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What is the biggest symptom of ADHD?

In adults, the main features of ADHD may include difficulty paying attention, impulsiveness and restlessness. Symptoms can range from mild to severe. Many adults with ADHD aren't aware they have it — they just know that everyday tasks can be a challenge.

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Overview

Adult attention-deficit/hyperactivity disorder (ADHD) is a mental health disorder that includes a combination of persistent problems, such as difficulty paying attention, hyperactivity and impulsive behavior. Adult ADHD can lead to unstable relationships, poor work or school performance, low self-esteem, and other problems. Though it's called adult ADHD , symptoms start in early childhood and continue into adulthood. In some cases, ADHD is not recognized or diagnosed until the person is an adult. Adult ADHD symptoms may not be as clear as ADHD symptoms in children. In adults, hyperactivity may decrease, but struggles with impulsiveness, restlessness and difficulty paying attention may continue. Treatment for adult ADHD is similar to treatment for childhood ADHD . Adult ADHD treatment includes medications, psychological counseling (psychotherapy) and treatment for any mental health conditions that occur along with ADHD .

Symptoms

Some people with ADHD have fewer symptoms as they age, but some adults continue to have major symptoms that interfere with daily functioning. In adults, the main features of ADHD may include difficulty paying attention, impulsiveness and restlessness. Symptoms can range from mild to severe. Many adults with ADHD aren't aware they have it — they just know that everyday tasks can be a challenge. Adults with ADHD may find it difficult to focus and prioritize, leading to missed deadlines and forgotten meetings or social plans. The inability to control impulses can range from impatience waiting in line or driving in traffic to mood swings and outbursts of anger.

Impulsiveness

Disorganization and problems prioritizing

Poor time management skills

Problems focusing on a task

Trouble multitasking

Excessive activity or restlessness

Poor planning

Low frustration tolerance

Frequent mood swings

Problems following through and completing tasks

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Hot temper

Trouble coping with stress

Almost everyone has some symptoms similar to ADHD at some point in their lives. If your difficulties are recent or occurred only occasionally in the past, you probably don't have ADHD . ADHD is diagnosed only when symptoms are severe enough to cause ongoing problems in more than one area of your life. These persistent and disruptive symptoms can be traced back to early childhood. Diagnosis of ADHD in adults can be difficult because certain ADHD symptoms are similar to those caused by other conditions, such as anxiety or mood disorders. And many adults with ADHD also have at least one other mental health condition, such as depression or anxiety.

When to see a doctor

Different types of health care professionals may diagnose and supervise treatment for ADHD . Seek a provider who has training and experience in caring for adults with ADHD . There is a problem with information submitted for this request. Review/update the information highlighted below and resubmit the form. From Mayo Clinic to your inbox Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Email ErrorEmail field is required ErrorInclude a valid email address Learn more about Mayo Clinic’s use of data. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Subscribe! Thank you for subscribing! You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry

Causes

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Genetics. ADHD can run in families, and studies indicate that genes may play a role. can run in families, and studies indicate that genes may play a role. Environment. Certain environmental factors also may increase risk, such as lead exposure as a child. Certain environmental factors also may increase risk, such as lead exposure as a child. Problems during development. Problems with the central nervous system at key moments in development may play a role.

Risk factors

or another mental health disorder Your mother smoked, drank alcohol or used drugs during pregnancy As a child, you were exposed to environmental toxins — such as lead, found mainly in paint and pipes in older buildings

You were born prematurely

Poor school or work performance

Unemployment

Financial problems

Trouble with the law

Alcohol or other substance misuse

Frequent car accidents or other accidents

Unstable relationships

Poor physical and mental health

Poor self-image

Suicide attempts

Coexisting conditions

Although ADHD doesn't cause other psychological or developmental problems, other disorders often occur along with ADHD and make treatment more challenging. These include:

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