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Can Adults Develop ADHD? Probably Not, Researchers Say

adult-onset-adhd-neurosceinenews

‘Researchers report up to 80% of people diagnosed with adult onset ADHD likely do not have the condition. For the 20% of adults who may have ADHD, doctors may have missed the condition during childhood, the researchers conclude…’

Source: Neuroscience News

In my psychiatric practice, I began treating adult ADHD in the ’80’s, soon after it was recognized that the disorder, heretofore thought to affect children and adolescents only, could persist into childhood, albeit with a slightly modified picture as one aged. It was a necessary criterion for diagnosing it in an adult that it had begun in childhood, even if not recognized at the time. As the disorder was popularized, I turned away many people seeking to have their underperformance in life validated by an ADHD diagnosis — and usually seeking to be prescribed stimulants — because a careful look back revealed that they had shown no signs of having had the disorder as children. Unfortunately, this distinction has been lost in the decades since, resulting in an epidemic of overdiagnosis and unjustified treatment in adults. (The reprehensible epidemic of overdiagnosis of ADHD in children is a different matter.) It warms my heart to see some credible research bearing on the issue. However, I might quibble on the basis of my clinical experience with the inflated assertion that “20% of adults may have ADHD.”