older adults with ADHD have unique needs and characteristics – including age-related cognitive changes, co-existing psychiatric and medical conditions, and more – that influence evaluation and treatment for the disorder. To better serve this aging population, clinicians must anticipate and understand these myriad factors.Clinicians must look beyond DSM-5 criteria alone when evaluating older patients for ADHD.
Though the diagnostic manual was rewritten in 2013 to include descriptors for adult ADHD, it still does not adequately consider how the disorder manifests and evolves in patients past mid-life. The clinical interview is, therefore, a critical tool for extrapolating beyond the descriptions of inattention, hyperactivity, and impulsivity
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