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Are More Adults Being Underdiagnosed With ADHD? 

Is adult ADHD underdiagnosis on the rise? Despite growing ADHD awareness in adults, many still go years even decades without a proper diagnosis. While the spotlight on childhood ADHD has grown brighter, the same can’t be said for adults, where a significant ADHD diagnosis gap still exists. 

For many adults, symptoms were either missed in childhood or masked by coping strategies. As life becomes more demanding juggling work, family, and expectations the cracks begin to show. Unfortunately, even now, some healthcare providers lack training in recognising adult ADHD, especially in those who don’t fit the hyperactive stereotype. 

Why the ADHD Diagnosis Gap Persists in Adults 

Here’s what contributes to adult ADHD underdiagnosis and why it’s still so common: 

Mislabelled symptoms  

In adults, ADHD is often mistaken for anxiety, depression, or burnout, delaying accurate diagnosis. 

Gender bias in recognition  

Women and non-binary people often present with inattentive symptoms, which are easier to overlook. 

Late awareness  

Many adults only learn about adult ADHD after seeing relatable content online or hearing someone else’s story. 

In conclusion, this ongoing gap highlights the need for better screening methods and more inclusive diagnostic frameworks that reflect the full spectrum of ADHD in adults.The rise in awareness is real but the adult ADHD diagnosis gap remains a serious barrier to getting help. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

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

Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk

Avery Lombardi, MSc

Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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.