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ADHD in Adults and Children: Focus, Impulse, and Functioning

  • kriscainlcpc
  • Apr 9
  • 4 min read

ADHD in Adults and Children: Focus, Impulse, and Functioning

Attention-Deficit/Hyperactivity Disorder (ADHD) is commonly misunderstood as a condition that only affects hyperactive children. In reality, ADHD is a lifelong neurodevelopmental disorder that can impact individuals at every age. It affects attention, impulse control, and executive functioning—the brain’s ability to organize, plan, and follow through on tasks.


According to the Centers for Disease Control and Prevention (CDC), around 6 million U.S. children have been diagnosed with ADHD, and studies estimate that more than 8 million adults live with it as well. However, many go undiagnosed, especially those whose symptoms don’t fit the classic image of hyperactivity.


In this article, we explore how ADHD presents differently in children and adults, its frequent overlap with other mental health conditions, and the strategies available to manage symptoms and thrive at school, work, and home.


What Is ADHD?

ADHD is a brain-based condition that affects an individual’s ability to regulate attention, control impulses, and manage hyperactivity. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines three presentations:

1. Predominantly Inattentive

  • Easily distracted

  • Difficulty organizing tasks

  • Struggles with focus and listening

2. Predominantly Hyperactive-Impulsive

  • Fidgets or squirms

  • Talks excessively

  • Interrupts or has trouble waiting their turn

3. Combined Presentation

  • Exhibits both inattentive and hyperactive-impulsive symptoms


ADHD in Children

Common Signs:

  • Trouble following instructions

  • Forgetting or losing items (e.g., school supplies, homework)

  • Struggling to sit still or wait patiently

  • Daydreaming frequently

  • Outbursts of frustration or impulsivity


These behaviors can affect school performance, peer relationships, and self-esteem. Children with ADHD are often mislabeled as lazy or defiant, which contributes to shame and anxiety.

Classroom Challenges:

  • Difficulty staying seated or on task

  • Poor time management

  • Easily overwhelmed by multi-step instructions

Teachers and parents can help by using visual schedules, offering regular breaks, and maintaining a consistent routine.


ADHD in Adults

ADHD does not disappear with age—it evolves. In adults, hyperactivity may lessen, but executive functioning issues often become more pronounced.

Common Symptoms:

  • Chronic lateness or disorganization

  • Forgetfulness and poor follow-through

  • Difficulty maintaining attention in meetings

  • Impulsive spending or talking

  • Low frustration tolerance


Impact on Daily Life:

  • Trouble maintaining employment or meeting deadlines

  • Relationship struggles due to inattentiveness or emotional reactivity

  • Feelings of underachievement or “never reaching potential”


Many adults with ADHD are only diagnosed after a child in their family is diagnosed, or after years of struggling with anxiety, depression, or work-related burnout.


Co-Occurring Conditions

ADHD frequently coexists with other mental health concerns:

  • Anxiety disorders

  • Depression

  • Learning disabilities

  • Oppositional Defiant Disorder (ODD) in children

  • Substance use disorders in adults


Recognizing these overlapping conditions is essential for accurate diagnosis and effective treatment.


Diagnosis and Assessment

Diagnosis typically involves:

  • Clinical interviews

  • Behavioral questionnaires for parents, teachers, or employers

  • Rule-outs for other conditions (e.g., anxiety, sleep disorders)

  • Neuropsychological testing in some cases


Early diagnosis allows for timely support, but even a late diagnosis can be life-changing.


Treatment Options for ADHD

1. Behavioral Therapy

  • Parent training for managing behavior at home

  • Social skills training for children

  • Cognitive Behavioral Therapy (CBT) for adults

CBT helps with emotional regulation, reducing shame, and building systems of support.

2. Medication

  • Stimulants (e.g., Adderall, Ritalin) are most common and highly effective.

  • Non-stimulants (e.g., Strattera, Intuniv) may work better for those with anxiety or side effect concerns.

Medication can significantly improve focus, reduce impulsivity, and enhance quality of life when monitored by a healthcare provider.

3. Coaching and Organizational Support

  • ADHD coaches help individuals develop personalized strategies for task management and goal setting.

  • Tools like planners, timers, and task apps can support focus and reduce overwhelm.

4. School and Workplace Accommodations

  • 504 plans and IEPs provide educational supports like extra test time or movement breaks.

  • Adults may benefit from flexible deadlines, project check-ins, or task delegation.


Real-Life Coping Tools

  • Break tasks into smaller steps

  • Use reminders and alarms

  • Create visual checklists

  • Build in movement and “brain breaks”

  • Practice mindfulness to reduce stress and increase focus


A Story of Growth and Insight

Aaron, a 35-year-old graphic designer from Frankfort, had long struggled with procrastination, anxiety, and poor time management. After receiving an adult ADHD diagnosis, he began CBT at Full Circle Counseling and started ADHD coaching.

“I always thought I was just bad at adulting. Now I know my brain works differently—and I’ve got tools to make it work for me.”

Aaron now uses timers, daily planners, and therapeutic tools to manage his workflow and self-esteem.


How Full Circle Counseling Can Help

At Full Circle Counseling and Wellness Center in Frankfort, IL, we provide compassionate, evidence-based support for ADHD across the lifespan. Our services include:

  • ADHD evaluations and diagnostic consultations

  • CBT and behavioral therapy

  • Parent coaching

  • Executive functioning skills development

  • Trauma-informed care


Whether your child is struggling in school or you’re navigating ADHD in adulthood, we’re here to help you build structure, confidence, and well-being.


Final Thoughts

ADHD isn’t a character flaw—it’s a neurodevelopmental difference. With understanding, support, and the right tools, individuals with ADHD can thrive at home, at school, and in the workplace.

Don’t let misunderstanding stand in the way of your growth. If you're in Frankfort or the surrounding Illinois area, reach out to Full Circle Counseling and take the first step toward clarity and empowerment.

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