Since the study is based on electronic medical records and diagnoses noted in these records, I think the rates in the study reflect multiple factors, including the increasing awareness of clinicians about ADHD in adulthood and the increasing awareness of patients about ADHD in adulthood, a trend we have seen in other research studies is that there is an increase in people seeking psychiatric care generally, which may also reflect a positive trend in reduced stigma to talking [ about ] psychiatric symptoms and seeking appropriate help for them.