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Can ADHD Symptoms Be Mistaken for Other Conditions in Adults? 

Yes, adult ADHD misdiagnosis is common because the symptoms can resemble a range of other mental health or neurological conditions. In adults, ADHD often presents as forgetfulness, low motivation, mood swings or chronic stress, symptoms that overlap with depression, anxiety and even burnout. This similarity can lead to misdiagnosed ADHD, delaying effective treatment. 

The internal nature of adult ADHD symptoms, especially in those with the inattentive subtype, can make ADHD harder to spot. Rather than hyperactivity, adults may experience restlessness, poor time management or emotional reactivity. These challenges are frequently attributed to other disorders or life stress. 

Common ADHD Lookalike Conditions 

Here are some of the most frequent ADHD lookalike conditions that can cause confusion during diagnosis: 

Anxiety vs ADHD 

Both conditions involve restlessness, trouble focusing and overwhelm. The difference is that anxiety is driven by worry, while ADHD stems from brain-based attention regulation issues. The two can also co-occur, complicating the diagnostic picture. 

Depression 

Low energy, forgetfulness and reduced motivation may seem like depression but could also result from untreated ADHD. A key difference is that ADHD tends to fluctuate with environment or interest level. 

Bipolar disorder 

Impulsivity and mood shifts are part of both ADHD and bipolar presentations. However, bipolar symptoms typically follow cyclical mood patterns, whereas ADHD symptoms are more consistent. 

Autism spectrum traits 

Social struggles, emotional sensitivity or rigid routines can overlap with ADHD. Careful evaluation is needed to distinguish between the two or recognise a dual diagnosis. 

Understanding the risks of adult ADHD misdiagnosis is the first step toward clarity. Visit providers like ADHD Certify for personal consultations and a structured assessment that explores all possible factors. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Can mindfulness practices benefit those with Adult ADHD vs. childhood ADHD.

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

Dr. Rebecca Fernandez, MBBS

Author

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 author's privacy.