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ADHD in Adults Undiagnosed Living with undiagnosed ADHD can be a very difficult experience, resulting in years of shame and low self-esteem. This can lead to depression, other mental health issues, and eventually alcohol abuse. Adults are more difficult to diagnose than children. A thorough background is required, which may include a psychological examination and a discussion with the person's family members about childhood behaviors. 1. Trouble in Focusing People with ADHD frequently have trouble staying focuse