The Long-Term Effects of Untreated ADHD in Adults
Receiving a diagnosis of ADHD as an adult may bring up complicated emotions. It can cause feelings of regret for missed opportunities, or feeling of relief from finally finding a cause for your challenges.
Untreated ADHD can have a long-term impact on relationships and financial stability, mental health and more. It is imperative that professionals be aware of the long-term implications of untreated ADHD in adults.
1. Greater Risk of Mental Health Problems

Adults with ADHD who aren't treated may struggle to manage negative emotions, particularly when confronted by obstacles and setbacks. For example, a person who is not treated for ADHD might forget significant dates or be impulsive in sensitive conversations, which could affect relationships. They may also fail to meet deadlines, or make careless mistakes in professional settings. This can impact the trust and reliability of others. This can lead to feelings of frustration or inadequacy and an image of self-doubt.
Additionally, people who suffer from untreated ADHD might face financial issues due to their inattention, disorganization, and impulsive behavior. For instance, they might spend money on impulse, fail to keep track of bills or forget to pay their phone bill on time, which can result in late fees and overdue payments. They might also be struggling to hold a steady job due to frequent job changes and difficulties with organization, time management and focus.
Undiagnosed ADHD has been linked to higher levels of mental issues such as depression and social issues (Bishop Fitzpatrick et. al. 2018) and a higher susceptibility to sexual assault (Bargiela and al. 2016). It is also linked to a lower quality of life and an increased risk of chronic diseases such as weight gain and heart disease.
Fortunately, those who suffer from untreated ADHD can get help from treatment options that include therapy and psychoeducation. They can also learn to reduce the risk of co-occurring diseases by keeping an eye on their symptoms and making sure they don't take certain medications, such as stimulants, which could interact with them. They can also be honest and open with their healthcare provider regarding their symptoms and the impact they can have on their lives. This will allow them to receive medication that is most effective for their particular condition.
2. Increased Risk of Substance Use Disorders
Untreated ADHD patients are more likely to receive a comorbid diagnosis, which includes substance use disorder. Inattention and impulsivity, two ADHD symptoms that can lead to addiction to alcohol and drugs are prevalent. Someone with ADHD has a higher chance of becoming dependent on alcohol and other drugs than someone who does not have ADHD. This is thought to be due to the primary ADHD symptoms of impulsivity and low self-regulation, which can cause a higher risk of engaging in drug and alcohol consumption.
The combination of low levels of dopamine and impaired dopamine receptors triggered by untreated ADHD can increase the risk of drug addiction. Stimulants, like Ritalin and Adderall, are often used to treat ADHD due to their ability to increase dopamine levels in the brain, which helps people focus and feel more calm. However, prolonged usage of stimulants could cause serious side effects such as stroke, heart attack or brain damage, and even death.
People with untreated ADHD are more likely to suffer from depression and are at a greater chance of having suicidal thoughts which can lead to substance abuse. In addition, many people who suffer from untreated ADHD struggle with relationships and work. Untreated ADHD may also cause financial issues that make it difficult for individuals to maintain adequate health coverage.
Many adults can feel relieved when they receive a diagnosis of ADHD as an adult. They now know that their behavior was not their fault. Adults suffering from ADHD should seek treatment. The first step is to consult with a doctor who will give you a complete assessment of your medication and recommend the right medications for your particular requirements. It is important to disclose any health conditions or medications is important because some ADHD medication can interact with certain substances.
3. Depression and anxiety are more likely to occur.
Untreated ADHD can have a negative impact on a person's quality of life. These include difficulty at home, work and social interactions bad relationships, feelings of low self-esteem and pessimistic outlook, anxiety and depression.
Adults suffering from ADHD are often unable to maintain relationships or maintaining friendships because they are impulsive, forget important dates, or are unable to pay attention. Adults with untreated ADHD may also have difficulties managing long-term projects and navigating the workplace hierarchy due their inability to meet deadlines. This can lead to unemployment, a lower status in the workplace and higher levels of stress and anxiety.
