Getting Diagnosed With ADHD as an Adult: Is It Worth the Hassle?
Sydni Rubio
October 29, 2024
I was almost 25 when I got my ADHD diagnosis. It came at a chaotic point in my life—balancing an undergraduate degree, being a new mom, and the nagging sense that, no matter how hard I tried, things just didn’t click the way they seemed to for everyone else. For years, I chalked up my struggles to poor time management, exhaustion, and laziness. I was convinced I was just a failure. It wasn’t until I sat down with a psychiatrist that the pieces started to fall into place. Getting that diagnosis changed how I saw myself—and, honestly, I’ve loved learning about how my brain works and finding a community of other people like me.
But if you’re asking, "Is an adult ADHD diagnosis even worth it?", I get it. It’s not always a simple decision, especially when you’ve made it this far without one. You might be wondering, “Do I really need a piece of paper to tell me what’s wrong with me?” I was there too. So, here’s what I’ve learned from my own experience and what you might want to consider before deciding.
The Unseen Struggle: Why ADHD Is Harder to Spot in Adults
If you’re like me, you’ve probably spent years wondering, “Do I have ADHD, or am I just bad at life?” It’s easy to dismiss your struggles when you’re functioning well enough—keeping a job, maintaining friendships, paying bills on time (sometimes), and maybe even graduating from college. For me, it felt like I was barely holding it together while the rest of the world seemed to glide by. I’ve always had this feeling that everyone else got this secret manual for how to be a human; meanwhile, I’m over here struggling with laundry and making appointments.
The truth is, ADHD in adults often looks different than it does in kids. Where in kids you might see hyperactivity and daydreaming, you see something different in adults—the inability to start or finish tasks, feeling constantly overwhelmed by small responsibilities, and experiencing burnout from running on sheer willpower. We mask it well because we’ve had to, but that doesn’t mean we aren’t struggling.
But… Has ADHD Always Been There?
ADHD isn’t something that just appears overnight. You cannot suddenly develop a neurodevelopmental condition (like ADHD and Autism) in adulthood; it’s always been there.
For some people, it’s masked by giftedness or intelligence. Maybe you were in your school’s gifted program, always made the honor roll, or got into a prestigious college. In these cases, they’re what’s called “twice exceptional” or 2E: They’re gifted and they also have ADHD and/or Autism. It’s not uncommon for twice-exceptional kids to go undiagnosed until they’re an adult. Even if they struggle with organization, emotional dysregulation, or being easily distracted, most of the adults in their life probably didn’t even consider ADHD because of how “smart” or “successful” they were.
In rare cases, ADHD symptoms can be developed after a traumatic brain injury (TBI) when blunt force affects the frontal lobe and prefrontal cortex. (This is where our executive functioning skills live. It’s also the main brain region thought to be associated with ADHD.) Likewise, severe emotional trauma—and the subsequent post-traumatic stress disorder (PTSD)—can also make someone form ADHD-like symptoms and behaviors. However, it’s still debated among professionals if either instance should be officially classified as ADHD.
What An ADHD Diagnosis Did for Me
I didn’t walk out of my diagnosis appointment a different person. There wasn’t a musical number or a magical epiphany or anything like that. It took a while to sink in, and even when it did, I had some doubts about the validity of my diagnosis—I still do. (This is also super common.) But here’s what did happen: my ADHD diagnosis game me a framework to understand my brain. Suddenly, my lifelong battles with procrastination, inconsistency, and forgetfulness weren’t character flaws—they were symptoms. They’ll never disappear, but at least I understand why these things happen.
More importantly, the diagnosis allowed me to stop fighting against my ADHD brain. Instead of trying to “fix” myself, I could learn to work with how my mind operates. I’m constantly testing out new ways to structure my day that actually work for me, instead of forcing myself into systems that were never designed with my brain in mind.
That diagnosis also opened up access to tools and accommodations—like ADHD coaching, medication options, and workplace adjustments—that can made life more manageable. And even though these management and treatment options can’t erase my challenges, it’s given me the grace to stop beating myself up about them.
ADHD Medication Changed My Life
I want to start this section by saying that ADHD medication is not for everyone, and that’s okay. I also want to make sure that everyone knows they have tons of options when it comes to medication; there’s more than just the mainstream drugs. While stimulants like Adderall, Vyvanse, and Ritalin are usually the first choice for practitioners and their ADHD patients, there are also nonstimulants that work much differently when you take them.
💊 If you want to learn about the science behind ADHD medication, check out my YouTube video!
