Although it’s often thought of as a childhood condition, attention deficit hyperactivity disorder (ADHD) persists into adulthood. In fact, some people are only diagnosed with ADHD as adults. According to the Canadian ADHD Resource Alliance (CADDRA), ADHD is one of the most prevalent neurodevelopmental disorders in Canada, affecting between 4% and 6% of adults and 5% to 7% of children, or around 1.8 million people in total. Yet despite this high prevalence, it is estimated that up to 80% of Canadian adults with ADHD have never been diagnosed or treated.

Learn more about the main symptoms and treatment options for adult ADHD, and discover strategies to improve your quality of life if you have the condition.

Understanding ADHD in adults

What is ADHD?

Attention deficit disorder with or without hyperactivity (ADHD) is a neurodevelopmental disorder that affects the brain’s executive functions, i.e., the ability to organize, plan, concentrate, and control impulses.

Unlike a simple momentary distraction or lack of motivation, ADHD is linked to well-established neurobiological and genetic factors and therefore does not stem from a lack of motivation or willpower.

Often unrecognized or misunderstood, ADHD can have major repercussions on someone’s personal, social, and professional life, especially when it goes unrecognized or untreated.

Symptoms of ADHD can vary from person to person and evolve over time, which explains why the disorder can sometimes go undetected until adulthood.

The exact causes of ADHD are not entirely understood, but scientific research shows that it is a multifactorial disorder linked to neurobiological and genetic factors. Differences in the functioning of certain brain regions (notably those involved in attention and emotion regulation) are often observed. In addition, heredity plays an important role: When a parent has ADHD, the risk that their child will too is higher.

Contrary to some beliefs, ADHD is not caused by poor upbringing, too much sugar, or a lack of discipline.

What are the signs and symptoms of ADHD in adults?

Adult ADHD is goes beyond temporary inattention. Its symptoms affect multiple different aspects of daily life:

  • Difficulty concentrating (brain fog and a tendency to quickly lose interest or move on to another task before finishing the first one)
  • Procrastination and disorganization (frequent delays, difficulty managing time, and projects left unfinished)
  • Recurring forgetfulness (missed appointments, misplaced objects, and information forgotten even after a short time)
  • Problems managing priorities (difficulty establishing a clear order of activities, leading to stress and loss of efficiency)
  • Impulsivity (decisions made on the spur of the moment, frequent interruptions in conversations, and intense emotional reactions).

Presentation in women

ADHD symptoms are often harder to spot in women. They tend to exhibit fewer physical symptoms, like hyperactivity, and experience more mental fatigue, rumination, and heightened anxiety. This is one of the reasons why ADHD is underdiagnosed in women: in the United States, women account for just 38% of adults diagnosed.

What are the different types of ADHD?

ADHD doesn’t always look the same from person to person. There are three main types of ADHD, each with its own particularities.

  • Inattentive: With no apparent hyperactivity, this type is characterized by great difficulty in staying focused, a tendency to be easily distracted, frequent forgetfulness, and often poor organization.
  • Hyperactive-impulsive: Less common in adults, this type is marked by a constant need to move, talk, and act without thinking about the consequences.
  • Combined: As the name suggests, this type combines symptoms of inattention and hyperactivity-impulsivity. It’s the most common form of ADHD in adults.

ADHD symptoms may evolve over time, so it’s possible to identify with different types at different points in your life.

How do I get an ADHD diagnosis as an adult?

The diagnosis of ADHD in adulthood relies on a comprehensive clinical evaluation by a health care professional, such as your family doctor, psychiatrist, or psychologist. This is essential to distinguish ADHD from other disorders that may present similar symptoms, such as anxiety, depression, mood disorders, addiction, or certain sleep disorders.

What tests can detect ADHD in adults?

ADHD assessment usually includes a detailed interview about the person’s medical, school, and work history, as well as validated questionnaires to measure inattention, hyperactivity, and impulsivity. In some cases, neuropsychological tests may also be used to better understand the cognitive profile of the person being assessed.

Some online tests, such as the ASRS v1.1, can also help you spot certain signs. However, these tests can never replace a formal medical evaluation, which remains the only way to obtain a reliable diagnosis.

ADHD and giftedness: overlapping signs

Some individuals exhibit both ADHD and giftedness, which can make diagnosis more difficult, as the two have overlapping characteristics (distraction, hypersensitivity, need for stimulation, etc.).

