ADHD in Adults: A Practical Guide to Diagnosis, Treatment and Daily Life - Bendis A. I. Saage - English - E-Book

ADHD in Adults: A Practical Guide to Diagnosis, Treatment and Daily Life E-Book

Bendis A. I. Saage - English

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Beschreibung

This comprehensive ADHD guide provides adults with practical strategies for managing attention deficit hyperactivity disorder in daily life and professional settings. The book begins with detailed information about ADHD in adults, including reliable self-test methods to help answer the question 'Do I have ADHD?' Readers will learn about the specific manifestations of adult ADHD and ADD, and how these conditions differ from childhood presentations. A significant portion focuses on ADHD at work, offering concrete tools for career success with ADHD. Topics include workplace accommodations, communication strategies with supervisors and colleagues, and methods for optimizing performance in professional environments. The therapy tools section presents various treatment approaches for ADHD in adulthood, including: - Behavioral therapy techniques - Medication management - Stress reduction strategies - Organization systems - Time management methods Practical chapters on daily organization address common challenges faced by adults with ADHD, providing structured approaches for: - Household management - Financial planning - Relationship maintenance - Schedule coordination The book emphasizes evidence-based ADHD therapy for adults while acknowledging individual differences in symptom presentation and treatment response. Readers will find actionable strategies for: - Improving focus and concentration - Managing impulsivity - Developing effective routines - Building sustainable organizational systems Whether newly diagnosed or long aware of their ADHD, readers will discover practical tools to support their journey toward successful management of adult ADHD/ADD in both personal and professional contexts. This book was created using innovative technologies such as Artificial Intelligence and specially developed tools – for example, in brainstorming, research, writing, editing, quality assurance, and the design of decorative illustrations. In this way, we want to offer you a particularly coherent, modern, and even higher-quality reading experience.

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Seitenzahl: 184

Veröffentlichungsjahr: 2025

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Imprint

Saage Media GmbH c/o SpinLab – The HHL Accelerator Spinnereistraße 7 04179 Leipzig, Germany E-Mail: [email protected] Web: www.SaageMedia.com Commercial Register: Local Court Leipzig, HRB 42755 (Handelsregister: Amtsgericht Leipzig, HRB 42755) Managing Director: Rico Saage (Geschäftsführer) VAT ID Number: DE369527893 (USt-IdNr.)

Publisher: Saage Media GmbH

Publication: 02.2025

Cover Design: Saage Media GmbH

ISBN Softcover (en): 978-3-384-53038-7

ISBN Ebook (en): 978-3-384-53039-4

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All rights reserved. No part of this book may be reproduced, stored, or transmitted without written permission from the publisher.

The external links and source references listed in this book were checked at the time of publication. The author has no influence on the current and future designs and contents of the linked pages. The provider of the linked website alone is liable for illegal, incorrect or incomplete contents as well as for damages arising from the use or non-use of the information, not the person who refers to the respective publication via links. All external sources used are listed in the bibliography. Despite careful content control, we assume no liability for the contents of external sources. The operators of the quoted sources are solely responsible for their content. Images and sources from third parties are marked as such. The reproduction, processing, distribution and any kind of exploitation outside the limits of copyright require the written consent of the respective author or creator.

This book has been translated from German. Deviations from the original or translation errors cannot be completely ruled out. All sources linked in the book are available in English. We assume no liability for any content inaccuracies or misunderstandings that may have arisen through translation.

The data in the diagrams that are not explicitly marked with a source are not based on studies but are non-binding assumptions for better visualization.

This book was created using Artificial Intelligence (AI) and other tools. Among other things, tools were used for research, writing/editing, and generating decorative illustrations. Despite careful checking, errors cannot be completely ruled out. We would like to emphasize that the use of AI serves as a supporting tool to provide our readers with a high-quality and inspiring reading experience.

