How adult ADHD presents
Adults may describe a lifelong pattern of losing things, missing deadlines, starting many tasks without finishing them, interrupting others, or feeling restless. The symptoms must be present before age 12 and cause impairment in more than one setting, such as work, study, home or relationships.
Anxiety, depression, sleep problems, substance use and thyroid disease can mimic or worsen attention difficulties. The assessment looks for ADHD but also for these alternatives and co-occurring conditions.
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What the assessment covers
The consultation takes a developmental history, reviews school and work functioning, and asks for collateral information when possible. Standardised rating scales support, but do not replace, a clinical interview.
Medical history, current medicines, blood pressure, sleep and substance use are reviewed before any medication is considered. Psychological testing may be recommended when the picture is complex.
- Childhood and adult symptom history
- Impairment at work, study, home and relationships
- Screening for anxiety, depression, sleep and substance use
- Collateral information from a partner, family member or employer where appropriate
Treatment options
Treatment may include stimulant or non-stimulant medication where indicated, CBT skills for organisation and time management, workplace or academic accommodations, and treatment of co-occurring conditions. Medication is started at a low dose and monitored for response and side effects.
The goal is functional improvement, not simply fewer symptoms. Sleep, appetite, blood pressure and mood are reviewed at follow-up, and non-medication strategies are built alongside any prescription.
Access and booking
Appointments are at Mind Wellness Center, Durbar Marg area, Kathmandu. Call +977-9747736624 or use /book-appointment. Telepsychiatry is available for appropriate follow-up and for patients who cannot attend in person. This is not an emergency service.