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What happens when ADHD is not treated?

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that begins in childhood and can persist into adulthood. The core symptoms of ADHD include inattention, hyperactivity, and impulsivity. Without proper treatment and management, ADHD can negatively impact a person’s life in many ways.

What are the consequences of untreated ADHD in childhood?

When ADHD goes untreated in childhood, it can lead to difficulties in several areas:

  • Academic struggles – Children with untreated ADHD often have trouble focusing in school, completing assignments, staying organized, and controlling impulsive behaviors. This can lead to poor grades, difficulties learning, and lower academic achievement.
  • Behavioral problems – The hyperactivity and impulsivity of ADHD can cause disruptive behaviors at home and school. Children may act out, have emotional outbursts, and struggle with relationships.
  • Low self-esteem – The difficulties caused by ADHD symptoms can be frustrating and make children feel badly about themselves. They may feel ashamed or like failures.
  • Substance abuse – Impulsivity increases the risk of early substance experimentation and abuse in children with untreated ADHD.
  • Increased injuries – Hyperactive children are prone to injuries from falls and accidents due to unsafe risk-taking behaviors.

Without proper treatment, the cumulative effects of these issues can lead to significant impairment for children with ADHD. Early intervention is key to preventing worsening symptoms over time.

What are the consequences of untreated ADHD in adults?

ADHD symptoms often persist from childhood into adulthood. Around 4-5% of adults have ADHD. Adults with untreated ADHD struggle with:

  • Employment challenges – Adults with ADHD may have difficulty holding down jobs due to problems with focus, organization, following through on tasks, and absenteeism. Their career paths are often chaotic.
  • Relationship difficulties – Impulsiveness, emotional dysregulation, and inattention can cause communication problems, high conflict, and instability in the relationships of adults with untreated ADHD.
  • Substance abuse – Adults with ADHD have higher rates of substance abuse, dependency, and addiction compared to the general population due to their impulsivity.
  • Financial struggles – Disorganization, an inability to manage money well, and impulsive spending related to ADHD can lead to poor financial health in untreated adults.
  • Low self-esteem – Similar to children, adults may suffer from low self-esteem, underachievement, and lack of life satisfaction without proper ADHD management.

In addition, adults with untreated ADHD have higher rates of traffic accidents, accidental injuries, obesity, depression, and anxiety disorders. Overall, untreated ADHD significantly raises the risks for impaired physical, mental, social, and financial well-being in adulthood.

What are the mental health risks of untreated ADHD?

ADHD has a strong association with co-occurring mental health conditions. When ADHD goes untreated, the risk of developing additional psychological disorders is heightened.

  • Depression – Up to 70% of adults with untreated ADHD struggle with depression due to the chronic difficulties ADHD symptoms create.
  • Anxiety – 50% of children and up to 47% of adults with untreated ADHD also have an anxiety disorder, such as generalized anxiety, social anxiety, panic attacks, and phobias.
  • Bipolar disorder – ADHD and bipolar disorder co-occur in 10-20% of children and adults with ADHD.
  • Oppositional defiant disorder – Up to 60% of children with untreated ADHD develop oppositional defiant disorder (ODD), characterized by hostile and defiant behaviors.
  • Conduct disorder – Conduct disorder, which involves antisocial behaviors, occurs in 25-40% of ADHD cases.
  • Substance abuse – As discussed previously, untreated ADHD substantially increases the risk for alcohol and drug abuse in both adolescents and adults.

Treating ADHD can minimize the chances of developing these additional serious psychological problems. Early ADHD intervention is critical.

How does seeking treatment help improve outcomes?

Treating ADHD involves medication, behavioral interventions, education, counseling, and lifestyle changes tailored to the individual. Research shows that using evidence-based treatment approaches for ADHD can lead to:

  • Better school performance and higher educational attainment
  • Higher incomes and better workplace performance as adults
  • Improved focus, impulse control, and organizational abilities
  • Reduced risk-taking behaviors and accidents
  • Better psychological well-being and higher self-esteem
  • Healthier relationships
  • Lower rates of substance abuse
  • Decreased criminal behaviors

While ADHD can be a challenging lifelong disorder, the majority of people with ADHD who get proper treatment are able to thrive and manage their symptoms successfully.

Conclusion

In summary, untreated ADHD can profoundly affect a person’s life throughout childhood, adolescence, and adulthood. Academic, occupational, behavioral, psychological, social, and financial problems are significantly more likely when ADHD goes unaddressed. Seeking professional assessment and evidence-based treatments for ADHD as early as possible provides the best opportunity to prevent impairments and maximize quality of life.