The Long-Term Effects of Untreated ADHD in Adults
If you are diagnosed with ADHD as an adult, it may cause a variety of emotions. It may bring feelings of grief over missed opportunities or satisfaction that you have a clear explanation for your struggles.
Untreated ADHD can have a long-term impact on relationships, mental health, financial stability and much more. It is essential for professionals to think about the long-term implications of untreated ADHD for adults.
1. Mental Health Issues and Risk Increased
Adults who suffer from untreated ADHD might have difficulty coping with negative emotions, especially when faced with challenges and setbacks. Untreated ADHD can cause someone to forget important dates or act quickly in sensitive conversations. This can strain relationships. They might also fail to meet deadlines or make careless mistakes in professional settings, which may affect trust and dependability. In some cases, this can amplify feelings of discontent and unworthiness and create a negative self-image.
In addition, adults with untreated ADHD may face financial challenges because of their lack of focus, disorganization and impulsive behaviors. For instance, they might spend money in a hurry and not be able to keep track of their bills or fail to pay their phone bill on time, which can result in late fees and overdue payments. They may also struggle to keep a steady job due to their frequent shifts and issues with time management, organization and focus.
Undiagnosed ADHD has been linked to higher levels of mental issues such as depression and social problems (Bishop Fitzpatrick et. al. 2018) and a higher risk of engaging in sexually unsafe behaviors (Bargiela and al. 2016). It is also associated with a lower quality of life and a higher risk of chronic diseases such as weight gain and heart disease.
Adults with untreated ADHD may benefit from psychoeducation and therapy. They can also lower their risk of co-occurring diseases by keeping an eye on their symptoms and avoid certain medications that could be associated with them, like stimulants. They should also be honest and open with their healthcare provider about their symptoms and the impact they have on their lives. This will enable them to receive medication that is most effective for their condition.
2. Higher Risk for Substance Use Disorders
A co-occurring diagnosis of ADHD and substance use disorder (SUD) is all too common for people living with untreated ADHD. ADHD symptoms like inattention and excessive impulsivity can result in drug dependence and alcohol abuse. Research has shown that someone with ADHD is more likely to be addicted to alcohol and drugs than people who do not suffer from ADHD. This is thought to be due to the core ADHD symptoms of impulsivity and low self-regulation that can result in a greater chance of experimenting with drugs and alcohol use.
Untreated ADHD can increase the risk of drug addiction due to the combination of low levels of dopamine and impaired dopamine receptors. The stimulants, such as Ritalin and Adderall, are often used to treat ADHD because they raise dopamine levels in the brain, helping people focus and feel more calm. But, long-term use of stimulants may cause serious adverse effects, including stroke or heart attack, brain damage, and even death.
Untreated ADHD can cause depression and suicidal thoughts. This can lead to substance abuse. In addition, many with untreated ADHD struggle with relationship and work issues. Untreated ADHD can also lead to financial problems that make it difficult for individuals to maintain the right health insurance coverage.
Many adults feel content when they get a diagnosis of ADHD as an adult. They now know that their behavior was not their fault. However, it is important for adults with ADHD to seek treatment. In the beginning, you should talk to a doctor to get a proper medication assessment and to receive the most effective medication to meet your needs. It is important to disclose any health conditions or medications is crucial, as some ADHD medication can interact with certain substances.
3. Depression and anxiety are more likely to occur.
Untreated ADHD can affect a person's quality of life. These can include difficulties at home, work and social interactions, poor relationships, feelings of low self-esteem, a negative outlook, as well as anxiety and depression.
Adults suffering from ADHD can have difficulty maintaining friendships or managing relationships because they are impulsive, forget important dates, or are unable to pay attention. Adults suffering from untreated ADHD may also have difficulty managing long-term projects as well as navigating the hierarchy of work due to their inability to meet deadlines. In some cases this may cause unemployment, lower job satisfaction, and increased levels of job anxiety and stress.
Ginsberg and colleagues (64) conducted an extensive review of results associated with underdiagnosis and inadequate treatment for ADHD. Their findings showed that untreated ADHD has negative impacts on academic performance, psychiatric comorbidities, substance abuse as well as on employment, antisocial behavior driving, and physical health (e.g., obesity, smoking and sleep problems).
In addition to obtaining a proper diagnosis of ADHD, some adults benefit from other treatment strategies. These can include behavioural interventions such as behavioral therapy, and lifestyle changes such as a healthier diet and exercise. Medication is also an effective option for some individuals with ADHD. The medications that are prescribed include stimulants such as methylphenidate (Ritalin) and dextroamphetamine (Adderall). The trial begins with a small dose to determine how the person responds prior to adjusting the dosage.

It is crucial to receive a correct diagnosis and start treatment early in order to treat ADHD symptoms. Symptoms can also mimic those of other illnesses, such as depression and anxiety, so it's crucial to seek a thorough evaluation by a health care provider or mental health professional to determine what's the cause of these symptoms.
4. Increased Risk of Physical Health Issues
Adults suffering from untreated ADHD might find it difficult to keep up with their regular healthcare routines. They may skip appointments and refills for prescriptions and may struggle with adherence to eating, exercise, and sleep schedules, which can exacerbate existing health issues like heart disease or hypertension. They may also have trouble managing their finances. This can result in impulsive purchases or late payments on bills. This can also exacerbate chronic health conditions resulting from mental disorders like depression and anxiety.
Additionally, those with untreated ADHD often have difficulty to maintain relationships and social networks. Relationship issues can be caused by their symptoms, which include forgetting household chores, ignoring friends, or becoming easily distracted when talking to others. They may also be unable to remember important occasions like birthdays and anniversary celebrations. This can cause tension and anxiety in their relationships.
Many adults can improve their quality of life by making lifestyle adjustments and addressing symptoms. They can utilize lists and reminders to control their forgetfulness, create structured daily routines to reduce variability, and engage in physical activities to help them overcome restlessness. They are also able to work closely with their doctor to determine the right dosage of medication to help them manage their symptoms while minimizing any adverse effects.
If you're struggling with the symptoms of untreated ADHD is crucial to seek out help. In the absence of treatment, it can result in people blame their issues on themselves, internalizing the issues and triggering a cycle that negatively impacts their mental and physical well-being. Finding a reliable diagnosis and starting treatment as soon as is possible will help prevent these complications from developing.
5. Suicide Risk Increased
A diagnosis of ADHD could be mistakenly interpreted as a flaw in character and it's not uncommon for people with untreated ADHD to develop self-destructive or harmful ways of coping. This may include using alcohol or drugs. This can lead to mental health issues in the long run and can cause an upward spiral of symptoms.
People who suffer from ADHD might also have issues maintaining relationships due to their impulsivity. They may struggle to manage emotions. They might miss important dates or lose focus in conversations. This can make their loved ones feel unhappy and unappreciated. They may also carelessly accept something only to later regret it, which can strain friendships. In the workplace, those with untreated ADHD frequently miss deadlines and lose credibility due to due to their inability to keep their commitments.
treat adhd without medication adults faced by people living with ADHD can create a perfect recipe for anxiety and depression, which can also cause suicide attempts. If not treated, ADHD is linked to a higher likelihood of suicide regardless of whether 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.
However, it is to be noted that the subjects in the study were mostly female and only a small percentage of them had been diagnosed with ADHD-H. Therefore, future research should aim for larger samples to ensure reliable results. The research was also based on questionnaires. Therefore, the results must be confirmed using diagnostic interviews.