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ADHD in Adults Undiagnosed Being a person with a diagnosis of undiagnosed ADHD can be a very difficult experience and can lead to years of guilt and low self-esteem. This can lead depression as well as mental health issues and even abuse of substances. Adults are more difficult to identify than children. A thorough history is required, which may include a psychological evaluation and a discussion with family members regarding childhood behaviors. 1. Difficulty in Focusing Peop