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

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 the mind evolves over time.

Mini Bio

Jami Shapiro is the Founder of Silver Linings Transitions, a San Diego–based senior move management company. Her company helps older adults navigate downsizing and relocation. She is the incoming president of the National Association of Senior Move Managers (NASMM). Our guest is also a Certified Senior Move Manager who has guided hundreds of families through complex life transitions.

Through her work, Jami recognized that many clients struggling with disorganization were living with undiagnosed ADHD. She is now an ADHD coach and educator. This allows her to help families understand the neurological roots of behaviors often mistaken for stubbornness or overwhelm.

For Our Listeners

Jami's Website: JamiShapiro.me

Jami's New Book: This Explains So Much: Understanding Undiagnosed ADHD