Many people with ADHD may show signs of the condition in childhood but were never identified or treated. In adulthood, ADHD is often associated with work or academic performance problems, relationship struggles, and mental and physical health issues. ADHD symptoms can also mimic other conditions; thus, a comprehensive evaluation is often the best starting point to secure an accurate diagnosis. This assessment is typically completed in 6 hours through specific tests to assess cognitive functioning, executive functioning, and social- emotional functioning, as well as the integration of supporting documents and consultations with other sources close to the client. More comprehensive testing may be needed for adults who are also students and in need of academic accommodations. The results are discussed in a follow-up meeting and in a detailed report provided to the client.