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ADHD in Adults Undiagnosed Living with a diagnosis of undiagnosed ADHD can be extremely difficult and can lead to years of guilt and low self-esteem. This can lead to depression, mental health issues and even abuse of substances. Adults are more difficult to diagnose than children. A thorough background check is required. This could include a psychological exam and a conversation with the family members of the person regarding their childhood behavior. 1. Focusing on Problems People with ADHD often have difficul