“Overdiagnosed or Misdiagnosed” – A Classic Case of Pseudohallucinations and Maladaptive Daydreaming When a Diagnosis of Adult ADHD Was Missed

Aims: Background: Attention deficit hyperactivity disorder (ADHD) can present differently in adults and often goes misdiagnosed due to overlapping symptoms. Maladaptive daydreaming may also be misdiagnosed, as it shares similarities with dissociative symptoms, depersonalization, derealization, and t...

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Bibliographic Details
Main Authors: Saima Jehanzeb, Amna Javaid
Format: Article
Language:English
Published: Cambridge University Press 2025-06-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472425107345/type/journal_article
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Summary:Aims: Background: Attention deficit hyperactivity disorder (ADHD) can present differently in adults and often goes misdiagnosed due to overlapping symptoms. Maladaptive daydreaming may also be misdiagnosed, as it shares similarities with dissociative symptoms, depersonalization, derealization, and temporal lobe epilepsy. Jasper has identified pseudohallucinations as akin to normal perception and occurring in the inner subjective space. Adults with ADHD often experience zoning out, daydreaming, and cognitive hyperactivity, which may resemble psychosis.
ISSN:2056-4724