The references and quotations contained in this book have been carefully researched and reproduced in meaning. The interpretation and presentation of the quoted content reflects the author's understanding and does not necessarily correspond with the intention or opinion of the original authors. For paraphrased quotations, the core statements of the original sources have been incorporated into the context of this work to the best of knowledge and belief, but may deviate from the original wording and nuances of meaning due to transfer and simplification. All sources used are fully listed in the bibliography and can be read there in the original. The responsibility for the interpretation and contextual embedding of the quoted content lies with the author of this book. For scientific questions and detailed information, it is recommended to consult the original sources. The author has endeavored to present complex scientific matters in a generally understandable way. Simplifications and generalizations cannot be excluded. No guarantee can be given for the technical accuracy and completeness of the simplified presentations. The paraphrased reproduction of quotations and scientific findings is done conscientiously in compliance with citation law according to § 51 UrhG and all relevant copyright provisions of other countries. When simplifying, transferring, and possibly translating scientific content into generally understandable language, nuances of meaning and technical details may be lost. The author makes no claim to the rights of the quoted works and respects all copyrights of the original authors. Should unauthorized use be detected, the author requests notification to take appropriate measures. For academic purposes and when used as scientific reference, it is expressly recommended to refer to the original sources. The simplified presentation serves exclusively for popular science information.

The information contained in this book regarding ADHD in adults, including the self-test, management strategies, and therapy suggestions, has been carefully researched and reviewed. However, errors cannot be completely ruled out. The self-tests and therapy tools presented do not replace a professional medical diagnosis or treatment. If ADHD is suspected, it is essential to consult a specialist or psychotherapist. The described self-management strategies are to be understood as supplementary support. The implementation of the methods and strategies presented is done at one's own risk. No liability is accepted for any disadvantages or damages resulting from the provided information. Due to the ongoing development in ADHD research, scientific findings and treatment recommendations may have changed since the publication. All brand names, product designations, and therapy methods used are the property of their respective rights holders. References to scientific studies and specialized literature can be found in the appendix of the book. The strategies presented for professional life are to be understood as general recommendations. Their applicability must be assessed in the individual work context. Legal advice should be sought for any labor law questions related to ADHD.

Bendis Saage

ADHD in Adults: A Practical Guide to Diagnosis, Treatment and Daily LifeExpert Strategies for Adult ADHD Therapy, Self-Management and Professional Support for ADD in Adults

74 Sources 44 Diagrams 71 Images

© 2025 Saage Media GmbH

All rights reserved

Dear readers,

We sincerely thank you for choosing this book. With your choice, you have not only given us your trust but also a part of your valuable time. We truly appreciate that.

ADHD in adulthood affects about 2-4% of all working individuals—often without their knowledge. This practice-oriented specialist book offers a structured approach to the challenges of ADHD in both professional and private life. From initial suspicion assessment to proven therapeutic approaches and concrete strategies for everyday work, all relevant aspects are addressed. With the integrated self-test, practical organizational tools, and tested self-management methods, those affected can effectively leverage their personal strengths and elegantly navigate typical pitfalls. Special emphasis is placed on successful workplace integration through adapted communication and work strategies. This book combines current expert knowledge with practical solutions for a successful life with ADHD. Discover now how you can transform your ADHD-related challenges into opportunities.

This guide provides you with easy-to-understand and practical information on a complex topic. Thanks to self-developed digital tools that also use neural networks, we were able to conduct extensive research. The content has been optimally structured and developed up to the final version to provide you with a well-founded and easily accessible overview. The result: You get a comprehensive insight and benefit from clear explanations and illustrative examples. The visual design has also been optimized through this advanced method so that you can quickly grasp and use the information.

We strive for the highest accuracy but are grateful for any indication of possible errors. Visit our website to find the latest corrections and additions to this book. These will also be incorporated in future editions.

We hope you enjoy reading and discover new things! If you have any suggestions, criticism or questions, we look forward to your feedback. Only through active exchange with you, the readers, can future editions and works become even better. Stay curious!

Bendis Saage Saage Media GmbH - Team www.SaageBooks.com/[email protected]ße 7 - c/o SpinLab – The HHL Accelerator, 04179 Leipzig, Germany

Quick access to knowledge

To ensure an optimal reading experience, we would like to familiarize you with the key features of this book:Modular Structure: Each chapter is self-contained and can be read independently of the others.Thorough Research: All chapters are based on thorough research and are supported by scientific references. The data shown in the diagrams serves for better visualization and is based on assumptions, not on the data provided in the sources. A comprehensive list of sources and image credits can be found in the appendix.Clear Terminology: Underlined technical terms are explained in the glossary.Chapter Summaries: At the end of each chapter, you'll find concise summaries that give you an overview of the key points.Concrete Recommendations: Each subchapter concludes with a list of specific advice to help you put what you've learned into practice.
Additional bonus materials on our website

We plan to provide the following exclusive materials on our website:

