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Can Adults Develop ADHD?

  • Synopsis: Published: 2017-10-20 - New research reveals people are not likely to develop ADHD as an adult and false positive late onset ADHD cases are common. For further information pertaining to this article contact: Florida International University at fiu.edu.
Attention Deficit Hyperactivity Disorder (ADHD)

ADHD is defined as a problem with inattentiveness, over-activity, impulsivity, or a combination. For these problems to be diagnosed as ADHD, they must be out of the normal range for a child's age and development. Depression, lack of sleep, learning disabilities, tic disorders, and behavior problems may be confused with, or appear with, ADHD. Every child suspected of having ADHD should be carefully examined by a doctor to rule out possible other conditions or reasons for the behavior.

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Quote: "The notion of a widespread adult-onset ADHD epidemic falls apart when you have access to detailed patient clinical records and history..."

Adults likely do not develop ADHD, according to new research by FIU clinical psychologist Margaret Sibley.

More than 80 percent of people diagnosed with adult-onset ADHD probably don't have ADHD at all. Those who actually have the disorder likely had it as children but were undiagnosed.

"The notion of a widespread adult-onset ADHD epidemic falls apart when you have access to detailed patient clinical records and history," said Sibley, an associate professor of psychiatry & behavioral health at FIU's Center for Children and Families and Herbert Wertheim College of Medicine.

"We found a number of people who looked like they had adult-onset ADHD, but when we looked closely, adult-onset symptoms were traced back to childhood or were better explained by other problems, like the cognitive effects of heavy marijuana use, psychological trauma, or depressive symptoms that affect concentration," Sibley said.

Sibley and colleagues evaluated 239 participants every two years, starting at age 10 and ending when the participants were 25.

The researchers used parent, teacher, and self-reports of ADHD symptoms, impairment, substance use, and other mental disorders. They looked at the context of the symptoms and the timing.

Sibley said false positive late-onset ADHD cases are common without careful assessment and clinicians should carefully assess impairment, psychiatric history, and substance use before treating potential perceived cases of adult-onset ADHD.

Additional explanations for late-onset ADHD-like symptoms could include traumatic brain injury, environmental stressors, medication side effects, or physical illnesses.

Sibley says more research needs to be done.

The study was published in the American Journal of Psychiatry.

Related Information:

  1. Children with Autism Possibly Over-diagnosed with ADHD - Childrens Hospital of Philadelphia autism and ADHD experts say current measuring tools for ADHD may not work for children with autism spectrum disorders - Children's Hospital of Philadelphia
  2. ADHD in Adulthood: Does It Get Better? - Stimulant medications used to treat ADHD in children is also effective in adults but adults tend not to be treated and may not be aware they have ADHD - Boston Children's Hospital
  3. Guidance On Civil Rights of Students with ADHD - U.S. Department of Education - U.S. Department of Education Office for Civil Rights guidance clarifying obligation of schools to provide students with ADHD equal educational opportunity under Section 504 of the Rehabilitation Act of 1973 - U.S. Department of Education


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