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ADHD Symptoms

Clinical Contributor- Dr. Swati Pandey

Dr. Swati Pandey, MD, is an American Board-Certified physician in Internal Medicine with more than 13 years of clinical experience. She is the Co-founder of Siya Health and Amcare India, with clinical expertise spanning adult ADHD, mental health, women’s health, preventive and primary care, chronic disease management, and weight management.

Dr. Swati combines evidence-based medicine with a compassionate, personalized, whole-person approach. Through virtual and in-person consultations, she focuses on making healthcare more accessible, proactive, and responsive to the realities of patients’ everyday lives.

About Siya Health

“Siya Health is a doctor-led healthcare company focused on preventive and personalized healthcare, with expertise in areas including adult ADHD, mental health, stress and sleep support, lifestyle and nutrition, preventive health assessments, and chronic disease management.”

The room felt strangely quiet.

Your child was colouring on a sheet of paper while you sat across from the clinician, answering what seemed like another routine question.

“Does your child often lose things?”

“Do they find it difficult to finish tasks?”

“Do they become overwhelmed by simple routines?”

“Do they forget instructions almost as soon as they hear them?”

You nodded.

“Yes… all the time.”

The clinician continued explaining how ADHD can affect attention, planning, organisation, emotions, and everyday life.

Then something unexpected happened.

For the first time, the conversation stopped being only about your child.

The examples sounded… familiar.

Painfully familiar.

You remembered the diary you bought every January, hoping that this year you would finally become organised.

The forgotten birthdays.

The unpaid bills.

The dozens of browser tabs left open because each one represented something important you intended to return to.

The projects that began with excitement but quietly disappeared halfway through.

The constant feeling that everyone else seemed to manage life more effortlessly than you did.

You had spent years believing you were simply forgetful.

Disorganised.

Too emotional.

Bad at managing time.

Perhaps even a little lazy.

ADHD never crossed your mind.

As the appointment continued, another thought quietly appeared.

“What if I have been describing my entire life… without ever knowing it?”

For many parents, this is the moment everything begins to change.

Receiving an ADHD diagnosis for your child can bring a mix of emotions: relief, uncertainty, grief, hope, and countless questions about what comes next.

Yet for many families, another journey begins quietly alongside it.

Not the child’s.

The parent’s.

According to Dr. Swati Pandey, one of the moments when self-recognition can emerge is during a child’s ADHD evaluation. As parents complete developmental history forms, behavioural questionnaires, or listen to clinicians explain ADHD symptoms, some may pause unexpectedly.

“That sounds exactly like me.”

Some recognise their own lifelong struggles with organisation and time management.

Others suddenly understand why routines have always felt exhausting, why procrastination seems difficult to overcome, or why their minds feel constantly busy, even during moments of rest.

Many describe a similar realisation:

“I always thought this was just my personality.”

What can surprise parents is recognising that some of these struggles may not have begun in adulthood. Looking back, they may remember similar patterns from childhood or adolescence difficulties they had once dismissed as personality traits, poor habits, or simply “the way they were.”

Their child’s experience can sometimes become the mirror through which they begin looking at their own story differently.

If this experience feels deeply personal, you’re not alone.

Researchers have long recognised that ADHD frequently runs in families.

A landmark review by Faraone and Larsson (2019) found that genetic factors account for approximately 70–80% of the variation in ADHD risk, making ADHD one of the most heritable neurodevelopmental conditions studied to date.

This does not mean there is a single “ADHD gene,” nor does it mean every parent of a child with ADHD also has ADHD.

Rather, ADHD develops through a complex interaction between multiple genes and environmental influences throughout development.

What this research does explain is why clinicians routinely ask about family history during an ADHD evaluation.

As parents learn about ADHD, many begin recognising patterns that stretch far beyond one generation.

Perhaps a grandparent who was always described as “brilliant but absent-minded.”

An uncle who struggled to keep jobs despite extraordinary intelligence.

A sibling who constantly misplaced belongings.

Or perhaps…

The person sitting quietly in the assessment room.

The parent.

“I Thought Everyone Felt This Way.”

One sentence appears again and again in conversations with adults who are later diagnosed with ADHD.

“I thought everyone experienced life like this.”

For years, many adults develop remarkably effective ways of coping.

Multiple reminder apps.

Sticky notes covering the refrigerator.

Checking the front door three times before leaving home.

Working late into the night because deadlines create the only motivation strong enough to begin.

Apologising constantly for forgetting.

Laughing off mistakes that secretly feel exhausting.

These strategies often hide the underlying difficulties- not only from others, but from the individual themselves.

This is one reason why adult ADHD frequently goes unrecognised for years, particularly among individuals who are intelligent, highly motivated, or have developed strong compensatory strategies (Asherson et al., 2016).