Bonus content and additional chaptersA compact overall summaryAn audio drama version. (In planning)

The website is currently under construction.

www.SaageBooks.com/adhd_in_adults-bonus-XM6C4W

Table of Contents

1. Diagnostics and Self-Awareness1. 1 Professional DiagnosisMedical ExaminationsPsychological Test ProceduresDocumentation of Symptoms1. 2 Structured Self-AssessmentBehavior ObservationSymptom DiaryEvaluation of Self-Observation1. 3 Differentiated ConsiderationRecognizing ComorbiditiesLife Stage Specific CharacteristicsGender Specific Characteristics2. Occupational Integration2. 1 Workplace DesignSpatial OrganizationTime ManagementMinimizing Distractions2. 2 Communication in the Work EnvironmentDiscussions with SuperiorsTeamworkConflict Management2. 3 Performance OptimizationStrength-Oriented Task DistributionConcentration-Promoting MeasuresSuccessful Project Management3. Therapeutic Options3. 1 MedicationDrug ClassesDosage SchedulesSide Effect Management3. 2 Behavioral Therapy ApproachesStructure BuildingBehavior ModificationStress Management3. 3 Complementary TherapiesExercise TherapyRelaxation TechniquesNutritional Counseling4. Everyday Life Management4. 1 Household OrganizationTask PlanningOrganization SystemsRoutine Development4. 2 Relationship ManagementPartner CommunicationFamily InteractionSocial Contacts4. 3 Leisure ActivitiesActivity PlanningPromotion of InterestsRest Periods5. Self-Management5. 1 Organizational MethodsSchedulingPrioritization5. 2 Emotion RegulationImpulse ControlMood ManagementSelf-Soothing5. 3 Personality DevelopmentSelf-AcceptanceResource ActivationDevelopment PerspectivesSourcesImage Sources

1. Diagnostics and Self-Awareness

How can one recognize whether their concentration difficulties and organizational problems are actually due to ADHD? The path to clarity involves a systematic assessment of one's own behavior and a thorough medical evaluation. While some individuals live for years with the suspicion that they have ADHD, they often hesitate to take the crucial step towards a professional diagnosis. A thorough examination of one's behavioral patterns forms the basis for any further developmental steps. In this chapter, we will explore the process that leads from initial suspicions to confirmed knowledge.

1. 1 Professional Diagnosis

A professional ADHD diagnosis in adulthood is complex and requires more than just the assessment of current symptoms. Excluding other medical or psychological causes, analyzing childhood behavioral abnormalities, and employing objective testing methods play a crucial role. This multifaceted approach is necessary to recognize the often subtle and individual manifestations of ADHD and to avoid misdiagnoses. Read on to understand the individual steps of professional diagnosis in detail.

Comprehensive ADHD diagnostics require the combination of objective data from medical and neuropsychological tests with subjective descriptions of symptoms from both self and external perspectives, in order to exclude other conditions and obtain a complete picture of individual impairments.

Medical Examinations

Medical examinations play an important role in the diagnosis of ADHD, focusing on excluding other medical causes for the observed symptoms [s1]. Conditions such as thyroid problems, sleep disorders, or neurological diseases can produce symptoms similar to ADHD. A thorough physical examination, possibly supplemented by blood tests or an EEG (Electroencephalogram), helps to rule out such conditions [s2]. Thus, the medical examination serves the purpose of differential diagnosis. It provides important information to ensure that the symptoms are indeed attributable to ADHD and not to another medical cause. In addition to the physical examination, neuropsychological tests may also be considered [s3]. While these tests do not provide a definitive ADHD diagnosis, they can offer additional information about cognitive functions such as attention, memory, and executive functions [s1]. For a patient with concentration difficulties, neuropsychological tests could help to more accurately determine the extent and nature of the impairment. However, the results of these tests should be interpreted in the context of the overall clinical assessment and not used as the sole diagnostic criterion. The combination of subjective and objective measures increases diagnostic accuracy [s4]. Subjective measures, such as clinical interviews and questionnaires, capture the personal experiences and perceptions of the patient and their environment [s3]. Objective measures, such as neuropsychological tests, provide data-based information about cognitive performance. By combining both approaches, a more comprehensive picture emerges that supports the diagnosis of ADHD.
Good to know
EEG (Electroencephalogram) An EEG is a method for measuring the electrical activity of the brain. In the context of ADHD diagnosis, an EEG can help exclude other neurological conditions that may produce similar symptoms to ADHD. However, it is not used for the direct diagnosis of ADHD. Neuropsychological Tests Neuropsychological tests assess cognitive functions such as attention, memory, and executive functions. They can provide valuable insights in the context of ADHD diagnosis by highlighting specific strengths and weaknesses in the cognitive profile. This information helps to refine the diagnosis and tailor therapy individually.
️ [i1]Blood test
️ [i2]Electroencephalogram
️ [i3]Neuropsychological testing
️ [i4]Thyroid gland
ADHD Symptom Severity Over Time
Illustrates the potential impact of therapy on ADHD symptoms.

