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ADHD Diagnosis in Adulthood The first step for adults who are seeking an ADHD diagnosis is to have the diagnosis evaluated by a specialist. This is typically a psychiatrist. The evaluation will include an interview as well as standard questionnaires. The examiner will look over the medical and developmental history dating from the early years of childhood. Examinators will also look over school reports. Signs and symptoms As adults, the signs of ADHD are often different from when they were children. Adult ADHD is characterized by hyperactiv