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Areas › Focus, starting, and ADHD › Getting assessed and diagnosed
In practice the two run together, and over the years the visible restlessness tends to settle while the attention side stays. So a picture that is all drive and no distraction, especially in an adult, deserves a careful look at other explanations: a mood that swings, anxiety that will not let you sit, the effect of something you are taking. None of that rules ADHD out. It just means the assessment should not stop at the first plausible name.
If a troublemaker brings you news, check it first, in case you wrong others unwittingly (Quran 49:6). Checking before acting on a label is the same instinct, turned towards yourself.
الحجرات
يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُوٓاْ إِن جَآءَكُمۡ فَاسِقُۢ بِنَبَإࣲ فَتَبَيَّنُوٓاْ أَن تُصِيبُواْ قَوۡمَۢا بِجَهَٰلَةࣲ فَتُصۡبِحُواْ عَلَىٰ مَا فَعَلۡتُمۡ نَٰدِمِينَ
Believers, if a troublemaker brings you news, check it first, in case you wrong others unwittingly and later regret what you have done
Qur’an 49:6read it in the library
Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.
A review of adults who came to services for another psychiatric problem found unrecognised ADHD underneath more often than expected, partly because the symptoms overlap with other diagnoses and people are not always good judges of their own attention. The overlap runs in both directions, which is the point here. It is a narrative review drawing clinical literature together rather than a study with its own figures.
Barkley RA, Brown TE. (2008). Unrecognized attention-deficit/hyperactivity disorder in adults presenting with other psychiatric disorders.. CNS spectrums doi
Strength of evidence: one line of research. A single study, or a theoretical account.
Two different conditions can produce the same restlessness, and what helps each one differs.
Ask about the family properly: parents, brothers and sisters, children, then aunts, uncles and grandparents. Include drinking and drug use, in them as well as in the person sitting with you.
Try not to ask why. If the person knew why, they would probably have sorted it out already, and the question tends to land like an accusation.
The checklists were built around the loud version of this, and girls are more often the quiet version. If she is struggling and nobody has ever suggested an assessment, that is worth pressing on.