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ADHD in Adults Undiagnosed Undiagnosed ADHD is a tough condition to manage, and can lead to years of self-doubt and low confidence. This can lead depression, mental health issues and even substance abuse. Adults are more difficult to recognize than children. A thorough background check is required. This may include a psychological examination and a discussion with the person's family members regarding their childhood behavior. 1. Difficulty in Focusing People with ADHD often have difficulty staying focused. Adult ADHD is also characterized by forgetf