What adult ADHD is
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition. Symptoms begin in childhood and, for many people, continue into adulthood. In adults, hyperactivity often turns into inner restlessness, and the main difficulties are sustaining attention, organizing tasks and controlling impulses.
Many adults seek help after years of being told they are “absent-minded” or “disorganized”, or after their child is diagnosed and they recognize the same traits in themselves.
Signs and symptoms
- Trouble staying focused on reading, meetings and long tasks
- Frequently forgetting appointments, deadlines and belongings
- Procrastination and unfinished projects
- Disorganization with time, money and paperwork
- Restlessness and difficulty relaxing
- Impulsive remarks, purchases or decisions
- Needing much more effort than others to achieve the same results
How it is diagnosed
ADHD is diagnosed clinically: no blood test or brain scan confirms it. The psychiatrist reviews the history since childhood, how symptoms show up today at work, in studies and at home, and looks for conditions that can mimic or accompany ADHD, such as anxiety, depression, bipolar disorder, poor sleep, substance use and medical problems like thyroid disease. Rating scales, input from family and neuropsychological testing can complement the assessment.
Treatment
- Psychoeducation, to understand how ADHD works
- Organization strategies and routines, often with cognitive behavioral therapy
- Medication, when indicated, chosen according to the medical history, other conditions and personal goals, with regular review of benefits and side effects
- Treatment of conditions that often come with adult ADHD, such as anxiety, depression and insomnia
When to see a psychiatrist
When inattention or impulsivity cause lasting problems: missed deadlines, trouble at work or school, conflict in relationships, debt or accidents, or when other treatments are not working and ADHD has never been properly assessed.
Follow-up at the practice
At Dr. Petrus Raulino’s practice in Campinas, the first appointment is a full assessment. The diagnosis and treatment options are explained clearly, and follow-up visits track the response over time, in person or by video when appropriate.
Staging: text awaiting medical review by Dr. Petrus before publishing.
This content is for information only and does not replace a medical consultation. Diagnosis and treatment depend on an individual assessment. In crisis or having thoughts of suicide? In Brazil call 188 (CVV, 24 hours, free) or go to the nearest emergency room. In an emergency, call 192 (SAMU).