as atomoxetine (Strattera) are commonly prescribed. Medication can be particularly effective in managing symptoms, although the decision to start treatment is always personalised.

3. Cognitive Behavioural Therapy (CBT): CBT is often useful for adults with ADHD, helping them develop skills in time management, organisation, and coping with negative thought patterns. CBT also addresses related issues like anxiety, frustration, and low self-esteem.

4. Lifestyle Adjustments: Routines, time management tools, and physical activity can all help manage ADHD symptoms. Using a structured calendar, breaking tasks into manageable steps, and setting reminders can make a real difference. Apps and digital tools tailored to ADHD can be valuable aids in building consistent habits.

5. Support Groups: Connecting with others who have ADHD can be helpful, providing insights, shared experiences, and practical tips for daily challenges. Look for local groups or online communities to find support and understanding.

How we can help

· First book an appointment with a GP.

· Your GP will talk to you about why you think, or they think, you may have ADHD.

· The GP ask you to complete a screening questionnaire called the ASRS https://psychology-tools.com/test/adult-adhd-self-report-scale

This is not a diagnosis. It will help and your GP decide if you should be referred to a specialist service for an in-depth assessment.

· If you are referred, this is usually to a service called Psychiatry UK. If you wish to be referred to a different service, please discuss this at your appointment with the GP.

· We can also support students by providing evidence for a RAP (Reasonable Adjustment Plan). This is done through the university Disability and Inclusion Team. Click here for more information https://www.salford.ac.uk/askus/support/disability-inclusion-service