Seniors with ADHD at higher risk of car crashes.

Seniors with ADHD at higher risk of car crashes.

The Risks of ADHD in Older Adults: A Lively Look at Driving Challenges

ADHD in Older Adults

Ah, driving – a liberating activity that gives us a sense of freedom and adventure. But what happens when a group not typically associated with risky behavior on the road is brought into the spotlight? That’s right, we’re talking about older adults with attention-deficit/hyperactivity disorder (ADHD).

While studies on ADHD and driving usually focus on teenagers, a recent study highlighted the significant risks that older adults with ADHD face when it comes to being on the road. Not only are they more prone to car crashes, but they also have a tendency to slam on the brakes and accumulate traffic tickets. Now, let’s take a closer look at these findings and explore the implications they hold for safe driving among seniors.

The Curiosity Behind the Study

“Little is known about ADHD in seniors,” admits Dr. Guohua Li, an epidemiology professor at Columbia University Mailman School of Public Health. However, with an aging population leading to more older adult drivers, understanding the potential risks associated with ADHD becomes increasingly important. Currently, the United States has approximately 48 million older drivers, a number projected to reach 63 million within seven years. Given this demographic shift, it’s time for us to shed light on the potential challenges older adults with ADHD face behind the wheel.

ADHD: From Childhood to Senior Years

ADHD, a neurodevelopmental condition typically diagnosed during childhood, can persist throughout life. The study reveals that around 2.6% of drivers aged 65 to 79 years had ADHD. To understand the impact of ADHD on driving in this demographic, researchers conducted a comprehensive analysis involving over 2,800 drivers in this age group.

Intriguingly, the study found that ADHD was associated with a staggering 74% increased risk of car crashes among older adults. Furthermore, individuals with ADHD were 102% more likely to accumulate self-reported traffic tickets and had a 7% higher risk of engaging in hard braking events. These findings make it clear that ADHD poses considerable challenges and potential dangers for older drivers.

How ADHD Symptoms Impact Safe Driving

ADHD symptoms, including difficulty with concentration, focus, attention, and impulsivity, contribute to driving challenges. Inattention may result in drivers failing to notice vehicles coming from the side, while impulsive tendencies might lead to reckless behaviors such as cutting in when it’s safer not to. Hyperactivity, on the other hand, can increase distraction and decrease vigilance, further compromising driving safety.

Dr. Eugene Arnold, a renowned expert in ADHD, suggests that impairments in executive function, such as planning and executing tasks, among older drivers with ADHD may contribute to potential accidents. As individuals age, they typically experience a gradual improvement in hyperactive-impulsive symptoms but continue to struggle with inattentiveness. Unfortunately, the long-term effects of ADHD from childhood to old age remain largely uncharted territory.

Factors at Play: Anxiety, Depression, and Driving Issues

The study also revealed that older adults with anxiety or depression had a higher rate of ADHD, at just over 7%. This correlation suggests that the presence of comorbid mental health conditions may contribute to driving issues. Heightened anxiety levels can impede safe driving, further highlighting the need for enhanced diagnosis, management, and clinical support for adults with ADHD.

The study emphasizes the importance of early and accurate diagnosis of ADHD in older adults. By improving screening, diagnosis, and clinical management, effective interventions can be implemented to mitigate the driving challenges faced by older adults with ADHD. Furthermore, advanced vehicle technologies can help minimize distractions by limiting access to in-vehicle media, such as texting or making phone calls.

While non-stimulant medications have been successful in reducing driving errors in teens and young adults with ADHD, it remains unclear if the same benefits can be observed in older drivers. Additional research is needed to explore treatment options tailored specifically to this age group.

Dr. Li, one of the study’s lead researchers, is an advocate for safe driving among older adults. In 2014, he co-founded the LongROAD project (Longitudinal Research in Aging Drivers) to understand the needs of older drivers. Through this initiative, the project was able to identify reliable markers for predicting cognitive impairment and dementia using in-vehicle recording devices. Interestingly, they also found that a person’s health declines when older adults stop driving altogether. Thus, promoting safe mobility and providing adequate support for older adults with ADHD is crucial.


In conclusion, this study shines a light on the underexplored territory of ADHD in older adults. The findings highlight the significantly increased risks faced by older drivers with ADHD and emphasize the urgent need for improved diagnosis and symptom management. By taking proactive measures such as implementing advanced vehicle technologies and tailoring interventions for older adults, we can create a safer driving environment for our aging population. Let’s not overlook the importance of addressing ADHD in older adults and ensuring that they have the support they need to stay safe and enjoy the open road.

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Sources: – Guohua Li, MD, DrPH, Columbia Vagelos College of Physicians and Surgeons, Columbia University Mailman School of Public Health, New York City – Eugene Arnold, MD, Med, Ohio State University, Columbus – JAMA Network Open, Oct. 4, 2023, online

More information: – AARP has more on ADHD in older adults.