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ADHD in Adults Undiagnosed Living with undiagnosed ADHD can be extremely challenging, resulting in years of shame and low self-esteem. This can lead to depression as well as mental health issues and even abuse of substances. As with children, diagnosing ADHD in adults requires a thorough medical history that could include a psychological examination and interviewing the person's closest family members to get their perspective on childhood behaviors. 1. Focusing on Problems People with ADHD have a hard time staying