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How Do ADHD Symptoms Differ Between Adults and Children? 

ADHD is not limited to childhood; it often continues into adulthood, though it can appear in very different ways across the lifespan. ADHD in adults vs children highlights unique challenges for both individuals and healthcare professionals. While the core symptoms of inattention, impulsivity, and hyperactivity remain, they manifest in distinct ways depending on age. Understanding these symptom differences is crucial for accurate diagnosis and effective management. 

Key Differences Between ADHD in Adults and Children 

Here is how ADHD symptoms differ between adults and children: 

Hyperactivity  

In children, hyperactivity is often physically noticeable running around, fidgeting, or being unable to stay seated. In adults, this may be internal restlessness rather than outward physical movement, such as feeling driven to constantly move or being unable to relax. Adults might also have difficulty unwinding or feeling “on edge.” 

Inattention  

Both children and adults with ADHD struggle with inattention, but in children, it often shows up as difficulty focusing on schoolwork, forgetting assignments, and losing items like pencils or books. In adults, inattention can manifest as missing deadlines, poor organisation, or forgetting important dates or meetings, which can affect both work and personal life. 

Impulsivity  

Impulsive behaviours in children may include interrupting conversations or acting out in class, while adults may struggle with impulsive decisions in their professional and personal lives from snap judgments in meetings to making financial decisions without thinking them through. 

Emotional regulation  

Children with ADHD may have trouble managing frustration, often leading to temper tantrums or outbursts. Adults, while perhaps better at hiding emotions, may struggle with anxiety, irritability, or a low tolerance for frustration, which can strain relationships or cause workplace stress. 

Diagnosis Challenges  

Diagnosing ADHD in children is often more straightforward, as behaviours like hyperactivity and impulsivity are more easily observed. ADHD in adults, however, is harder to diagnose due to the subtler nature of symptoms. Adults may have developed coping strategies or masking behaviours, making the condition less obvious but still impactful. 

Navigating ADHD Diagnosis Across the Lifespan 

Recognising ADHD in adult’s vs children is key to effective treatment. While the core symptoms remain the same, their presentation and impact change as people grow older. Accurate diagnosis and treatment are vital for managing symptoms at any stage of life. 

For those navigating ADHD diagnosis challenges in adulthood, early intervention can still make a huge difference. Visit providers like ADHD Certify for resources on assessment, treatment, and symptom management strategies tailored to both children and adults.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to ADHD in adults.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.