ADHD Living With Does ADHD Get Worse With Age? By Arlin Cuncic, MA Arlin Cuncic, MA Arlin Cuncic, MA, is the author of The Anxiety Workbook and founder of the website About Social Anxiety. She has a Master's degree in clinical psychology. Learn about our editorial process Updated on January 04, 2024 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Valentinrussanov / Getty Images Table of Contents View All Table of Contents Does ADHD Worsen With Age? When ADHD Is Untreated At What Age Do ADHD Symptoms Peak? What Causes ADHD to Get Worse? Can ADHD Type Change With Age? Managing ADHD Close For some people with ADHD, there is a fear that symptoms will worsen with age. This is a valid concern, as research has shown that ADHD characteristics tend to persist into adulthood in over 80% of cases. However, it is also worth noting that many adults with ADHD find ways to manage their condition and live successful lives. At a Glance Most people who have ADHD in childhood will also have it in adulthood. While each person's experience is different, ADHD usually do not get worse with age. However, how your ADHD traits present and affect your life can change depending on factors like stress, your environment, and the type of supports that are available to you. Learning more about your ADHD characteristics can help you better recognize the challenges you might face so you can take steps to cope. Does ADHD Worsen With Age? It is generally not thought that ADHD worsens with age. Sometimes, the increased academic or professional demands that come with age may make ADHD traits more apparent in some individuals. There are many factors that can contribute to how ADHD manifests in an individual, including genetics, environment, and lifestyle choices. Some common characteristics of ADHD that may persist over time include difficulty paying attention, disorganization, and procrastination. These symptoms can lead to problems in areas such as school, work, and relationships. However, there are strategies that can help manage these issues. Adults with ADHD can find help from therapists, coaches, and medication if needed. It is important to remember that ADHD is often a lifelong condition. It is also important to remember, it is also important to realize that this does not mean that life is automatically difficult for adults with ADHD. With the right tools and support, it is possible to live a successful and fulfilling life with ADHD. What to Know About Adult ADHD Testing Does ADHD Get Worse With Age If Left Untreated? People who have undiagnosed and/or untreated ADHD may find that their traits become more evident as they get older. Without treatment, the characteristics of ADHD can lead to problems in areas such as work, school, and relationships, as well as lowered self-esteem and social functioning. Adults with untreated ADHD may also be more likely to experience depression, anxiety, substance abuse, and personality disorders. It is important to obtain a diagnosis and treatment for ADHD if you suspect that you may have the condition. Treatment can help reduce or manage the characteristics of ADHD, and can lead to a better quality of life. If you are concerned about how ADHD may be affecting your life, talk to your doctor. There are many supports available that can help you manage the challenges you might experience. At What Age Does ADHD Peak? There is no one answer to this question, as the age at which ADHD characteristics create challenges can vary from person to person. It is important to remember that ADHD is a form of neurodivergence. ADHD traits can make it harder to function in some areas of life because we live in a world based on neurotypical expectations. However, some research suggests that ADHD traits may peak at a certain age. Prevalence Peaks in Childhood One review study published in the journal Neuropediatrics indicated that peak prevalence of ADHD may be higher in certain age groups, such as among 9-year-old boys. In contrast, the prevalence of ADHD in adults was estimated at 2.8%. What Causes ADHD to Get Worse? The causes of ADHD appearing to worsen likely vary from person to person. However, there are some possible explanations for why this may happen. As people age, they may face more challenges in their lives. This can include things like entering into new stages of development, such as adolescence or adulthood; increased stress levels; and competing demands on time, such as work and family responsibilities. These challenges can worsen ADHD characteristics in some people. It is important to talk to your doctor if you are experiencing a worsening of your ADHD-related challenges. They can help you determine the cause and come up with a plan that works best for you. Can ADHD Type Change With Age? There are three main types of ADHD: inattentive, hyperactive-impulsive, and combined. Some research suggests that the type of ADHD may change as people get older. According to the Centers for Disease Control and Prevention (CDC), "Because symptoms can change over time, the presentation may change over time as well." It is important to note that not everyone with ADHD will