The Long-Term Effects of Untreated ADHD in Adults
Being diagnosed with ADHD as an adult can bring up complicated emotions. It may cause feelings of sadness for lost opportunities, or relief that you finally have a clear explanation for your challenges.
Untreated ADHD could have a long-lasting impact on relationships, finances, mental health and much more. It is essential for professionals to consider the long-term effects of untreated ADHD in adults.
1. Greater Risk of Mental Health Issues
Adults who suffer from untreated ADHD may have trouble managing negative emotions, especially in the face of difficulties and setbacks. Untreated ADHD can cause someone to forget important dates or respond impulsively in sensitive conversations. This can affect relationships. They might also fail to meet deadlines or make careless mistakes in professional settings, which can affect trust and dependability. This can result in feelings of anger or inadequacy and an image of self-doubt.
Adults with untreated ADHD may also experience financial problems due to their inattention and disorganization as well as an impulsive behavior. They might, for example, spend money impulsively or not keep track of their bills. Or, they might not pay their phone bill on time. This can lead to the bill being late or not paying. They might also be struggling to keep a steady job due to their frequent job changes and struggles with organization, time management, and attention.
Studies have shown that the absence of a diagnosis of ADHD is associated with higher rates of mental health issues like depression and anxiety (Able and al. 2007), social problems (Bishop-Fitzpatrick et al., 2018) and a higher risk to unsafe sexual practices (Bargiela et al., 2016). Additionally it has been linked to lower quality of life as well as an increased risk of developing chronic health conditions, such as obesity and heart disease.
Adults with untreated ADHD might benefit from psychoeducation and therapy. They can also decrease their risk of co-occurring diseases by keeping a close eye on their symptoms and staying clear of certain medications that might interact with them, like stimulants. They can also be honest and open with their healthcare provider regarding their symptoms and the impact they have on their lives. This will enable them to receive medication that is most effective for their condition.
2. Higher Risk for Substance Use Disorders

Untreated ADHD patients are more likely to be diagnosed with a comorbidity diagnosis that includes substance use disorder. ADHD symptoms such as inattention and excessive impulsivity can result in drug abuse and alcohol dependency. The person who has ADHD has a higher risk of becoming dependent on alcohol and other drugs than someone who does not have ADHD. This is believed to be due the main ADHD symptoms, impulsivity and low self-regulation. These may result in an increased risk of drug and alcohol use.
Untreated ADHD can increase the risk of drug addiction due to the combination of low levels of dopamine and impaired dopamine-receptors. Drugs that stimulate the brain such as Ritalin or Adderall are commonly used to treat ADHD. They boost dopamine in the brain and help individuals to focus and remain calm. But, long-term use of stimulants can cause serious adverse effects, including stroke brain damage, heart attack and even death.
People who do not have treatment for ADHD may be more likely to struggle with depression and are at a greater risk for suicidal thoughts, which may contribute to the development of addiction to drugs. In addition, many people who are not treated for ADHD struggle with relationship and work issues. Untreated ADHD can also cause financial difficulties, which can make it difficult for those with the condition to maintain sufficient health insurance coverage.
Being diagnosed with ADHD in adulthood can be a relief for many adults who are able to see that their behavior isn't their own fault. Adults with ADHD should seek treatment. The first step is to talk with a doctor who can provide you with a proper assessment of your medication and recommend the right medications for your particular needs. Be sure to disclose any other health issues or medications you are taking, as some ADHD medications can interact with certain drugs.
3. Increased Risk of Anxiety and Depression
Untreated ADHD can affect a person's quality of life. This can be a problem at home, at work and social interactions. They also include feelings of low self esteem as well as a negative outlook and depression.
Adults who suffer from ADHD can have difficulty maintaining friendships or managing relationships because they are impulsive, forget important dates, or aren't paying attention. Adults with untreated ADHD may also have difficulty managing long-term projects as well as navigating the workplace hierarchy due to their inability to meet deadlines. In some cases this could lead to unemployment, decreased professional status, and greater levels of job anxiety and stress.
Ginsberg and his coworkers (64) carried out a comprehensive review of the results of ADHD underdiagnosis. Their findings revealed that untreated ADHD has negative impacts on academic achievement as well as psychiatric comorbidities and substance abuse, employment, antisocial behaviour, driving, and physical health (e.g., obesity, smoking and poor sleep).
In addition to obtaining the correct diagnosis of ADHD Some adults can require other treatment strategies. These include behavioural interventions such as behavioral therapy, and lifestyle modifications such as improved diet and exercise. Some individuals with ADHD may also benefit from medication. The medications that can be prescribed include stimulants, like methylphenidate (Ritalin) and dextroamphetamine (Adderall). To begin with the trial, the medication is administered at a low dosage to see how an individual responds.
Getting a correct diagnosis and starting treatment as soon as possible is crucial for better managing ADHD symptoms. The symptoms can be similar to those of other conditions, such as depression and anxiety, so it's crucial to seek a thorough evaluation by an expert in health care or mental health specialist to determine what's the cause of these symptoms.
4. Increased Risk of Physical Health Problems
Adults with untreated ADHD might have difficulty to maintain their regular healthcare routines. adult adhd diagnostic assessment and treatment may miss appointments, have trouble getting prescriptions filled, and struggle to adhere to eating, sleeping and exercise routines. This can cause conditions such as hypertension and heart disease. They may also have trouble managing financial matters. This can lead to buying impulse-driven items or making late payments on bills. This can lead to the development of chronic health conditions that stem from mental disorders that are underlying such as depression and anxiety.
Additionally, those with untreated ADHD often find it challenging to maintain relationships and social networks. Relationship problems can be caused by their symptoms, which include forgetting household duties, ignoring partners, or being easily distracted during conversations. They might also struggle to remember important events, such as birthdays and anniversaries. This can cause tension and stress in their romantic relationships, which may eventually cause a breakup.
Many adults can improve their lives by making lifestyle adjustments and addressing symptoms. They can use lists and reminders to help manage their forgetfulness, establish routines for their daily lives to reduce fluctuations and take part in physical activities to help overcome restlessness. They can also work with a doctor to design an appropriate dosage of medication that will improve their symptoms without producing any negative side effects.
It's important to seek help when you're struggling with the symptoms of ADHD. People who delay treatment might end up blaming themselves for their difficulties, interpreting them as character flaws, and creating an unending cycle that has negative effects on both their physical and mental health. Finding a reliable diagnosis and starting treatment as soon as is possible will prevent these problems from occurring.
5. Increased Suicide Risk
A diagnosis of ADHD can be taken as a sign of a character flaw and it's not uncommon for those suffering from untreated ADHD to resort to self-destructive or harmful coping strategies. This could include using or drinking alcohol that may cause mental health problems and contribute to a downward spiral of symptoms.
In addition, those who suffer from ADHD may have difficulty maintaining relationships due to their impulsivity and difficulty managing emotions. They may be late for important dates or fall off the track during conversations, leaving their loved ones feeling inadequate and dissatisfied. They could also be impulsively agree to something and then later regret it, which could affect friendships. In the workplace, people with untreated ADHD often fail to meet deadlines and lose credibility due to of their lack of organization and inability to keep their commitments.
However, the difficulties faced by people living with ADHD can be a recipe for depression and anxiety and can cause suicide attempts. If not treated, ADHD is associated with a higher likelihood of suicide regardless of whether 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 however that the majority of the participants were females. Only a few individuals had been diagnosed with ADHDH. The future research should aim to utilize larger sample sizes to ensure exact results. In addition, the studies were based on questionnaires, so results should be validated using diagnostic interviews.