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The Long-Term Effects of Untreated ADHD in Adults
Receiving a diagnosis of ADHD as an adult can create complicated emotions. It can trigger feelings of regret for missed opportunities or feelings of relief at finally finding a cause for your difficulties.
Untreated ADHD may have a long-term effect on relationships and finances, mental health and more. It is essential for professionals to take into consideration the long-term consequences of untreated ADHD for adults.
1. Greater Risk of Mental Health Issues
Adults with ADHD who are not treated may struggle to manage negative emotions, particularly when confronted with challenges and setbacks. Untreated ADHD can cause a person to forget important dates or react quickly in sensitive conversations. This can strain relationships. They may also miss deadlines or make naive errors in professional situations. This can impact the trust and reliability of others. This can cause feelings of frustration or inadequacy and a negative self-image.
Adults who suffer from untreated ADHD can also have financial issues due to their lack of attention and disorganization as well as unpredictable behavior. For instance, they could spend money impulsively, fail to keep track of bills or forget to pay their phone bill on time, which can result in late fees or late payments. They might also have trouble finding a stable job due to the frequent changes in their jobs and issues with attention, organization, and time management.
Undiagnosed ADHD has been linked with higher rates of mental health issues, including depression and social issues (Bishop Fitzpatrick et. al. 2018) and a higher risk of engaging in sexually unsafe behaviors (Bargiela and al. 2016). It is also associated with a lower quality of life and a higher risk of chronic conditions such as heart disease and weight gain.
Luckily, adults with untreated ADHD can benefit through treatment options that include therapy and psychoeducation. They can also reduce their risks of co-occurring diseases by keeping a close eye on their symptoms and ensuring they don't take certain medications, like stimulants, that may interfere with them. They should be honest and upfront with their healthcare provider about their symptoms and the impact they can have on their lives. This will enable them to receive medication that is most effective for their condition.
2. Increased Risk of Substance Use Disorders
A co-occurring diagnosis of ADHD and substance use disorder (SUD) is all too common for those living with untreated ADHD. Inattention and impulsivity, two ADHD symptoms that can cause addiction to alcohol and drugs, are common. Studies have shown that people with ADHD is more likely to become addicted to alcohol and drugs than people who do not suffer from ADHD. This is believed to be due to the primary ADHD symptoms of impulsivity, impulsivity, and low self-regulation. This can result in an increased risk of drug and alcohol abuse.
Untreated ADHD can increase the likelihood of developing addiction to drugs because of the combination of low levels of dopamine as well as impaired dopamine-receptors. Stimulants, such as Ritalin and Adderall are frequently used to treat ADHD because they raise dopamine levels in the brain, helping people focus and feel more calm. However, long-term usage of stimulants may cause serious negative side effects, like stroke or brain damage, heart attack or even death.
People who do not have treatment for ADHD might be more likely to suffer from depression and have a higher chance of having suicidal thoughts which can contribute to the use of drugs. Untreated ADHD can also result in relationship and work problems. Untreated ADHD can also lead to financial problems that make it difficult for people to keep sufficient health insurance.
Many adults can feel at ease when they receive an diagnosis of ADHD as an adult. They are now aware that their behavior was not their fault. Adults suffering from ADHD should seek treatment. The first step is to speak with a doctor who will provide you with a proper medication evaluation and recommend the right medications for your individual requirements. Be sure to disclose any other health issues or medications you take in order to ensure that ADHD medications can interact with certain drugs.
3. Increased Risk of Anxiety and Depression
Untreated ADHD can have lasting consequences that impact a person's quality of life. This can be a problem at home, work, and in social interactions. There are also feelings of low self esteem as well as a negative outlook and depression.
Adults who suffer from ADHD might have difficulty managing relationships or maintain friendships due to difficulty in focusing on conversations, ignoring important dates and being impulsive or unorganized. Additionally, people who are not treated for ADHD frequently have difficulty navigating workplace hierarchies and managing long-term projects due difficulty meeting deadlines. In some instances this could cause unemployment, lower job satisfaction, and increased levels of job stress and anxiety.