What’s the difference between ADHD and autism in adults?

ADHD and autism spectrum disorder (ASD) are two neurodevelopmental disorders that share certain traits, such as attention difficulties, impulsive behaviour, and sensory sensitivity. However, ADHD is mainly linked to a deficit in executive functions (organization, concentration, emotion regulation), while ASD is characterized more by restricted interests and difficulties in communication and social interaction.

Specialized assessment is essential to distinguish between these two disorders, which can sometimes coexist.

ADHD and giftedness

Some individuals exhibit both ADHD and giftedness, which can make diagnosis more difficult, as the two have overlapping characteristics (distraction, hypersensitivity, need for stimulation, etc.). Once again, a medical assessment is required to differentiate between them.

What are the treatment and management options for adult ADHD?

Managing ADHD in adulthood generally requires a multifaceted approach tailored to a person’s individual needs. The goal is to reduce symptoms, improve quality of life, and support daily functioning.

  • Medication: Certain stimulant and non-stimulant medications help improve concentration and reduce impulsivity. They must always be prescribed and monitored by a doctor, and sometimes require adjustments.
  • Cognitive behavioral therapy (CBT): CBT offers concrete tools to help adults with ADHD learn to better manage disorganization, procrastination, and emotional difficulties.
  • Psychoeducation: Helps people with ADHD better understand their disorder, reduce the guilt associated with their symptoms, and develop strategies adapted to their daily lives.
  • Specialized coaching: Personalized support can help adults establish routines, set realistic goals, and maintain motivation over the long term.
  • Lifestyle habits: Good sleep habits, regular physical activity, and a healthy diet help improve concentration and stabilize energy levels.

Combining several of these approaches often produces the best results. Regular visits with a doctor and mental health professional are recommended to adjust your treatments and find strategies that work for you.

Living with ADHD in adulthood: practical advice

Beyond testing, treatment, and medication, there are many practical strategies that can help you cope with the challenges of ADHD in your daily life.

Daily organization and time management

  • Structure your days: Set a fixed schedule for meals, work, and rest. Having a set schedule helps to make your days more predictable and prevents you from feeling overwhelmed. Create morning and evening routines to anchor your habits.
  • Split up your tasks: Break down every task or project into 15–20 minute micro-steps. This technique counters lack of motivation and mental overload by making immediate action seem more accessible. Use the “queue” method to handle your tasks one by one.
  • Avoid distractions: Encourage concentration by clearing your workspace and limiting phone use while you’re working.
  • Take regular breaks: Try using the Pomodoro method (25 minutes of work followed by a 5-minute break) to maintain your concentration for longer. Alternating between work and rest periods is particularly helpful for people with ADHD and helps prevent mental fatigue.

Organization tools (apps, reminders)

  • Use visual reminders: Digital calendars, alarms, reminders, and specialized apps can help you keep track of your appointments and deadlines. Set multiple reminders (24 hours before, 1 hour before, etc.) to make sure you don’t forget anything!
  • Use visual timers: Use an hourglass, timer, or specialized app to help you stay anchored in your current task. These tools make the passage of time more concrete.
  • Follow the OHIO (Only Handle It Once) method: The idea behind this method is simple: deal with a task the first time you encounter it. When a task arises, you either complete it immediately, delegate it, or schedule it. This strategy keeps small tasks from piling up and becoming overwhelming.

Support network

  • Reach out to friends and family: Talk to them about your challenges and explain clearly what you need (gentle reminders, help with organization, etc.) to reduce frustration and strengthen your relationships.
  • Join a support group: Sharing effective behavioural strategies with other adults with ADHD reduces feelings of isolation in the face of daily difficulties.

To help a loved one with ADHD, listen and encourage them rather than criticizing. Offer concrete support such as gentle reminders or help organizing, and remember that ADHD has nothing to do with a lack of willpower.

Your pharmacist: A trusted resource to help you

Your pharmacist can help you live better with ADHD on a day-to-day basis by clearly explaining how your treatment works, the possible side effects, and the correct way to take your medication. Your pharmacy professional can also check for interactions with other treatments, answer your questions, and help you take your medication.

Not sure if you have ADHD? Your pharmacist can also refer you to the right people to get you assessed and start the diagnostic process. Rely on their expertise for regular follow-up tailored to your needs.

Consult your pharmacist

Last updated on July 10, 2025

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