What's wrong with the tests currently used to diagnose adults with ADHD?
The American Psychiatric Association's Diagnostic and Statistical Manual-V criteria (known as the DSM) are based on a set of 18 symptoms, but they were designed for children.
How do adult ADHD symptoms differ from what kids experience?
At its core, ADHD is a disorder of impulse control. Adults with ADHD were impulsive as kids and continue to be that way in what they say, do and feel. They don't think about future consequences.
They have great difficulties with time management and organizing themselves. They misjudge the passage of time, believing it's moving more slowly. That leads them to feel they have more time than other people do, so they end up wasting a lot of it and procrastinating.
They're also often inflexible. An ability to reprioritize on the fly and shift to whatever is important at the moment is difficult. Whenever they get involved in an enjoyable activity, they find it difficult to get away from. Or they'll quit if there's no immediate payoff for what they're about to do.
How do those symptoms affect their lives?
People with ADHD are chronically late for work, appointments and dates.
They can't sustain a relationship for more than three months; their cars get repossessed; and they often can't keep a job. Time management is the single biggest predictor of your career success – not your IQ.
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