Ginsberg and his coworkers (64) conducted an extensive review of the outcomes of ADHD underdiagnosis. Their findings revealed that untreated ADHD can have negative effects on academic performance as well as psychiatric comorbidities and substance abuse and employment, antisocial behavior driving, physical health (e.g., smoking, obesity and sleep problems).
In addition to receiving a proper diagnosis of ADHD, some adults require other treatment strategies. These include behavioral therapies like behavioral therapy and lifestyle modifications like improved diet and exercise. Medication is also an effective option for some individuals with ADHD. Medications that may be prescribed include stimulants, like methylphenidate (Ritalin) and dextroamphetamine (Adderall). Medication trials start with a low dose to observe how the patient responds, before increasing the dosage.
Getting a correct diagnosis and starting treatment as soon as possible is crucial to better managing ADHD symptoms. Symptoms can also mimic those of other illnesses, such as depression and anxiety, so it's important to get an in-depth evaluation from medical professional or mental health professional to determine what's the reason for these symptoms.
4. Higher Risk of Physical Health Issues
Adults suffering from untreated ADHD may find it difficult to keep up with their regular healthcare routines. They might miss appointments, have trouble getting prescriptions filled, or have trouble following diet, sleep, and exercise schedules. This can cause health issues like hypertension and heart disease. They may also have difficulty managing financial issues. This can result in impulsive purchases or late payments on bills. This can also worsen chronic health issues that stem from mental disorders, such as depression and anxiety.
Additionally, those with untreated ADHD often have difficulty to maintain relationships and social support networks. The symptoms, like forgetting to fulfill household responsibilities and ignoring their partner, or being easily distracted during conversations, may cause problems with relationships. They might also struggle to remember important dates, such as birthdays and anniversary celebrations. This can create tension and stress in their romantic relationships, which may eventually result in a breakup.
Many adults can enhance their quality of life by making lifestyle adjustments and addressing symptoms. They can make use of lists to control their forgetfulness. They can establish regular routines for their day in order to decrease the amount of variability. Additionally, they can take part in physical activities to help them overcome their anxiety. They are also able to work closely with their doctor to determine the right medication dosage that will help them manage their symptoms while minimizing any negative side effects.
It is essential to seek assistance if you are struggling with the symptoms of ADHD. Refusing treatment can result in people blaming their problems on themselves, reliving the issues and triggering a cycle that negatively affects their physical and mental well-being. Early diagnosis and treatment can aid in preventing these issues.
5. Suicide Risk Increased

A diagnosis of ADHD could be mistakenly interpreted as a flaw in character and it is uncommon for those suffering from untreated ADHD to develop self-destructive or harmful ways of coping. This may include using alcohol or drugs. This can lead to other mental health issues in the long run and can cause a downward spiral of symptoms.
People who suffer from ADHD might also have issues maintaining relationships due to their impulsivity, and they may struggle to manage emotions. They might miss important dates or lose their focus during conversations. This can leave their significant others feeling dissatisfied and unimportant. iampsychiatry could also be impulsively agree to something and then later regret it, which can strain friendships. In the workplace, people who suffer from untreated ADHD often miss deadlines and lose credibility because due to their inability to follow through on commitments.
Unfortunately, the challenges faced by people living with ADHD can create a perfect recipe for anxiety and depression that can lead to suicide attempts. Untreated ADHD is linked to a higher likelihood of suicide, regardless if comorbidities are present. It also found that adult ADHD-related impulsivity and hyperactivity predicted temper outbursts/hitting/throwing and that adult ADHD-related inattention predicted threats/actual self-harm.
It is worth noting that the majority of the participants were females and only a few individuals had been diagnosed with ADHDH. Future research should aim to utilize larger samples in order to get the accuracy of the results. Additionally, the studies were based on questionnaires, so results should be validated using diagnostic interviews.