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The 6 biggest questions about adult ADHD, answered by a neuroscientist

ADHD diagnosis has risen in recent years, particularly among adults. But we need to improve how we view and treat it.

Below is the summary of an article about ADHD:

Rising ADHD Diagnoses in Adults
ADHD diagnoses, especially in adults, have surged in recent years. Contrary to claims that it’s a fad or caused by modern technology, evidence shows a genuine rise in diagnosis and prescriptions. Roughly 3-5% of the global population is estimated to have ADHD, though it remains underdiagnosed, particularly in adults.


1. What Causes ADHD?

The exact cause is unclear, but ADHD is highly heritable, with genetics playing a significant role (up to 80% heritability). Brain differences include thinner cortices and disrupted communication between brain regions, particularly in areas linked to self-control and focus. ADHD likely results from complex interactions of multiple genes (at least 76) and environmental factors.


2. Is ADHD Just a Childhood Disorder?

While ADHD is a developmental disorder, its symptoms evolve with age. Hyperactivity in children tends to lessen in adulthood, but inattentiveness often persists. ADHD in adults is harder to spot due to its internalized nature and is frequently misdiagnosed as anxiety, depression, or substance abuse disorders.


3. Can Women Have ADHD?

ADHD is often seen as a “boys’ disorder” due to its disruptive behavioral symptoms in children, which are more common in boys. However, ADHD in girls often manifests as inattentiveness, making it harder to diagnose. As a result, many women go undiagnosed until adulthood, leading to reduced well-being and career setbacks.


4. Is ADHD a New Condition?

ADHD symptoms have been documented since at least 1798. The rise in diagnoses is due to increased awareness and better diagnostic criteria. Historically, ADHD in adults was likely mistaken for other mental health conditions, such as anxiety or depression.


5. Can ADHD Be an Advantage?

Some argue that ADHD traits, like constant curiosity and adaptability, could have been advantageous in certain contexts, such as prehistoric foraging or navigating the modern digital world. However, for most, ADHD is a significant challenge that requires proper management.


6. Should People Feel Bad About Taking ADHD Medication?

ADHD medications like Adderall and Ritalin are proven to be safe and effective, with one of the highest response rates in medicine. However, stigma around taking medication remains, with many assuming that those seeking treatment are looking for a “fix.” The medication helps balance brain chemistry, improving focus and reducing mental strain.


The Need for Societal Change
ADHD is often dismissed as a “trend” or moral failing. However, the real challenge lies in adapting societal structures to support people with ADHD, rather than stigmatizing them. Left untreated, ADHD can lead to significant personal and societal costs, including billions in lost productivity. Addressing ADHD effectively is not only a moral imperative but also an economic one.

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