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ADHD in Adults Undiagnosed Undiagnosed ADHD is a tough condition to manage, and can cause years of shame and low confidence. This can lead depression, mental health issues and even substance abuse. Unlike children who are diagnosed with ADHD, diagnosing ADHD in adults requires a thorough history, which could include a psychological examination and a discussion with the person's close family members for perspective on childhood behaviors. 1. Con