Can ADHD Get Worse as You Age?

Can ADHD Get Worse As You Age

What is ADHD? 

ADHD, or Attention Deficit Hyperactive Disorder, is a common neuro developmental disorder. While there is no research currently that supports the idea that ADHD symptoms get worse as folks get older, it is important to note that increased demands at school or work that come with age may exacerbate symptoms. Here we will explore common symptoms of ADHD, and how they may change and develop with age based on environmental triggers and lifestyle factors. 

ADHD in Children 

ADHD is most commonly diagnosed in children during the elementary school years. In fact, in order for a teenager or adult to get a formal ADHD diagnosis, they need to have been experiencing symptoms since age 12.

A child with ADHD might experience the following symptoms: 

  • Appear to be daydreaming or lost in thought

  • Losing or forgetting things

  • Fidgeting or squirming

  • Taking unnecessary risks

  • Struggling with impulse control

  • Having difficulty making friends and getting along with others

Symptoms of childhood ADHD can vary, and not every child will display all of these behaviors. While all children can experience these phenomena, a diagnosis of ADHD requires that symptoms be persistent and more disruptive than what is typical for a child of a similar age. 

If you or your child’s teacher suspects that your child may have ADHD it is important to get a professional evaluation done. An assessment often involves input from parents, teachers, and other caregivers, and can help get an accurate diagnosis and treatment plan in place. Early intervention and management strategies—such as cognitive behavioral therapy, and in some cases stimulant medications— can vastly improve day to day life.

ADHD in Adults

ADHD (Attention Deficit Hyperactive Disorder) does not just impact children, and often continues into adulthood. However, symptoms of ADHD in adults can manifest differently than in children diagnosed with ADHD.

These symptoms usually fall into a few categories:

Inattention:

  • Inability or difficulty paying attention in leisurely activities

  • Poor organizational and time management skills

  • Forgetfulness in daily activities: for example, misplacing their phone or keys regularly

  • Frequent shifts in attention from one activity to another

Hyperactivity: 

  • Difficulty sitting still or being restless

  • Talking too much and interrupting others 

Impulsivity: 

  • Impulsive behaviors around decision making and spending 

  • Risky behaviors without considering the consequences

Emotional and Relationship Challenges:

  • Trouble with emotion regulation and loss of temper 

  • Impaired ability to plan ahead and maintaining relationships

Work and Academic Challenges:

  • Difficulty with time management and meeting deadlines

  • Difficulty organizing tasks and events

  • Procrastination impacting performance at work or school

Additionally, adults diagnosed with ADHD often have co-occurring conditions such as anxiety, mood disorders (such as depression or bipolar disorder) and substance use disorders. While most people with ADHD have developed coping mechanisms into adulthood to deal with their symptoms, these tactics may not be the healthiest or most impactful—leading to ongoing challenges at work, school, and in their relationships. So while the ADHD itself does not worsen, symptoms can be exacerbated by stress and lifestyle factors.

How to Treat ADHD

ADHD treatment involves medications, education for the individual and family, skills development, and psychological counseling. Typically a combination of these treatments is the most effective in managing ADHD symptoms.

Medications that can be impactful in alleviating symptoms often fall into two categories:

Stimulants:

These are the most commonly used to treat ADHD. Stimulants (such Adderall or Vyvanse) boost and balance chemicals in the brain called neurotransmitters. 

Non-Stimulants: 

Typically Atomoxetine and antidepressants. These medications work slower than stimulants but can offer relief to individuals who can’t utilize stimulants due to health issues or side effects.

It often takes time to find the right medication, and the process can involve some trial and error. 

Therapy

Another course of treatment for ADHD is cognitive behavioral therapy. This structured counseling teaches children and adults with ADHD how to manage their behaviors, and deal with life challenges presented by work, school, or relationships. Additionally, individuals who engage in therapy learn how to improve impulsive behaviors, develop better problem solving skills, and strategies for successfully managing ADHD symptoms.

How We Can Help

At Insight Northwest Counseling, we understand ADHD can vary widely among individuals, and treatment plans should be tailored to the specific needs and challenges of each person. Early diagnosis and appropriate intervention can significantly improve the quality of life for adults with ADHD. If you suspect that you or someone you know may have ADHD, getting an evaluation by a healthcare professional is crucial. Contact us today to find out more about Psychological Testing and Evaluation. Treatment options may include behavioral therapy, counseling, and, in some cases, medication.

Set up your free consultation with a member of our team, and take the first step towards managing the symptoms of ADHD, and improving your daily life today!