Suspect You Have ADHD? Here's How to Find Answers and Get Support

Discovering you may have ADHD as an adult can feel overwhelming—especially if you do have it. As a therapist, I've seen individuals who have lived with ADHD their entire adult lives experience profound relief when they learn they aren't just "lazy," "flawed," or "bad at relationships." They have ADHD. The discovery can be life-changing, and I've witnessed that transformation during sessions!

During my search for tools and resources for my clients I’ve found an author and psychiatrist, Dr. Daniel Amen, to be extremely helpful. He not only can recognize symptoms in individuals, but he has also developed a process for looking at brain scans and diagnosing his clients that way. Dr. Daniel Amen is a psychiatrist, brain imaging specialist, and author who has extensively researched ADHD through brain SPECT imaging. His work emphasizes understanding ADHD as a brain-based condition and finding personalized treatment approaches. I find this fascinating since many times we look at the emotional and relational symptoms of ADHD / ADD where ADHD can be found in the brain.

What is ADHD

ADHD is rooted in differences in brain structure and function, particularly in areas responsible for executive functioning, attention regulation, and impulse control. Research shows that individuals with ADHD often have variations in the prefrontal cortex, which governs decision-making, planning, and self-control. Additionally, neurotransmitters like dopamine and norepinephrine—chemicals that help transmit signals between brain cells—are often less active or available in the ADHD brain. This impacts the brain's reward system and makes it harder to maintain focus on tasks that aren't immediately stimulating. Brain imaging studies, including the work of Dr. Daniel Amen using SPECT scans, reveal that ADHD can manifest as underactivity in certain brain regions, particularly when concentration is required. Understanding ADHD as a neurobiological condition rather than a behavioral flaw is essential for reducing stigma and finding effective treatment.

It is important to note that ADD and ADHD shows up differently but are usually used together or as an umbrella term.

Understanding the Difference Between ADHD and ADD

While the terms ADHD and ADD are often used interchangeably, there are important distinctions to understand. ADD (Attention Deficit Disorder) is actually an outdated term that was used to describe what we now call ADHD-Inattentive Type. In 1994, the DSM-IV officially replaced ADD with ADHD and introduced three subtypes: Predominantly Inattentive, Predominantly Hyperactive-Impulsive, and Combined Type.

The key difference lies in the presence of hyperactivity. ADHD-Inattentive Type (formerly ADD) is characterized by difficulties with focus, organization, and attention without significant hyperactive or impulsive behaviors. People with this subtype may appear daydreamy, forgetful, or easily distracted but aren't typically restless or fidgety. On the other hand, ADHD-Hyperactive/Impulsive Type involves excessive movement, restlessness, impulsivity, and difficulty sitting still. The Combined Type includes symptoms from both categories.

Understanding these distinctions is important because inattentive ADHD is often overlooked, especially in women and girls, who may not display the stereotypical hyperactive behaviors. If you've been struggling with focus and organization but don't feel "hyperactive," you might still have ADHD—it just presents differently. This is why a comprehensive evaluation is so crucial in getting an accurate diagnosis and appropriate treatment.

If you've been feeling overwhelmed, struggling to focus, or constantly battling disorganization, you might be wondering if ADHD could be the reason. Maybe you've done some research, read a few articles, or seen content on social media that made you think,

"Wait, that sounds like me." If you're nodding along, know that you're not alone—and recognizing these patterns is an important first step.

But what do you do next? Where do you even start when you think you might have ADHD? Let's walk through it together.

1. Educate Yourself (But Don't Self-Diagnose)

Start by learning more about ADHD from credible sources. Understanding the symptoms, subtypes (inattentive, hyperactive-impulsive, or combined), and how ADHD presents differently in adults versus children can help you recognize patterns in your own life.

However, it's crucial to remember that while self-education is valuable, it's not a substitute for professional diagnosis. ADHD symptoms can overlap with other conditions like PTSD, anxiety, depression, or even thyroid issues, so it's important to get a comprehensive evaluation. We will continue to dive into what this process can look like.

