Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/23/2025

Adult ADHD Diagnosis and Treatment

Diagnostic Evaluation

  • Adults must demonstrate documented or reliably reported manifestations of inattention or hyperactivity/impulsivity before age 12 years, according to the American Academy of Pediatrics 1

Treatment Approach

  • Prioritize treatment of active substance use disorders before initiating stimulants, as recommended by the American Academy of Pediatrics 1
  • Address severe mood symptoms that may require stabilization, as suggested by the American Academy of Pediatrics 1
  • Monitor for stimulant abuse risk in patients with substance use history, as advised by the American Academy of Pediatrics 2, 3
  • ADHD is a chronic condition requiring long-term management following chronic care model principles, as stated by the American Academy of Pediatrics 4, 1