The graph shows a general downward trend in symptom severity, suggesting a positive response to treatment. However, the fluctuations highlight the complex nature of ADHD and the possibility of needing adjustments in the therapeutic approach over time.

Psychological Test Procedures

Psychological test procedures are an important component in the diagnosis of ADHD in adults. They complement the medical examination and provide valuable insights into the cognitive functions and behavior. Various testing methods are employed, differing in their focus. Questionnaires, such as self-assessment and observer rating scales, capture subjective experiences with ADHD symptoms. A self-assessment questionnaire records the individual's perception, while an observer assessment documents the evaluations of relatives or friends [s5]. These different perspectives provide a more comprehensive picture. For instance, concentration difficulties in the workplace may be more readily observed by colleagues, while challenges in organizing household tasks are often reported by partners. neuropsychologische_tests, on the other hand, provide objective data on cognitive performance. They assess attention, working memory, impulse control, and planning ability, among other factors. These tests can help identify specific deficits associated with ADHD. An example is the Stroop test, which measures the ability to suppress automatic responses and demonstrate cognitive flexibility. The results of psychological test procedures should always be considered in the overall context of the diagnosis. The combination of subjective reports and objective test results, along with the medical history, allows for a nuanced assessment and contributes to a well-founded diagnostic decision [s6]. Validated screening instruments, employed by professionals with appropriate expertise, assist in the recognition of ADHD in adults [s7][s8].
Good to know
Cognitive Functions Cognitive functions describe the mental abilities that enable us to receive, process, and apply information. In ADHD, cognitive functions such as attention, memory, and planning ability may be impaired. A detailed examination of these functions is therefore important for diagnosis. Validated Screening Instruments Validated screening instruments are standardized questionnaires or tests designed to identify ADHD in adults. They serve as a first step in the diagnostic process and help identify individuals who may benefit from a more comprehensive ADHD assessment. However, the results of a screening alone are not sufficient for a definitive diagnosis.
️ [i5]Stroop Test
ADHD Assessment Results
Comparison of different assessment scores
BAS: BASC-3 Self-Report BRI: BRIEF-A CAA: CAARS-S:L CPT: Continuous Performance Test DIA: Diagnostic Interview WUR: Wender Utah Rating Scale

The results indicate a significant elevation in inattention and hyperactivity/impulsivity scores, suggesting a strong likelihood of ADHD. While some variability exists across measures, the overall pattern supports the diagnostic hypothesis. The slightly lower score on the self-report measure might reflect discrepancies between self-perception and observed behavior, highlighting the importance of utilizing multiple assessment methods.

