Not every ADHD assessment ends with a definitive diagnosis. Sometimes, the most ethical and clinically accurate outcome is a deferred diagnosis—and that can feel confusing or disappointing if you were hoping for clarity.
At Sparrow ADHD & Wellness, we believe you deserve transparency about why this happens and what it means.
What Does “Deferred Diagnosis” Mean?
A deferred diagnosis simply means:
There is not enough clear, consistent evidence to confidently diagnose ADHD at this time.
It does not mean:
- You’re imagining your symptoms
- You’re “not trying hard enough”
- Your struggles aren’t real
- You’ll never get answers
It means we want to avoid misdiagnosis and ensure you receive the right support.
Why Might a Diagnosis Be Deferred?
1. Overlapping Conditions
Symptoms of ADHD can look similar to:
- Trauma responses
- Anxiety
- Depression
- Chronic stress
- Sleep deprivation
- Substance use disordered
- Mood disorders
When these conditions are active, they can mimic ADHD so closely that it becomes difficult to separate them.
2. Missing Developmental History
ADHD is a neurodevelopmental condition, meaning symptoms must have been present in childhood. If early history is unclear or unavailable, more information may be needed.
3. Inconsistent Symptom Presentation
If symptoms appear only in one setting (e.g., only at work, only at home), this may suggest another explanation.
What Happens Next?
A deferred diagnosis always comes with:
- A clear explanation
- A plan for next steps
- Recommendations for further assessment, treatment, or stabilization
You are not left in limbo. You are supported. Individuals who may receive a deferred diagnosis are always welcome to return when the time is right.
