October 6, 2026 · 5 min read

ADHD in Children and Adults: When Should You Get an Evaluation?

Common signs of ADHD at different ages, what an evaluation involves, and what treatment can look like.

Everyone loses focus or misplaces their keys sometimes. ADHD (attention-deficit/hyperactivity disorder) is different: the patterns are persistent, start in childhood, and get in the way of school, work, or relationships. Here's how to tell when it's worth getting checked.

Common signs in children

  • Trouble staying focused on schoolwork or play
  • Seeming not to listen, or losing track of instructions
  • Frequently losing things or forgetting tasks
  • Fidgeting, difficulty staying seated, or being "always on the go"
  • Interrupting, blurting out answers, or trouble waiting a turn

Teachers are often the first to notice. Signs usually show up in more than one setting — at home and at school.

Common signs in teens and adults

  • Chronic procrastination and missed deadlines
  • Starting many tasks but finishing few
  • Disorganization at work or at home
  • Restlessness or feeling "driven by a motor"
  • Impulsive decisions, spending, or speaking

Many adults — especially women — weren't diagnosed as children because their symptoms looked like daydreaming rather than hyperactivity.

Other things that can look like ADHD

Anxiety, depression, sleep problems, thyroid issues, learning differences, and stress can all affect attention. A good evaluation looks at these too, so the treatment fits the real cause.

What an ADHD evaluation involves

  • A detailed conversation about current symptoms and childhood history
  • Standardized rating scales, sometimes completed by parents and teachers too
  • Review of health, sleep, medications, and other conditions
  • A clear explanation of the results and options

For children, a parent or guardian takes part. School reports or past testing are helpful if you have them.

Treatment options

Treatment is tailored to the person and may include:

  • Medication — stimulant or non-stimulant options, with regular check-ins
  • Skills and therapy — organization, time management, and coping strategies
  • School or workplace supports — such as accommodations
  • Healthy routines — sleep, exercise, and structure

When to reach out

If attention or impulsivity problems have lasted months and are affecting grades, work, or relationships, an evaluation is a reasonable next step. Dr. Palle evaluates and treats ADHD in children ages 6 and up, teens, and adults. Book an evaluation or call 407-993-1165.

Ready to talk with someone?

Dr. Palle sees children (6+), teens, and adults in Kissimmee and by telehealth anywhere in Florida.

This article is general information, not medical advice, and doesn't create a provider–patient relationship. If you are in crisis, call or text 988 or call 911.