ADHD in Later Life: Why It’s Often Missed and Why It Matters

ADHD in Later Life: Why It’s Often Missed and Why It Matters

March 19, 2026 · 42 min

About this episode

The episode discusses how ADHD can persist into later life and its impact on decision-making and organization during major life transitions.

How ADHD Shapes Decision-making, Organization, and Life Transitions in Later Years ADHD is often seen as a childhood condition. But for many, it quietly continues into adulthood and later life, shaping how they organize, decide, and navigate major transitions. In this episode, I speak with Jami Shapiro, founder of Silver Linings Transitions. Jami began noticing a pattern in her work with older adults. Chronic disorganization wasn’t always about being overwhelmed—it was often undiagnosed ADHD. We explore how ADHD shows up later in life, including challenges with planning, emotional regulation, and follow-through. Our conversation also looks at why many people only receive a diagnosis decades after childhood. Jamie and I also discuss how these patterns can complicate major life transitions like downsizing and relocation. How does the right support make these changes more manageable and less stressful? For families, caregivers, and professionals, this conversation offers a clearer understanding of behaviors that are often misunderstood. And importantly, we highlight a more compassionate way to support them. Because aging well isn’t just about the body—it’s about understanding how…

People in this episode

Host: Joseph M. Casciani, PhD

Guest: Jami Shapiro

Mentioned in this episode

Organizations: Silver Linings Transitions, National Association of Senior Move Managers

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