ADHD across the lifespan

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Target exams

Red flags

• Suicidal ideation or self-harm with comorbid depression/anxiety — full risk assessment and safety plan; do not attribute everything to ADHD alone
• Cardiac history, unexplained syncope, or family sudden cardiac death — baseline review and ECG as indicated before stimulants or atomoxetine
• Active substance use disorder with diversion risk — prefer supervised long-acting formulations or non-stimulants; treat SUD in parallel
• New manic or psychotic symptoms after stimulant initiation — stop agent, reassess bipolar spectrum and substances
• Significant growth faltering on stimulants — plot height/weight; consider dose timing, holidays, or switch
• High-risk driving with untreated severe ADHD — counsel, document, and intensify treatment; reporting duties are jurisdiction-specific