Ginsberg and colleagues (64) conducted an extensive review of outcomes associated with underdiagnosis and insufficient treatment of ADHD. Their findings indicated that untreated ADHD can have negative effects on academic performance and psychiatric comorbidities, drug abuse as well as on employment, antisocial behavior driving, and physical health (e.g. obesity, smoking, poor sleep).
In addition to obtaining an accurate diagnosis of ADHD Certain adults also require other treatment strategies. These can include behavioural interventions like behavioral therapy, as well as lifestyle modifications such as improved diet and exercise. Certain people with ADHD might also benefit from medication. Stimulants like dextroamphetamine or methylphenidate, also called Ritalin (Ritalin) are able to be prescribed. At first, the medication trial starts with a low dose to determine how a person responds.
It is important to get a correct diagnosis and start treatment as soon as possible to control ADHD symptoms. The symptoms of ADHD could be similar to those of depression or anxiety. It is crucial to have an expert in mental health or health care provider evaluate your symptoms to determine the root cause.
4. Increased Risk for Physical Health Problems
Adults with untreated ADHD might find it difficult to maintain their regular health routines. They might miss appointments, have trouble filling prescriptions, and have trouble following the diet, sleep, and exercise schedules. This can lead to health problems like heart disease and hypertension. They might also have trouble handling financial matters, resulting in impulse spending or a late payment of bills. This can also exacerbate chronic health conditions that result from underlying mental disorders, including anxiety and depression.
In addition, those suffering from untreated ADHD often have a difficult time to maintain relationships and social support networks. The symptoms, like neglecting to meet household obligations and ignoring their partner, or being easily distracted during conversations, may cause problems with relationships. They may also have difficulty to remember important dates like birthdays and anniversary celebrations. This can cause tension and stress in their relationships, which could eventually cause breaking up.
Many adults can improve their quality of life by making lifestyle changes and managing symptoms. They can utilize lists and reminders to help manage their forgetfulness, develop regular routines for their day to decrease the amount of variability and take part in physical activities to help them overcome restlessness. They are also able to work closely with their doctor to determine the proper dosage of medication to help them manage their symptoms while minimizing any adverse consequences.
For those who are struggling to cope with the symptoms of untreated ADHD it is essential to seek help. People who delay treatment might end in blaming themselves for their challenges, internalizing these as flaws in their character, and creating a vicious cycle that has negative effects on both their physical and mental health. Getting an accurate diagnosis and starting treatment as early as possible will help prevent these complications from occurring.
5. Suicide Risk Increased
It is not uncommon for people with untreated ADHD who are diagnosed to resort to self-destructive coping mechanisms. This may include using alcohol or drugs, which can lead to other mental health issues over time and can cause a downward spiral of symptoms.
In addition, people who suffer from ADHD may have difficulty maintaining relationships due to their impulsivity as well as difficulty managing emotions. They may miss important dates or lose focus in conversations. This could leave their significant others feeling unhappy and unappreciated. They may also agree to an unwise decision and then regret it. This can strain friendships. In the workplace, adults with untreated ADHD often fail to meet deadlines and lose credibility due to of their disorganization and inability to fulfill commitments.
The difficulties associated with living with ADHD can cause depression and anxiety. doctors who treat adhd in adults can also trigger suicide attempts. If not treated, ADHD is associated with an increased risk of suicide behavior, regardless if comorbidities are present. It also found that adult ADHD-related impulsivity and hyperactivity predicted temper outbursts/hitting/throwing and that adult ADHD-related inattention predicted threats/actual self-harm.
It is worth noting however that the majority of participants were females. Only a handful of people had been diagnosed with ADHD-H. Future research should aim to employ larger sample sizes to guarantee accurate results. Furthermore, the research was based on questionnaires, so the results must be validated with diagnostic interviews.