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ADHD in Adults Undiagnosed Undiagnosed ADHD is a difficult condition to manage, and can lead to years of shame and low confidence. This can lead to depression as well as mental health issues and even substance abuse. Adults are more difficult to identify than children. A thorough background is required, which may include a psychological evaluation and a conversation with family members regarding childhood behaviors. 1. Concentrating Problems People with ADHD typically have a difficult time staying focuse