Almost 23,000 people in Wiltshire are thought to be living with Attention Deficit Hyperactivity Disorder (ADHD), many of whom remain undiagnosed or face long waits for an assessment. This ADHD Awareness Month (1st–31st October 2025), experts are highlighting the importance of recognising early signs and ensuring timely assessment and support.
ADHD is a neurodevelopmental condition affecting attention, concentration, focus, impulsivity and hyperactivity. While it can bring strengths such as creativity, problem-solving skills and high energy, it also poses challenges in education, employment, social life and relationships. Research shows that delayed diagnosis can have serious consequences: children may struggle academically, and adults may face career setbacks. , Mental health difficulties, including anxiety and depression are more common in those with ADHD, and can cause real difficulties when ADHD is unrecognised or unsupported. ,
Dr Angus McLellan, Consultant Psychiatrist at Oxford ADHD & Autism Centre, comments:
“ADHD affects people of all ages, but it remains a challenge for people to recognise the signs in themselves or their children. We see many people struggling because their ADHD has gone unrecognised for years leading to impacts on work, education, social life and family life. Early identification and support is crucial and can make the difference between a lifetime of frustration and a life in which people are able to thrive.”
Children vs Adults: The Different Faces of ADHD
Recognising ADHD can be challenging because it’s signs often present differently across the lifespan. Understanding these differences is key: spotting patterns early allows parents and individuals to access timely support, leading to improved daily functioning, emotional wellbeing and overall quality of life.
Dr McLellan explains:
“In children, the signs of ADHD are often mistaken for laziness or misbehaviour. A child who seems dreamy, forgetful or constantly on the go may be labelled as ‘careless’ or ‘naughty’. Parents and teachers might notice that a child often leaves tasks unfinished, frequently loses belongings, has an inability to sit still in class or is prone to sudden and intense emotional reactions. These challenges are often misattributed to immaturity or a lack of effort, rather than being recognised as potential signs of ADHD.
“ADHD in adulthood is often more subtle, especially in women and girls who often present with different experiences and may be less prone to hyperactivity. Adults may not see themselves as ‘hyperactive’, but instead experience inner restlessness, disorganisation and challenges with managing time. Many feel overwhelmed by everyday responsibilities, miss deadlines despite their best intentions, or experience emotional highs and lows that others misinterpret. These difficulties are not a matter of poor discipline, they reflect the impact of ADHD on that person.”
Expert strategies for managing ADHD
Dr McLellan shares practical strategies for managing ADHD effectively:
Seek a professional assessment early – “Early assessment and diagnosis of ADHD is crucial in ensuring the correct support, though no one is ever too old to consider whether they might have ADHD. A professional assessment, whether through the NHS or clinics such as the Oxford ADHD & Autism Centre, offers clarity, helps explain challenges and supports you in planning effective strategies and accessing the right care.”
Build healthy routines – “Once you understand your needs, aim to create consistent daily habits. Try to establish regular times for work or study, balanced meals, physical activity and bedtime. These routines help reduce overwhelm, improve focus and support mental and physical wellbeing for children and adults alike.”
Support emotional wellbeing – “People with ADHD can experience emotions more intensely or unpredictably. Practise calming strategies, such as pausing before reacting, deep breathing and journaling, to help manage stress and prevent frustration.”
Leverage support networks – “Engage your colleagues, friends, family, teachers or mentors to provide practical and emotional support. By asking for small adjustments, like flexible deadlines or regular check-ins, you can improve performance and relationships and reduce feelings of isolation.”
Consider holistic interventions – “Healthcare professionals, such as psychiatrists, GPs, paediatricians, psychologists, mental health nurses, or ADHD specialists, can help tailor interventions to individual needs. This may include therapy, skills coaching, educational or workplace accommodations or, where appropriate, medication. Combining these professional supports with practical strategies can significantly improve daily life and wellbeing.”
Local Focus: Wiltshire
The adult NHS ADHD service in Wiltshire is currently experiencing unprecedented demand, with waiting lists likely several years. Dr McLellan comments:
“We know the NHS is doing its best to clear the backlog, but with such high demand, many are left waiting for support. That’s why services like the Oxford ADHD & Autism Centre are so important, they can help people access timely assessment and the strategies they need to thrive.”
The Oxford ADHD & Autism Centre helps families and adults’ access timely support by providing expert-led assessments for children and adults, evidence-based strategies and guidance to local resources. For more information, visit www.oxfordadhdcentre.co.uk or call 01865 744144.
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