Over the last decade, we’ve seen significant progress in the public conversation around mental health. This includes a growing awareness of ADHD in children, teens, and adults. These changes have helped reduce stigma and encouraged more people to seek support.
But in the rush to get answers and solutions, it’s worth pausing to consider an important question: Are we diagnosing and treating ADHD too quickly?
While this blog focuses on ADHD, the principles here apply broadly to many mental health conditions. A thoughtful, well-informed approach is essential to ensuring safe, effective care.
Why ADHD Is Often Overdiagnosed
ADHD is a complex diagnosis and is often misunderstood or oversimplified. It’s not uncommon for individuals to receive a diagnosis based on limited testing or short screening tools. While these tools can be helpful, they’re not always enough on their own.
In some cases, families may even seek out a diagnosis after seeing the positive effects of psychostimulant medication in others. Medications like Concerta, Adderall XR, and Ritalin are known to improve focus and performance in many people, not just those with ADHD.
However, challenges with attention and concentration can result from a wide range of issues, including:
- Anxiety, depression, or other mental health disorders
- Undiagnosed or underlying medical conditions
- Learning differences or academic skill gaps
- Difficulties in social functioning
- Substance use or lifestyle-related stressors
ADHD is just one of several possibilities that can look like inattention, impulsivity, or restlessness on the surface.
The Risks of a Misdiagnosis
Short-Term Risks of ADHD Medication
- Decreased appetite
- Difficulty falling or staying asleep
- In rare cases, cardiovascular sensitivity
Long-Term Concerns
Emerging research has linked long-term stimulant use (especially when started at a young age) to:
- Increased risk of heart disease or type 2 diabetes
- Seizure susceptibility in certain individuals
- Changes in central nervous system function over time
- Diminished effectiveness of medication during late adolescence or early adulthood (when demands often increase)
Medication can be an important part of treatment, but when used too early or without a full picture of the individual, it can also mask other issues or delay learning key life and behavior management skills.
Why Accurate Diagnosis Matters
This is not to say that medication is bad or should be avoided entirely. On the contrary, medication can be highly beneficial for individuals who truly meet the criteria for ADHD and are monitored appropriately.
But accurate diagnosis is the critical first step.
At BRAINS, we encourage families to work with licensed professionals who are trained in comprehensive evaluation. This may take more time up front, but it helps ensure that all potential contributing factors are considered and that any recommended treatment aligns with the individual’s full needs.
A Thoughtful, Collaborative Approach to Treatment
When a diagnosis is made carefully and accurately, treatment options can be discussed more confidently. These might include:
- Behavioral strategies and coaching
- Counseling or therapy for co-occurring emotional or social concerns
- School or academic accommodations
- Parent education and support
- Medication, when appropriate and well-monitored
Working with a multidisciplinary team allows for more flexibility and targeted care, reducing the risk of misdiagnosis and mistreatment.
At BRAINS, we often take a team-based approach, drawing on the expertise of psychologists, medical providers, and therapists to make well-rounded, informed decisions about diagnosis and care.
In Summary
If you or your child is being evaluated for ADHD, take the time to pursue a thorough, individualized assessment. The goal isn’t just to find a diagnosis; it’s to understand the whole person and determine the most effective path forward.
At BRAINS, we’re here to help you make informed decisions with confidence. Are you ready to take the next step? Call us today at 616-365-8920.