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Why Adult ADHD Symptoms Often Go Unnoticed in Childhood

Why Adult ADHD Symptoms Often Go Unnoticed in Childhood
ADHD in adults: Why symptoms often go unnoticed in childhood and how they show up later · indianexpress.com

ADHD is a condition that affects attention, impulse control, activity levels, and organisation.

It starts during childhood, even if nobody notices it then.

Children may manage well because schools and parents provide schedules, reminders, and supervision.

When they become adults, these supports may disappear and daily responsibilities can become harder.

Adults with ADHD may procrastinate, lose things, miss deadlines, or struggle to finish tasks.

Some may be very focused when something is interesting but unable to focus on boring tasks.

ADHD can look similar to anxiety, depression, stress, or other conditions, so professionals need to assess a person carefully.

Helpful treatments can include medication, therapy, planning tools, exercise, sleep routines, and breaking large tasks into smaller steps.

Key facts

Condition
Attention-Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition affecting attention, impulses, activity, and executive functions.
Main presentations
ADHD may be predominantly inattentive, predominantly hyperactive or impulsive, or combined.
Indian prevalence estimates
A 2025 systematic review of 24 Indian studies reported community and population estimates ranging from 5.5% in Chandigarh to 23.3% in Punjab.
Commonly missed presentation
The inattentive presentation was dominant across the reviewed community studies; it represented nearly two-thirds of cases in the Delhi-NCR sample.
Clinical and substance-use populations
Reported ADHD prevalence in these populations ranged from 18% to 62%.
Assessment
A proper assessment includes developmental and psychiatric history, current functioning, and, where possible, information about childhood behaviour and functioning.
Management
Possible supports include medication when impairment is significant, Cognitive Behavioural Therapy, psychoeducation, planning systems, task breakdown, and lifestyle changes.

Quotes

Dr Shaunak Ajinkya

Psychiatrist at Kokilaben Dhirubhai Ambani Hospital, Mumbai

“Unmasked, unrecognised ADHD during childhood does lead to a lot of behavioural problems and emotional dysregulation in adulthood. This results in personality disorders, relationship issues and substance abuse. Diagnosing ADHD retrospectively is very common indeed.”
indianexpress.com
“This helps alleviate some of the patient’s self-criticism. They are reassured that symptoms can be managed effectively with the right tools and strategies”
indianexpress.com

Sources

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