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ADHD in Adults Undiagnosed Undiagnosed ADHD is a tough to manage and can lead to years of self-doubt and low confidence. This can result in depression, mental health issues, and eventually substance abuse. Adults are more difficult to recognize than children. A thorough background check is required. This may include a psychological evaluation and a discussion with the person's family members regarding their childhood behavior. 1. Difficulty in Focusing People suffering from ADHD have trouble staying focu