Loading…
Loading…
Inattention, hyperactivity and impulsivity in adults — diagnosis and treatment
Adult ADHD is a neurodevelopmental disorder persisting from childhood — causing inattention, disorganization, procrastination and emotional dysregulation. Often unrecognized until adulthood when demands increase.
Kathmandu Neurology Clinic & Cognitive Center
Authored and reviewed by Dr. Ruja Shrestha (MBBS, MD (Psychiatry), NMC 19766). Evidence-based, no fabricated outcomes.
Adult ADHD is a neurodevelopmental disorder persisting from childhood — causing inattention, disorganization, procrastination and emotional dysregulation. Often unrecognized until adulthood when demands increase.
Reviewed by Dr. Ruja Shrestha, MBBS, MD — Consultant Psychiatrist & CBT Therapist (NMC 19766), Kathmandu Neurology Clinic. For evaluation, book an appointment.
Unlike childhood hyperactivity, adult ADHD often presents as: difficulty focusing, procrastination, disorganization, forgetfulness, time management problems, emotional dysregulation, relationship difficulties, and chronic underachievement despite intelligence. Many adults were mislabeled as lazy or unmotivated.
Clinical diagnosis based on DSM-5 criteria — symptoms present since childhood (even if unrecognized), causing significant impairment in multiple settings. Rating scales (ASRS), collateral history, and exclusion of other causes (anxiety, depression, sleep disorders, substance use).
Stimulant medications (methylphenidate, amphetamines) are first-line and highly effective. Non-stimulants (atomoxetine, guanfacine) are alternatives. CBT for ADHD teaches organizational skills, time management and emotional regulation. Combined treatment provides best outcomes.
Kessler RC et al. Adult ADHD prevalence and correlates. Am J Psychiatry 2006Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.