Unraveling the Mystery of Adult ADHD:

Exploring the Hidden Complexities
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Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that affects both children and adults. While it is commonly associated with childhood, it can persist into adulthood, leading to significant challenges in various aspects of life. In this comprehensive article, we will delve into the world of adult ADHD, exploring its symptoms, prevalence, the burden of untreated ADHD on social, occupational, educational, and role functioning, the diagnostic process, and the approach taken at Southern Illinois Associates, LLC to assist in diagnosis and treatment. We will also discuss the negative impact of certain factors, such as cannabis use, on ADHD.

Understanding Adult ADHD

  • Adult ADHD, often referred to as adult attention-deficit disorder (AADD), is characterized by persistent patterns of inattention, impulsivity, and hyperactivity. It can manifest differently in adults compared to children, making it challenging to recognize. Common symptoms of adult ADHD include:


    • Difficulty Concentrating: Adults with ADHD may struggle to focus on tasks, often becoming easily distracted by external stimuli or unrelated thoughts.
    • Disorganization: Organizing tasks and activities can be challenging, leading to a disordered lifestyle and difficulties in work and personal life.
    • Forgetfulness: Frequent forgetfulness of appointments, deadlines, and important tasks can be a significant issue.

Hyperactivity and Impulsivity

      • Restlessness: Adults with ADHD may experience restlessness and a constant need to be on the move.
      • Impulsive Decision-Making: Impulsivity can lead to hasty decisions with potentially negative consequences.
      • Difficulty Waiting: Patience is often lacking, leading to impatience in queues or during conversations

    Control Medication Policy for Stimulant Medications

    At Southern Illinois Associates, LLC, we are committed to providing comprehensive psychiatric care while prioritizing the well-being and safety of our patients. To ensure the effective management of Control medications, we have established the following policy: 

    Urine Drug Screening Requirement: Prior to prescribing control medications, all patients are required to undergo urine drug screening on each visit and or randomly. This screening is essential for assessing medication efficacy and identifying any potential substance misuse or abuse. 

    Zero Tolerance for Substance Abuse: We do not prescribe controlled medications to individuals engaging in street drug or recreational drug use, including marijuana, or those abusing prescription medications. This policy is in place to safeguard patient health and prevent potential drug interactions or adverse effects. 

    Financial Responsibility: A fifty-dollar fee is charged every six months for control medication management. This fee covers administrative costs associated with prescription refills and ongoing care. Payment is required before each refill. Charges are initiated upon the initial prescription and subsequently billed in January and July. For new patients, the fee will be prorated accordingly. 


    Financial Hardship Consideration: We understand that financial circumstances may vary among patients. If the fee poses a financial hardship, please communicate with our staff. In cases of demonstrated financial need, alternative arrangements may be explored, including a one-time 30-day refill and assistance with transferring prescriptions to another provider. 

    Appointment Adherence: To ensure continuity of care and medication management, patients must adhere to scheduled appointments. Failure to attend more than two consecutive appointments or not being seen in six months may result in the suspension of controlled medication refills. 

    Patient Accountability: Patients are responsible for attending routine appointments and following prescribed treatment plans. Southern Illinois Associates, LLC, cannot be held liable for any withdrawal symptoms or adverse outcomes resulting from non-compliance with treatment recommendations. 

    This policy is designed to promote patient safety, medication efficacy, and responsible medication management practices within our practice. We appreciate your cooperation and understanding in adhering to these guidelines.

    Prevalence of Adult ADHD

    ADHD is not exclusive to children; it affects a significant portion of adults as well. The prevalence of adult ADHD varies, with estimates suggesting that it affects 2-5% of adults. However, many cases go undiagnosed, making it challenging to determine the exact prevalence accurately.

    The Burden of Untreated Adult ADHD

    Untreated adult ADHD can have a profound impact on various aspects of life, including:

    • Social Relationships: Difficulty in maintaining relationships due to impulsive behaviors or inattentiveness.
    • Occupational Challenges: Struggles with job performance, organization, and time management.
    • Educational Pursuits: Impaired academic performance or challenges in pursuing further education.
    • Role Functioning: Difficulty in fulfilling roles as a parent, partner, or caregiver.


    Diagnosis and Assessment

    At Southern Illinois Associates, LLC, we employ a comprehensive approach to diagnose adult ADHD. We utilize the following assessments to assist in the diagnostic process:

    IVA-2 (Integrated Visual and Auditory Continuous Performance Test)

    The IVA-2 is a computer-based test that measures an individual’s sustained attention and impulse control. It helps identify patterns of inattention and impulsivity, aiding in the diagnosis of ADHD.

    IVA-AE (IVA Adult Edition)

    The IVA-AE is specifically designed for adults and provides a detailed assessment of attention and response control. It is a valuable tool in understanding the nuances of adult ADHD.

    Mesa Testing

    The MeSA is decision support software that helps clinicians measure an individual’s Executive Control (EC) by assessing two components of EC: Attention Control (AC) and Cognitive Flexibility (CF). The concept of executive control is defined as the cognitive abilities necessary for the self-regulation of behavior and the achievement of purposeful goals. .


    Treatment Approach

    At Southern Illinois Associates, LLC, we offer a holistic approach to managing adult ADHD. Our treatment modalities include:

    • Medication Management: Medications like stimulants and non-stimulants are considered based on individual needs and responses.
    • Psychotherapy: Behavioral therapies and counseling can help individuals develop coping strategies and improve their executive functioning skills.

    Our Strong Position on Controlled Medications

    As part of our commitment to providing the best psychiatric care, we have a strict policy against prescribing controlled medications to patients who are abusing or using street drugs or recreational drugs. This policy aims to ensure the safety and well-being of our patients.



    Q: Can adult ADHD be managed without medication?

    A: Yes, psychotherapy and behavioral interventions can be effective in managing adult ADHD without medication.

    Q: How can I seek help for adult ADHD?

    A: If you suspect you have adult ADHD, reach out to a qualified mental health professional for an assessment and guidance.

    Q: Is adult ADHD a lifelong condition?

    A: Adult ADHD is a lifelong condition, but its impact can be managed with appropriate treatment and support.

    Q: Are there support groups for adults with ADHD?

    A: Yes, there are support groups and online communities where adults with ADHD can connect and share experiences.

    Q: Can untreated adult ADHD lead to other mental health issues?

    A: Yes, untreated ADHD can increase the risk of developing other mental health issues such as depression and anxiety.

    Q: What role does diet and exercise play in managing adult ADHD?

    A: A healthy diet and regular exercise can complement ADHD management but may not replace the need for medication or therapy.


    Understanding adult ADHD is crucial for individuals who may be experiencing its challenges and for healthcare professionals like us at Southern Illinois Associates, LLC.

    With the right assessment, diagnosis, and treatment approach, individuals with adult ADHD can lead fulfilling lives and overcome the burden it places on their social, occupational, educational, and role functioning.

    If you suspect you have adult ADHD, don’t hesitate to seek professional help and support.