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ADHD in Adults Undiagnosed Undiagnosed ADHD is a tough condition to manage, and can lead to years of shame and low self-esteem. This can lead to depression, mental health issues and even substance abuse. In contrast to children who are diagnosed with ADHD, diagnosing ADHD in adults requires a thorough history that could include a psychological examination and a conversation with close family members for their perspectives on childhood behaviors. 1. Concentrating Problems People with ADH