Recognizing the Signs and Symptoms of ADHD: What to Know

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental conditions, yet it’s often misunderstood or misdiagnosed—especially in adults. At our psychiatric practice in Asheville, we frequently meet clients who have struggled for years with focus, organization, or impulsivity without realizing that ADHD may be the root cause.

Understanding the signs and symptoms of ADHD is the first step toward getting the right diagnosis and support.

What Is ADHD?

ADHD is a neurological condition that affects a person’s ability to regulate attention, impulses, and executive functioning. While it is commonly diagnosed in childhood, many people reach adulthood without ever receiving an evaluation. ADHD presents differently from person to person and can often be overlooked in women, high achievers, and those with co-occurring conditions like anxiety or depression.

The Three Presentations of ADHD

ADHD is typically categorized into three types:

  1. Inattentive Type (formerly known as ADD)

  2. Hyperactive-Impulsive Type

  3. Combined Type

Each presentation has its own hallmark features.

Common Symptoms of Inattentive ADHD

  • Difficulty sustaining focus on tasks or conversations

  • Frequently making careless mistakes at work or school

  • Trouble with organization and time management

  • Often forgetful—losing keys, missing appointments

  • Avoiding tasks that require sustained mental effort

  • Easily distracted by unrelated stimuli or thoughts

This type of ADHD is often underdiagnosed, especially in adults and women, because symptoms may be seen as “laziness” or daydreaming.

Common Symptoms of Hyperactive-Impulsive ADHD

  • Feeling restless or constantly needing to move

  • Interrupting others or talking excessively

  • Difficulty waiting in lines or taking turns

  • Acting without thinking through consequences

  • Fidgeting or tapping hands and feet frequently

  • A sense of internal tension or being "on edge"

While these symptoms are more obvious in children, many adults experience subtler versions, like mental restlessness or impulsive decision-making.

How ADHD Affects Daily Life

Untreated ADHD can lead to a variety of challenges, including:

  • Chronic lateness and missed deadlines

  • Career underachievement or frequent job changes

  • Struggles with finances due to impulsive spending

  • Relationship strain from forgetfulness or irritability

  • Low self-esteem and burnout from years of coping

Many people with ADHD also experience co-occurring conditions like anxiety, depression, or substance use—making diagnosis more complex.

When to Seek an Evaluation

If you’ve noticed that focus, follow-through, or impulse control are consistently affecting your quality of life, it may be time to talk with a mental health professional.

At our psychiatric practice in Asheville, we provide comprehensive ADHD evaluations and personalized treatment plans. Whether you’re seeking answers for yourself, your family member, or a loved one, we’re here to help you find clarity and support.

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