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ADHD in Adults Undiagnosed Being a person with undiagnosed ADHD can be extremely difficult which can lead to years of shame and low self-esteem. This can lead to depression, mental health issues and even substance abuse. As with children, diagnosing ADHD in adults requires a thorough history that could include a psychological test and a discussion with the person's close family members for perspective on childhood behaviors. 1. Trouble in Focusing People suffering from ADHD have a hard time staying focus