By the time many adults seek an evaluation, they aren’t looking for an explanation for new problems.

They’re looking for an explanation for lifelong ones.

As Dr. Swati observes, adults rarely seek assessment because their symptoms suddenly appeared.

They seek assessment because, often through their child’s diagnosis, they finally discover a framework that explains struggles they have quietly carried for decades.

Perhaps the most powerful part of this journey isn’t receiving another label.

It’s replacing years of self-criticism with understanding.

The internal dialogue slowly begins to change.

Instead of asking,

“Why can’t I get my life together?”

parents begin asking,

“Could my brain simply work differently?”

That question doesn’t provide a diagnosis.

But it does open the door to curiosity instead of shame.

And sometimes…

that is where healing begins.

“But I did well in school.”

“I’ve always managed somehow.”

“I’m not hyperactive.”

These are some of the most common reasons adults dismiss the possibility of ADHD in themselves. In reality, many adults live with ADHD for years- sometimes decades- before recognising that their lifelong struggles may have a name.

According to Dr. Swati Pandey, adults rarely seek an evaluation because their symptoms suddenly begin. Instead, they often seek answers when life becomes more demanding. The coping strategies that once helped them manage school, college, or early career responsibilities may no longer be enough.

For many parents, this turning point comes after having children.

Parenthood brings new demands: managing school schedules, balancing work and family responsibilities, remembering appointments, organising daily routines, regulating emotions during stressful moments, and making countless decisions every day. Executive functioning skills, which include planning, working memory, attention regulation, and self-monitoring, suddenly become essential.

For someone with ADHD, these increasing responsibilities can expose difficulties that had previously been hidden beneath years of hard work and determination.

Research supports this observation. Kooij et al. (2019) note that many adults with ADHD remain undiagnosed because they develop compensatory strategies that mask symptoms until environmental demands exceed their ability to cope. Rather than “developing ADHD” in adulthood, many individuals simply reach a stage of life where existing challenges become impossible to ignore.

For decades, ADHD was largely associated with children who were constantly moving, interrupting conversations, or struggling to sit still in classrooms.

Today, we know the picture is far more complex.

Many adults, particularly women, experience what clinicians describe as predominantly inattentive presentations, where difficulties are less visible but equally impactful (Young et al., 2020).

Instead of obvious hyperactivity, ADHD may appear as:

  • A mind that never seems to slow down.
  • Feeling mentally overwhelmed by everyday responsibilities.
  • Constantly switching between unfinished tasks.
  • Chronic procrastination despite good intentions.
  • Losing track of conversations or appointments.
  • Emotional reactions that feel bigger than expected.
  • Spending hours perfecting one task while avoiding another.
  • Feeling exhausted simply trying to stay organised.

Dr. Swati explains that many adults describe an invisible struggle:

“It feels like I’m working twice as hard as everyone else just to keep up.”

Because these challenges often occur internally, family members, colleagues, and even healthcare professionals may overlook them. Many adults become experts at hiding their difficulties, appearing successful on the outside while privately feeling overwhelmed.

One of the greatest myths surrounding ADHD is that intelligence protects someone from it.

It doesn’t.

Many adults with ADHD excel academically or professionally, particularly when they are highly interested in a subject or working under intense deadlines.

This apparent contradiction often delays recognition.

Dr. Swati frequently encounters adults who say,

“I did well in school, so I assumed ADHD wasn’t possible.”

Research tells a different story.

Barkley (2015) explains that ADHD is not a disorder of intelligence. Rather, it is a disorder affecting executive functioning- the mental processes responsible for planning, prioritising, organising, initiating tasks, regulating attention, and managing emotions.

A person may understand exactly what needs to be done, yet struggle to begin.

They may know the deadline for weeks but only feel able to start the night before.

They may perform exceptionally in areas they enjoy while finding routine tasks almost impossible to complete.

This difference between knowing and doing often leaves adults feeling confused and self-critical.

Everyone forgets appointments.

Everyone procrastinates.

Everyone gets distracted.

So how do clinicians distinguish everyday experiences from ADHD?

The difference lies not in a single symptom, but in the pattern, persistence, and impact.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) (American Psychiatric Association, 2022), ADHD symptoms typically begin in childhood, continue over time, occur across different settings, and significantly interfere with daily functioning.

Dr. Swati encourages adults to look beyond isolated incidents and instead ask:

  • Have these challenges been present for most of my life?
  • Do they affect my work, relationships, finances, or parenting?
  • Do I consistently struggle despite trying different strategies?
  • Have other people commented on these patterns over the years?

If the answer to several of these questions is “yes,” it may be worthwhile discussing these experiences with a qualified healthcare professional.

The goal is not to label ordinary human forgetfulness.

The goal is to understand persistent patterns that affect quality of life.

One of the most important messages for parents to understand is that screening and diagnosis are not the same thing.