Documentation of Symptoms

A comprehensive documentation of symptoms is essential for the diagnosis of ADHD in adults. It includes both the collection of current complaints and the retrospective examination of childhood behavioral abnormalities [s9][s10]. Semi-structured interviews, which specifically inquire about symptoms of inattention, hyperactivity, and impulsivity, form the basis [s10]. Additionally, self-assessment questionnaires that quantify the severity of symptoms provide further information [s10]. The manifestation of symptoms in at least two areas of life, such as work and family, is relevant for the diagnosis [s11]. Not only the subjective perception of the affected individual but also reports from relatives or colleagues, who describe the symptoms from their perspective, contribute to a complete picture [s12]. For instance, a colleague may better assess the impact of inattention in a professional context than the affected individual themselves. The documentation should also consider gender-specific aspects, as ADHD may manifest differently in women than in men [s12]. Compensation mechanisms that individuals have developed over the years to mask the symptoms must also be taken into account to obtain the most authentic picture of impairments [s12]. The systematic recording of symptoms using standardized instruments—including specific assessment scales—enables an objective assessment of severity and supports the diagnostic process [s9]. Particularly important is the differentiation from other mental disorders, as ADHD symptoms can also occur in other conditions [s9]. Only when the symptoms cannot be explained by another psychiatric disorder is the diagnosis of ADHD justified [s9]. The retrospective assessment of symptoms in childhood can be conducted using validated self-assessment scales and through discussions with relatives or caregivers from childhood [s11][s9]. However, recalling childhood symptoms can sometimes be challenging; therefore, it is helpful to ask for specific examples from school or family environments [s11]. The combination of self-reports and third-party reports, standardized questionnaires, and a detailed anamnese allows for a nuanced assessment and forms the basis for a well-founded diagnostic decision.
Good to know
Self-assessment Questionnaires Self-assessment questionnaires are standardized forms filled out by the affected individuals themselves. They capture the subjective perception of ADHD symptoms and provide quantitative data on their severity. These questionnaires help assess the severity of symptoms and track the course of treatment. Semi-structured Interviews Semi-structured interviews provide a flexible conversation structure that allows the diagnostician to address individual peculiarities while covering all relevant aspects of ADHD symptomatology. They enable a detailed exploration of individual experiences and challenges related to ADHD. Standardized Instruments Standardized instruments, such as specific assessment scales or tests, allow for objective and comparable measurement of ADHD symptoms. They help assess the severity of the disorder and secure the diagnosis. The use of standardized instruments contributes to the quality and validity of the diagnostic process.
ADHD Symptom Frequency
Frequency of adult ADHD symptoms.
EMO: Emotional Dysregulation EXE: Executive Dysfunction HYP: Hyperactivity/Impulsivity INA: Inattention SLE: Sleep Disturbances

The chart highlights the varying prevalence of ADHD symptoms, with inattention and hyperactivity/impulsivity being the most commonly reported. Emotional dysregulation, while less frequent than core symptoms, still impacts a significant portion of individuals and underscores the importance of a comprehensive diagnostic approach.

Concrete AdviceActively integrate the patient's self-experience into the diagnostic process. Encourage the patient to keep a diary of their symptoms and their effects. Analyze recurring patterns and triggers in the patient's daily life together. Incorporate the patient's subjective perception of their strengths and resources into the diagnosis. Develop individual criteria for therapy success with the patient that go beyond standardized scales. Utilize creative methods such as drawings or role-playing to facilitate the patient's access to their emotions and behavior patterns. Regularly reflect on the diagnostic process with the patient and adjust it as necessary. Create a safe space for the patient to openly discuss their difficulties and fears. View the diagnosis not as a completed process, but as a dynamic exchange between you and the patient. Encourage the patient to actively participate in the diagnosis and to bring in their own questions. Do not rely solely on standardized testing methods, but develop an individualized diagnostic approach. Involve additional professionals, such as occupational therapists or social educators, in the diagnostic process if necessary. Document the entire diagnostic process transparently and understandably.

1. 2 Structured Self-Assessment

Structured self-assessment is an important step in ADHD diagnostics. It allows for the recognition and analysis of behavioral patterns that often go unnoticed in everyday life. However, this systematic self-observation presents challenges: subjective perceptions and unconscious biases can influence the results. Additionally, the diversity of ADHD symptoms complicates clear categorization. Gain clarity about your individual strengths and weaknesses – the foundation for a successful diagnosis and therapy.

Structured self-assessment in ADHD requires both self and external perspectives to uncover blind spots and obtain a comprehensive picture of one's behavioral patterns.

Behavior Observation

Behavior observation is an important component in the self-assessment of ADHD in adulthood. It allows for a more detailed look at behavioral patterns that often go unnoticed in daily life. Through targeted observation, subtle signs can be recognized and documented that may indicate ADHD. This process is not only about confirming suspected symptoms but also about identifying individual manifestations and strengths. Specifically, this may involve taking notes on typical behaviors in daily life over a defined period (including one week). Various areas can be considered: concentration (how long can I focus on a task?), impulsivity (do I frequently interrupt others?), organization (do I forget appointments or misplace important items?), and emotional regulation (do I react excessively emotionally to certain situations?). This systematic collection of behavioral data provides a valuable foundation for further diagnostics and treatment planning. Self-observation, however, is not free from potential biases. One's perception can be influenced by subjective feelings and existing beliefs [s13]. Therefore, it is advisable to also include the perspective of others. Observations from family members, friends, or colleagues who know the individual well can provide valuable insights. This third-party observation