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Signs and Symptoms of ADHD in Adults Many adults who have ADHD are not aware they have it. They often struggle to stay organized, track their appointments, or show up to work on time. Doctors diagnose ADHD by analyzing the patient's past, which includes old reports and conversations with family members. Symptoms of ADHD usually begin in childhood and continue throughout adulthood. 1. Trouble focusing People with ADHD have difficulty paying attention. They are more likely to make mistakes in school or at work and miss important details when