Authors: Magnus Helgesson; Syed Rahman; Emma Björkenstam; Kristin Gustafsson; Ridwanul Amin; Heidi Taipale; Antti Tanskanen; Lisa Ekselius; Ellenor Mittendorfer-Rutz · Research

How Does ADHD Impact Young Adults' Ability to Find and Keep Jobs?

A large-scale study reveals patterns of employment challenges faced by young adults with ADHD and identifies key risk factors.

Source: Helgesson, M., Rahman, S., Björkenstam, E., Gustafsson, K., Amin, R., Taipale, H., Tanskanen, A., Ekselius, L., & Mittendorfer-Rutz, E. (2021). Trajectories of labour market marginalisation among young adults with newly diagnosed attention-deficit/hyperactivity disorder (ADHD). Epidemiology and Psychiatric Sciences, 30, e67, 1-10. https://doi.org/10.1017/S2045796021000536

What you need to know

  • About 61% of young adults with ADHD experience increasing difficulties maintaining stable employment over time
  • Mental health conditions occurring alongside ADHD significantly increase employment challenges
  • Lower education levels, being a single parent, and living outside major cities are associated with greater employment difficulties

Understanding the Employment Journey with ADHD

Imagine trying to focus on detailed work tasks while your mind constantly races to other things, or struggling to sit still during long meetings when your body is telling you to move. These are daily challenges for many adults with ADHD (Attention-Deficit/Hyperactivity Disorder) in the workplace. While we often think of ADHD as affecting children’s schoolwork, its impact on adult employment can be equally significant.

The Study’s Key Findings

Researchers followed over 6,000 young adults aged 22-29 who were diagnosed with ADHD, tracking their employment status and work disability for several years. They identified six distinct patterns or “trajectories” of how these individuals fared in the job market:

  1. High and increasing difficulties (21%)
  2. Rapidly increasing difficulties (19%)
  3. Moderately increasing difficulties (21%)
  4. Consistently low difficulties (12%)
  5. Moderately decreasing difficulties (14%)
  6. Fluctuating difficulties (13%)

Risk Factors for Employment Challenges

Several factors were found to increase the likelihood of experiencing employment difficulties:

  • Having other mental health conditions alongside ADHD, particularly anxiety, depression, or autism spectrum disorders
  • Lower levels of education
  • Being a single parent
  • Living outside major urban areas
  • Being born outside the European Union/Nordic countries

The Role of Treatment and Support

The study found that individuals who received ADHD medication in the year following their diagnosis were less likely to experience severe employment difficulties. However, this finding should be interpreted cautiously as those receiving medication might have had other favorable factors helping their employment situation.

What This Means for You

If you or someone you know has ADHD, there are several practical steps to consider:

  1. Prioritize education and skill development, as higher education levels are associated with better employment outcomes
  2. Seek early treatment and support, especially if you’re experiencing additional mental health challenges
  3. Consider the availability of ADHD-specific support services when choosing where to live and work
  4. If you’re a single parent, look for additional support systems to help manage both parenting and work responsibilities
  5. Work with healthcare providers to find the right combination of treatments, which may include medication and other support strategies

Conclusions

  • ADHD can significantly impact employment stability, but outcomes vary considerably among individuals
  • Early intervention and comprehensive support are crucial, especially for those with additional risk factors
  • Both medical treatment and environmental supports play important roles in improving employment outcomes
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