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How Is ADHD Diagnosed in Adults vs Being Called Lazy? 

Author: Phoebe Carter, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

For many adults, getting an ADHD diagnosis in adults is a life-changing step, especially after years of being misunderstood or labelled as “lazy.” The laziness myth has long overshadowed real symptoms of ADHD, including disorganisation, missed deadlines, and difficulty with follow-through. But there’s a major difference between having a neurological condition and simply lacking motivation. 

Why Adults with ADHD Get Mislabelled 

Unlike in children, where hyperactivity might be more visible, adult ADHD often presents as chronic procrastination, forgetfulness, or poor time management. These symptoms can easily be dismissed as personal failings rather than signs of a condition. As a result, many adults internalise the laziness myth, believing their struggles are due to a lack of willpower. 

The Evaluation Process for ADHD Diagnosis in Adults 

An ADHD diagnosis in adults involves a comprehensive evaluation process. This typically includes: 

  • A detailed personal and medical history 
  • A review of past academic, work, and social experiences 
  • Behavioural assessments or questionnaires 
  • Interviews with clinicians, and sometimes input from partners or family members 

The goal is to rule out other conditions and identify a consistent pattern of executive dysfunction going back to childhood. It’s not about ticking a few boxes—it’s a thorough investigation of how ADHD symptoms impact daily life over time. 

Getting a proper diagnosis can help reframe years of frustration, replacing shame with clarity and direction. 

Visit providers like ADHD Certify for personal consultations to better understand how brain imaging can inform ADHD treatment.  

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

Phoebe Carter, MSc
Author

Phoebe Carter is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Applied Psychology. She has experience working with both children and adults, conducting psychological assessments, developing individualized treatment plans, and delivering evidence-based therapies. Phoebe specialises in neurodevelopmental conditions such as autism spectrum disorder (ASD), ADHD, and learning disabilities, as well as mood, anxiety, psychotic, and personality disorders. She is skilled in CBT, behaviour modification, ABA, and motivational interviewing, and is dedicated to providing compassionate, evidence-based mental health care to individuals of all ages.

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.