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ADHD in Adults Undiagnosed Being a person with undiagnosed ADHD can be extremely difficult which can lead to years of shame and low self-esteem. This can lead depression as well as mental health issues and even abuse of substances. As with children, diagnosing ADHD in adults requires a thorough history that may include a psychological exam and interviewing the person's close family members for perspective on childhood behavior. 1. Focusing P