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Mental Health [Mental Health](/topics/mental-health)

# ADHD

Also known as: Attention-Deficit/Hyperactivity Disorder, ADD, Attention Deficit Disorder

infoMD Editorial Team 

February 25, 2025

8 min read

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### Quick Facts

Type Chronic 

Affects Children and adults; boys are diagnosed more often in childhood, but prevalence evens out in adulthood 

Prevalence Affects approximately 6 million children and 8 million adults in the U.S. 

Treatable Manageable with stimulant medications, behavioral therapy, and organizational strategies 

See a Specialist Psychiatrist, Neurologist, or Psychologist 

ICD-10 Code F90 

## Overview

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects both children and adults, characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with functioning and development. ADHD is not simply a matter of being easily distracted or having too much energy - it reflects real differences in brain development and neurochemistry.

ADHD presents in three subtypes: predominantly inattentive (formerly called ADD), predominantly hyperactive-impulsive, and combined type. The inattentive type is characterized by difficulty sustaining focus, disorganization, and forgetfulness, while the hyperactive-impulsive type involves restlessness, fidgeting, and acting without thinking. The combined type - the most common - features symptoms of both.

While ADHD is often thought of as a childhood condition, approximately 60% of children with ADHD continue to experience significant symptoms into adulthood. The presentation may change with age - hyperactivity often decreases, while inattention and executive function difficulties persist. With proper diagnosis and treatment, including medication, behavioral strategies, and environmental modifications, people with ADHD can thrive in school, work, and relationships.

## Symptoms

Recognizing the symptoms of adhd early can lead to faster diagnosis and better outcomes.

### Early Symptoms

-   Difficulty sustaining attention in tasks or conversations
-   Easily distracted by unrelated thoughts or external stimuli
-   Frequently losing things necessary for tasks (keys, phone, paperwork)
-   Difficulty organizing tasks and managing time
-   Avoiding tasks that require sustained mental effort
-   Forgetfulness in daily activities

### Advanced Symptoms

-   Chronic procrastination and missed deadlines
-   Impulsive decision-making with negative consequences
-   Difficulty maintaining relationships due to inattention or impulsivity
-   Emotional dysregulation - quick frustration, mood swings
-   Restlessness and inability to relax
-   Underachievement relative to intellectual ability
-   Low self-esteem from years of struggling

When to See a Doctor

See a doctor or mental health professional if you or your child has persistent difficulty with attention, impulsivity, or hyperactivity that interferes with school, work, or relationships. Many adults with ADHD were never diagnosed as children - if you relate to these symptoms and they've been present since childhood, an evaluation can be life-changing.

## Causes & Risk Factors

### Common Causes

-   Genetic factors (ADHD is one of the most heritable mental health conditions)
-   Differences in brain structure and function, particularly in the prefrontal cortex
-   Dysregulation of dopamine and norepinephrine neurotransmitter systems
-   Prenatal exposure to tobacco, alcohol, or environmental toxins
-   Premature birth or low birth weight
-   Lead exposure in early childhood

### Risk Factors

-   Family history of ADHD (first-degree relatives have 5x higher risk)
-   Male sex (boys diagnosed more often in childhood, but rates equalize in adulthood)
-   Prenatal tobacco or alcohol exposure
-   Premature birth
-   Childhood exposure to environmental toxins (lead, pesticides)
-   Maternal stress during pregnancy
-   Early childhood adversity

## How It's Diagnosed

ADHD is diagnosed through a comprehensive clinical evaluation - there is no single test. The assessment includes a detailed developmental and symptom history, behavioral observations, and standardized rating scales completed by the individual (and parents/teachers for children). According to the DSM-5, symptoms must have been present before age 12, persist for at least six months, occur in two or more settings (home, school, work), and clearly interfere with functioning.

For adults, the evaluation focuses on current symptoms, childhood history (ADHD must have begun in childhood even if not formally diagnosed), and functional impairment. Neuropsychological testing may be used to assess attention, executive function, and processing speed. The evaluator must rule out other conditions that can mimic ADHD, including anxiety, depression, learning disabilities, sleep disorders, and thyroid problems.

## Treatment Options

### Lifestyle Changes

-   Structured daily routines and consistent schedules
-   Breaking large tasks into smaller, manageable steps
-   Using planners, timers, alarms, and organizational apps
-   Regular physical exercise (especially helpful for focus and emotional regulation)
-   Adequate sleep (poor sleep worsens ADHD symptoms significantly)
-   Minimizing environmental distractions during focused work
-   Regular healthy meals to maintain stable blood sugar and focus

### Medications

-   Stimulant medications - methylphenidate (Ritalin, Concerta) and amphetamine-based (Adderall, Vyvanse)
-   Non-stimulant medications - atomoxetine (Strattera), guanfacine (Intuniv), clonidine (Kapvay)
-   Viloxazine (Qelbree) - a newer non-stimulant option
-   Medication is effective in approximately 70-80% of people with ADHD

### Complementary Approaches

-   Cognitive behavioral therapy adapted for ADHD
-   ADHD coaching for organizational and time-management skills
-   Mindfulness meditation to improve attention and emotional regulation
-   Neurofeedback training (evidence is growing but not yet conclusive)
-   Omega-3 fatty acid supplements (modest evidence for mild benefit)

## Living With ADHD

Living with ADHD means learning to work with your brain rather than against it. Understanding that ADHD affects executive functions - planning, prioritizing, time management, and emotional regulation - helps you develop targeted strategies. Many people with ADHD find that external structure (routines, reminders, accountability partners) compensates for internal executive function challenges.

ADHD also comes with genuine strengths. Many people with ADHD are creative, energetic, enthusiastic, and capable of intense focus (hyperfocus) on topics they find engaging. The key is finding environments and careers that align with these strengths while building supports for areas of difficulty. ADHD coaches, therapists specializing in ADHD, and peer support communities can all play valuable roles in helping you thrive.

## Potential Complications

-   Academic underachievement and school dropout
-   Job instability and underemployment
-   Relationship difficulties and higher divorce rates
-   Increased risk of accidents and injuries
-   Co-occurring anxiety and depression
-   Substance use disorders
-   Low self-esteem and negative self-perception
-   Financial difficulties from impulsive spending

## Frequently Asked Questions

### Is ADHD a real disorder or just bad behavior?

### Can adults have ADHD?

### Do ADHD medications change your personality?

### Can you outgrow ADHD?

### Is ADHD overdiagnosed?

* * *

## Sources

1.  ADHD. Mayo Clinic .
2.  Attention-Deficit/Hyperactivity Disorder. National Institute of Mental Health .
3.  About ADHD. Children and Adults with ADHD (CHADD) .
4.  ADHD. Centers for Disease Control and Prevention .

Medical Disclaimer

This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Reviewed By

infoMD Editorial Team

Last reviewed: March 26, 2025

In This Article

[Overview](#overview)[Symptoms](#symptoms)[Causes & Risk Factors](#causes-risk-factors)[How It's Diagnosed](#how-it-s-diagnosed)[Treatment Options](#treatment-options)[Living With ADHD](#living-with-adhd)[Potential Complications](#potential-complications)[Frequently Asked Questions](#frequently-asked-questions)[Sources](#sources)

### Quick Facts

Type Chronic 

Affects Children and adults; boys are diagnosed more often in childhood, but prevalence evens out in adulthood 

Prevalence Affects approximately 6 million children and 8 million adults in the U.S. 

Treatable Manageable with stimulant medications, behavioral therapy, and organizational strategies 

See a Specialist Psychiatrist, Neurologist, or Psychologist 

ICD-10 Code F90 

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