This distinction is often misunderstood.

As Dr. Swati explains, an ADHD screening is designed to identify whether ADHD may be a possibility and whether a comprehensive evaluation should be considered. It may include questionnaires, rating scales, brief interviews, and a review of family history.

A positive screening result does not confirm ADHD.

Likewise, a negative screening result does not always rule it out.

A comprehensive clinical evaluation is much broader. It considers current symptoms, childhood history, educational experiences, medical conditions, mental health, daily functioning, family history, and other conditions that may resemble or coexist with ADHD.

Some clinicians may also include computerised neurocognitive testing, which objectively measures cognitive functions such as attention, working memory, processing speed, executive functioning, and impulse control. While these assessments provide valuable information about cognitive strengths and challenges, they are only one component of the overall evaluation and cannot diagnose ADHD on their own.

Ultimately, ADHD is diagnosed by a qualified healthcare professional who integrates all available information rather than relying on any single questionnaire or test.

For many adults, understanding this distinction reduces anxiety. Seeking an evaluation is not about proving that you have ADHD; it is about gaining a clearer understanding of how your brain functions and identifying the most appropriate support, whatever the outcome may be.

If you’ve found yourself quietly thinking, This sounds like me, you don’t need to have all the answers today.

Recognising familiar patterns in yourself is not the same as receiving a diagnosis. Instead, it can be an opportunity to better understand your own experiences with curiosity rather than self-judgment.

Dr. Swati encourages parents to approach themselves with the same compassion they naturally extend to their children.

“Many parents spend years believing they’re lazy, disorganised, careless, or simply ‘bad at managing adult life.’ Learning about ADHD can reframe those experiences not as personal failures, but as differences in how the brain manages attention, motivation, and executive functioning.”

If you recognise lifelong patterns that have consistently affected your work, relationships, parenting, education, or daily life, consider discussing your experiences with a qualified healthcare professional. Whether ADHD is ultimately confirmed or not, understanding your cognitive strengths and challenges can help guide appropriate support and improve overall well-being.

Many parents also describe an unexpected benefit. As they better understand themselves, they often become more patient with their children, less self-critical, and more confident advocates for their family’s needs.

Sometimes, supporting your child begins with showing yourself the same kindness you’ve been offering them all along.

  • Many parents begin recognising ADHD traits in themselves during their child’s evaluation or after learning more about ADHD.
  • ADHD is one of the most heritable neurodevelopmental conditions, but genetics increase the likelihood rather than determine outcomes.
  • Adult ADHD often presents differently from childhood ADHD and may remain unnoticed for years, particularly in individuals who have developed effective coping strategies.
  • An ADHD screening helps identify whether further evaluation may be appropriate, while a comprehensive clinical assessment is required for diagnosis.
  • If lifelong patterns are affecting your daily functioning, seeking professional guidance can provide valuable clarity and support.

Does my child’s ADHD mean I also have ADHD?

No. Having a child with ADHD does not automatically mean a parent also has ADHD. However, because ADHD has a strong genetic component, some parents recognise similar lifelong patterns in themselves and may choose to seek a professional evaluation.

Can adults be diagnosed with ADHD later in life?

Yes. Many adults are diagnosed after years of managing symptoms without realising ADHD could explain their experiences. A diagnosis is based on a comprehensive clinical evaluation, not age.

What’s the difference between ADHD screening and diagnosis?

A screening identifies whether ADHD may be present and whether further assessment is recommended. A diagnosis can only be made by a qualified healthcare professional after a comprehensive evaluation that considers developmental history, current symptoms, functioning, and other possible explanations.

Perhaps the greatest gift of your child’s diagnosis is not simply understanding their unique way of experiencing the world.

Sometimes, it offers something unexpected.

It invites you to look at your own story with fresh eyes.

The moments you once labelled as failures may instead reflect lifelong patterns that were never fully understood. Whether those experiences ultimately lead to an ADHD diagnosis or simply a deeper understanding of yourself, replacing self-criticism with self-compassion is a meaningful step forward.

After all, every child deserves a parent who feels understood, and every parent deserves that understanding too.

To connect with Dr. Swati Pandey, MD, and learn more about her work in adult ADHD, mental health, and preventive healthcare, visit her [LinkedIn Profile].

To learn more about Siya Health and its work in preventive and personalized healthcare, visit its [Website] and connect with the team on [Facebook], [Instagram], and [LinkedIn]. You can also explore Amcare India on [LinkedIn].

NeuroNestHub developed this article with clinical input from Siya Health. It is intended solely for educational purposes and does not imply an endorsement of any specific healthcare service.

Discover real stories, practical resources, and a growing community at NeuroNestHub. If you have a story, insight, or experience to share, we’d love to hear from you: https://neuronesthub.com/

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Association Publishing.

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