A real diagnosis or just a Western trend? Navigating adult ADHD diagnosis and treatment in Saudi Arabia

Background Little is known about how Saudi adults with attention-deficit/hyperactivity disorder (ADHD) recognize their symptoms, seek help, and navigate treatment. This study explored the experiences of Saudi individuals diagnosed with ADHD in adulthood. Method Semi-structured virtual interviews were conducted with participants ( n = 17) diagnosed with ADHD during adulthood. The data were analyzed using a thematic analysis. Results Six themes, with 17 subthemes, were developed from participants’ experiences: living with undiagnosed ADHD, recognizing ADHD and navigating pathways to diagnosis, emotional responses following diagnosis, sociocultural barriers and catalysts in the diagnostic pathway, navigating ADHD treatment, and adjustment to living with ADHD. Conclusion In Saudi Arabia, an adult ADHD diagnosis intersects with family cultural norms and social skepticism, including perceptions of adult ADHD as an imported, fashionable “Western trend.” These perceptions, together with family influence and stigma, may shape decisions regarding ADHD treatment.