That said, I was prescribed Adderall after my diagnosis… And it was life-changing. Ever since starting my medication, I’ve noticed increased focus, productivity, information retention, and patience. In fact, one of the biggest ways my meds have helped me is with driving. I used to get minor road rage when there were slow drivers or when someone would cut me off. Not to mention, I’m easily distracted in all settings—even while driving. But with medication, it’s like a switch is flipped and I turn into a better, more aware driver. Research has even shown that ADHD medication can decrease your chances of injury or untimely death.
While it’s not a perfect science — There are times where it makes me focus on the wrong things… — it’s definitely changed my life for the better. Talking about this with your doctor will be a battle in its own, though.
But... What If It's Not ADHD?
One of the biggest fears I had before seeking a diagnosis was, “What if it’s not ADHD? What if I’m just lazy?” It’s a normal thought, especially when you’ve internalized the idea that struggling is a personal failing. Not to mention, the societal stigma surrounding mental health and neurodivergence—specifically ADHD—can be incredibly discouraging. The reality is, whether you get an ADHD diagnosis or not, your struggles are real and valid. You’re not imagining them, and you’re not just lazy.
Talking to a professional can still offer clarity, even if the answer isn’t ADHD. Maybe you’ll learn that it’s something else—anxiety, burnout, or just the impact of life circumstances. Whatever the outcome, you’ll gain valuable insight and tools to manage your life in ways that work for you.
On that note, though, it’s very possible that you may be misdiagnosed with something when it really is ADHD. If this happens, it’s never a bad idea to get a second opinion from a different professional.
How to Know if an ADHD Diagnosis Might Be Right for You
You might still be on the fence, wondering if a diagnosis will make any difference, or if it’s worth jumping through hoops to get the appointment and assessment set up. Here are a few things to consider:
On a daily basis, do you feel overwhelmed by tasks, no matter how small?
Have you always struggled with routines, time management, or follow-through, even when it’s things you care about?
Have you tried productivity hacks and self-help tips, but nothing seems to stick?
Have you dealt with thoughts of self-blame or shame, thinking your struggles mean you’re just not trying hard enough?
Does it take a lot of effort to function “normally”, making you feel exhausted? (Even if it looks like you’ve got it together from the outside?)
Do you feel like therapy and/or medication might help you get more things done?
If you said “yes” to at least five of those six questions, talking to a specialist might be worth exploring.
What if You Don’t Get Diagnosed?
Even if you decide not to pursue a formal diagnosis—or if the result isn’t what you expected—that’s okay. A formal diagnosis isn’t for everyone. You’ve already taken a huge step by being curious about yourself and exploring how your brain works. Whether or not you have ADHD, the tools and strategies for managing ADHD-like symptoms are beneficial for many people.
Things like setting reminders, using visual timers, or seeking support through coaching or therapy can make a world of difference—diagnosis or not.
So, Is an Adult ADHD Diagnosis Worth It?
For me, absolutely. It gave me a way to understand myself with more compassion and gave me access to support I didn’t know I needed. But your journey might be different, and that’s okay. What matters most is finding what works for you—whether that’s with a formal diagnosis or simply by learning more about your brain and how it operates.
At the end of the day, a diagnosis isn’t about proving something’s wrong with you—it’s about finding tools to help you thrive. And you deserve that, no matter what.
Sources
Eme, Robert. (2014). ADHD: an integration with pediatric traumatic brain injury. Expert Review of Neurotherapeutics, 12(4): 475-83.
Ilie, G., Vingilis, E.R., Mann, R.E., Hamilton, H., Toplak, Adlaf, E. M., Kolla, N., Ialomiteanu, A., van der Mass, M., Asbridge, M., Vingilis-Jaremko, L., Rehm, J., Cusimano, M. D. (2015). The association between traumatic brain injury and ADHD in a Canadian adult sample. Journal of Psychiatric Research, 69: 174-79.
Spencer, A. E., Faraone, S. V., Bogucki, O. E., Pope, A. L., Uchida, M., Milad, M. R., Spencer, T. J., Woodworth, Y. Biederman, J. (2016). Examining the Association Between Posttraumatic Stress Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis. The Journal of Clinical Psychiatry, 77(1): 72-83.
About the Author
Sydni Rubio
Sydni Rubio (she/her) is an experienced writer and organic content creator with ADHD. She is passionate about neuropsychology, continued learning, mental health awareness, and accessible education. Her BSc in Biomedical Sciences and Chemistry helps her understand the latest mental health research, while her experience in teaching (as a college grad student and as a mother to her 8-year-old) gives her the ability to communicate complex information in an engaging way.
When she's not writing or hyperfocusing on website edits, you can find Sydni in a hammock under her sycamore tree or squatting in her builds during a Battle Royale match in Fortnite.