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ADHD in Adults Undiagnosed Living with undiagnosed ADHD can be a very difficult experience, resulting in years of self-doubt and low self-esteem. This can result in depression, mental health issues, or even substance abuse. Adults are more difficult to identify than children. A thorough background check is required. This could include a psychological exam and a discussion with family members regarding childhood behaviors. 1. Focusing Problems People suffering from ADHD often have difficulty staying focused. Forgetfulness is a common characteristic of adult ADHD.