The Truth Behind adult ADHD Misdiagnosed
Abstract
We first examine the extent and quality of ADHD-specific training that physicians receive in medical school, residency, and continuing education, noting changes around 2018 and beyond. We then review evidence on clinicians’ comfort levels in diagnosing ADHD and common barriers they report – such as insufficient training, fear of overprescribing stimulant medications or attracting Drug Enforcement Administration (DEA) scrutiny, and the challenge of differentiating ADHD from other conditions. Up-to-date statistics on ADHD prevalence in children and adults, both in the U.S. and internationally, are summarized to ground the discussion in epidemiological context. We also explore the literature on ADHD misdiagnosis rates and which conditions are most frequently involved in diagnostic confusion. Next, we compare international diagnostic practices, highlighting that the U.S. grants broad diagnostic authority to general physicians relative to other countries that require specialist confirmation. Lastly, we investigate why emotional dysregulation is not formally listed in diagnostic criteria despite its prominence in clinical ADHD presentations. Through this multifaceted inquiry, we aim to clarify the current state of medical training and practice regarding ADHD and identify areas where improvements or further research are needed.
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