experience a change in their type. If you are concerned that your type of ADHD has changed, it is important to talk to your doctor. Managing ADHD as You Age ADHD can pose unique challenges as people age. For this reason, it's important to develop coping strategies to manage your traits. Some ways to manage ADHD as you age include: Get Organized One of the biggest challenges for people with ADHD is staying organized. To help overcome this, try to create a system for organizing your belongings and keep all of your materials in one place. Some strategies you may find helpful include: Making a list of things you need to do and crossing them off as you complete them. This can help you stay organized and avoid feeling overwhelmed. Breaking down bigger tasks into smaller, more manageable steps. This can help reduce stress and improve focus. Creating a daily routine. Having a regular routine can help you manage your ADHD characteristics. This may include things like setting time limits for tasks, breaking down large projects into smaller steps, and scheduling regular breaks throughout the day. Prioritizing tasks. When you have ADHD, it can be difficult to focus on tasks that are not important to you. To help overcome this, try to prioritize tasks and focus on the most important ones first. Set Goals Setting realistic goals. It's important to remember that not everything can be accomplished in a single day. Pace yourself and set goals that are achievable.Stay positive. It is important to remember that ADHD is a manageable condition. With the right treatment and coping strategies, you can live a full and productive life. Stay positive and don’t let ADHD hold you back. Explore Helpful Resources It's also important to find the self-care strategies and resources that can help you manage your ADHD traits effectively. Finding ways to manage stress. Yoga, meditation, journaling, and deep breathing exercises can all be helpful in managing stress. Using tools and accommodations. There are various tools and accommodations that can help people with ADHD manage their traits. These include things like a planner, a timer, and task lists. Ask your doctor or therapist for recommendations. Seek Support Having the support of friends, family, and professionals can also help you manage your ADHD traits in adulthood. This might include talking to your loved ones about some of the struggles you are dealing with or working with an ADHD coach to better understand your strengths and limitations. Discussing your condition with your loved ones. Letting your loved ones know about your ADHD and what they can do to help support you can be helpful. Working with a therapist. A therapist can help you develop coping strategies and address any challenges you may be facing in life. Getting a diagnosis and treatment. The best way to manage ADHD characteristics is to get a proper diagnosis and treatment. This may include medication, therapy, or lifestyle changes. By getting treatment, you can help reduce or manage your ADHD and improve your quality of life. What This Means For You ADHD can pose challenges as people age. However, there are many ways to manage and cope with the condition. If you are experiencing signs of ADHD, it is important to talk to your doctor. They can help you get a diagnosis and find the best treatment for you. With the right support, you can live a full and productive life. 5 Types of Self-Care for Every Area of Your Life 8 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. van Lieshout M, Luman M, Twisk JW, et al. A 6-year follow-up of a large European cohort of children with attention-deficit/hyperactivity disorder-combined subtype: outcomes in late adolescence and young adulthood. Eur Child Adolesc Psychiatry. 2016;25(9):1007-1017. doi:10.1007/s00787-016-0820-y Franke B, Michelini G, Asherson P, et al. Live fast, die young? A review on the developmental trajectories of ADHD across the lifespan. Eur Neuropsychopharmacol. 2018;28(10):1059-1088. doi:10.1016/j.euroneuro.2018.08.001 Centers for Disease Control and Prevention. Symptoms and diagnosis of ADHD. Centers for Disease Control and Prevention. Treatment of ADHD. Harpin V, Mazzone L, Raynaud JP, Kahle J, Hodgkins P. Long-term outcomes of ADHD: A systematic review of self-esteem and social function. J Atten Disord. 2016 Apr;20(4):295-305. doi:10.1177/1087054713486516 Katzman MA, Bilkey TS, Chokka PR, Fallu A, Klassen LJ. Adult ADHD and comorbid disorders: clinical implications of a dimensional approach. BMC Psychiatry. 2017;17(1):302. Published 2017 Aug 22. doi:10.1186/s12888-017-1463-3 Drechsler R, Brem S, Brandeis D, Grünblatt E, Berger G, Walitza S. ADHD: Current Concepts and Treatments in Children and Adolescents. Neuropediatrics. 2020;51(5):315-335. doi:10.1055/s-0040-1701658 Centers for Disease Control and Prevention. Attention-Deficit/Hyperactivity Disorder. By Arlin Cuncic, MA Arlin Cuncic, MA, is the author of The Anxiety Workbook and founder of the website About Social Anxiety. She has a Master's degree in clinical psychology. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Helpful Report an Error Other Submit