2. Find a Talk Therapist

I may be biased but this is where I would start. Having a talk therapist to process this life change will be extremely helpful. Finding answers can be confusing and overwhelming with many enlightening moments along the way. Being able to process with a mental health professional right away is important. A therapist who has experience with ADHD is important as they will know where to start if you want to explore medication, walk alongside you as you find the right medication for you, CBT tools to use, and how your diagnosis may have been impacting relationships. From there a therapist will point you to your primary care doctor for an official diagnosis and / or medication.

3. Talk to Your Primary Care Doctor

Your primary care physician is often a great starting point. Schedule an appointment and share your concerns openly. Be specific about the symptoms you're experiencing and how they're impacting your daily life—at work, in relationships, or in managing everyday tasks.

Your doctor may:

• Conduct an initial screening

• Rule out other medical conditions

• Refer you to a specialist for further evaluation

4. Seek a Specialist for Evaluation

A formal ADHD diagnosis typically requires evaluation by a mental health professional such as:

• A psychiatrist

• A psychologist

• A licensed therapist with ADHD expertise

The evaluation process may include:

• Clinical interviews about your symptoms and history

• Questionnaires and rating scales

• Review of childhood behaviors (ADHD symptoms must be present before age 12)

• Sometimes, input from family members or partners

Don't be discouraged if this takes time. This is the part of the process that I have found may feel daunting. Finding the right provider and getting an appointment can require patience, but it's worth it!

5. Keep a Symptom Journal

Before and during the evaluation process, keep track of your symptoms. Note when you struggle with focus, organization, impulsivity, or emotional regulation. Include specific examples and how these challenges affect your life. I usually encourage clients to keep a form of the DSM-5 symptoms or a self-evaluation your talk therapist may have given you. I have also found that providers will have a symptom list for loved ones to also fill out about your ADHD symptoms for a fuller picture.

This journal can be incredibly helpful during appointments, giving your provider concrete examples to work with rather than vague descriptions.

6. Explore Medication Options (If Appropriate)

If you're diagnosed with ADHD, your provider may discuss medication as part of your treatment plan. This is especially true if you’ve foudnt hat your symptoms are inhabiting your relationships, job, or day to day life. Stimulant and non-stimulant medications can be highly effective for many people. It's okay to have questions, concerns, or mixed feelings about medication—have an open conversation with your provider about what feels right for you. Finding the right medication is like finding the right glasses prescription. It's not one-size-fits-all, and it's okay if this part of the process takes time.

"The right treatment for ADHD can be life-changing. It's not about changing who you are—it's about helping your brain work better." - Dr. Daniel Amen

7. Continue Therapy

Whether or not you receive a formal diagnosis, working with a therapist who specializes in ADHD can be transformative. Cognitive Behavioral Therapy (CBT) and other therapeutic approaches can help you develop coping strategies, improve executive functioning, and manage emotions.

Therapy isn't just about managing symptoms—it's about understanding yourself better and building a life that works with your brain, not against it.

8. Build Your Support System

Living with ADHD can feel isolating, but you don't have to go through it alone. Connect with:

• Support groups (online or in-person)

• ADHD communities on social media

• Friends and family who can offer understanding and encouragement

Surrounding yourself with people who "get it" can make all the difference.

9. Give Yourself Grace

Many people who go through this process find they can finally give themselves grace and work through the shame that often comes with undiagnosed ADHD. This process can feel overwhelming—and that's okay. Seeking help is a sign of strength, not weakness. Whether you're just starting to explore the possibility of ADHD or you're deep in the evaluation process, be patient and compassionate with yourself.

You deserve support, understanding, and answers. And remember: getting help isn't about "fixing" yourself—it's about understanding your brain better and finding tools that help you thrive.

Final Thoughts

If you think you might have ADHD, don't brush it off. Trust your instincts, reach out for professional support, and take things one step at a time. You're not being dramatic, you're not overthinking it—you're listening to yourself, and that's powerful. As Dr. Amen says, “people with ADHD often have amazing gifts: creativity, energy, spontaneity, and the ability to hyperfocus on things they’re passionate about.” — and the right treatment can truly be life changing.

You've already taken the first step by acknowledging your concerns. Now, let's keep moving forward—together.