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Signs and Symptoms of ADHD in Adults Many adults with ADHD are unaware of their condition. They may have difficulty staying on top of their schedules, keep track of appointments or arrive on time to work. Doctors diagnose ADHD by looking over the history of a patient, which includes old report cards and conversing with family members. The signs of ADHD usually start in childhood and last into adulthood. 1. Trouble focusing People with ADHD struggle to pay attention. They may make ca