How should I explain less than stellar grades due to undiagnosed ADHD?

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thinklikeaproton733

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Quick timeline for some context:

2020: graduated HS, chose to attend my local state school because I could commute from home.

2022: After 2 years of decent grades and some mental health struggles I chose to transfer to my state's flagship that has a large stake in the biotech industry. My reasoning was I wanted a more solid "backup plan" if I didn't get into or want to go to med school.

2022-2024: Holy moly. 150% the worst point of my life mentally, financially, and academically. Straight up failed 2 classes for the first time in my life (retook the next semester and got an A and a B). Finally evaluated for ADHD in summer of 2024 and had the psychiatrist tell me she had no idea how I had managed to get this far without seeking a diagnosis and meds. Ended up with like probably 5 Ws during this time, frequently went without food due to financial issues...this was a very bad time for me mentally.

Summer 2024: I learn I can no longer afford to finish my degree at my flagship state school. I can either move back home and commute to the state school I started at, or I can't afford to finish my degree at all. I move back home armed with a brand new AuDHD diagnosis.

Present: Back at the first state school. After some trial and error and a "meh" Fall 2025 semester, I'm FINALLY on ADHD meds that make me feel like some version of myself again. Started weightlifting and it combined w the right meds has improved my mental health significantly. Straight A's so far this semester. Premed advisor seems to think disclosing having undiagnosed ADHD on my apps is perfectly fine and won't be stigmatized....I have serious doubts about this. How do I explain having undiagnosed ADHD and its corresponding issues with time management, executive functioning, severe depression, etc?

Obviously the best way to look better to ADCOMs is to show an upward trend. I've done the math and because a DIY post bacc is what I can afford, that's all I've considered. A DIY post bacc of 2 15-credit semesters of all As in 300 and 400 level science courses will put me at 3.5ish+ for both my cGPA and sGPA. Great, but is that (plus a year of full time medical assisting and hopefully a decent MCAT) enough reinvention? How do I explain this on my applications or in interviews without screwing myself over?

Interested in Path and Anaesthesia, but specifically rural medicine. I was very premature, grew up in Northern Appalachia, and spent my whole life 2~ hours from any provider that wasn't a GP. I live in a large metro area now and it's wild to see how much easier it is to access care....I'd like to practice in a rural area. Rural medicine is the theme of most of my volunteer work. I plan to target DO and MD schools that favor rural medicine. Just concerned about how I should explain myself aside from "oh, I underwent a period of financial and health difficulties".

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You explained your situation to us, so what is your specific concern? You can't control how your story is received. You have your documentation and proof that you can do well when you are in an optimal place with your medications and mental health. Do you have a record of any additional accommodations, such as for exam-taking?
 

Should I outwardly state that I was dealing with undiagnosed ADHD? Or just leave it at “health issues”?

Some people on Reddit and SDN seem to be very anti disclosing having ADHD / being neurodivergent on med school apps.

I‘ve received time and a half exam accommodations since high school due to what was then diagnosed as an anxiety disorder (which I was prescribed antidepressants for) all of university, and I continue to receive exam accommodations with my updated diagnosis of ADHD. Sorry for the weird formatting initially, SDN is weird on mobile.
 
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Playing devils advocate here….

Someone reading your application could say that you were getting decent grades at your state school initially with undiagnosed ADHD. And then later on your improvement in academic performance happened to coincide with your transfer back to the local school. Unfortunately, ADHD in the eyes of many ADCOM members falls into the category of “mental health issues”, which can be a red flag.
 
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Playing devils advocate here….

Someone reading your application could say that you were getting decent grades at your state school initially with undiagnosed ADHD. And then later on your improvement in academic performance happened to coincide with your transfer back to the local school. Unfortunately, ADHD in the eyes of many ADCOM members falls into the category of “mental health issues”, which can be a red flag.

I have similar concerns about giving off this kind of impression, yeah. The only way I can think to remedy that is to kill it with establishing an upward GPA trend, do well on the MCAT, and have a good amount of valuable extracurriculars.
 
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Playing devils advocate here….

Someone reading your application could say that you were getting decent grades at your state school initially with undiagnosed ADHD. And then later on your improvement in academic performance happened to coincide with your transfer back to the local school. Unfortunately, ADHD in the eyes of many ADCOM members falls into the category of “mental health issues”, which can be a red flag.
I disagree. ADHD, treated and controlled, wouldn’t be a red flag at my school. (Nor would depression or anxiety, for that matter).
 
There’s a lot of difference of opinion on it. Some people consider it a red flag, others don’t.
AdCom member here—it’s performance that counts, not diagnosis. If an applicant is performing well, the ADHD will not be a red flag. If the applicant is performing poorly in the present day, ADHD would not be considered a valid excuse. We expect applicants to optimize their health status (including mental health) before they apply, but we wouldn’t hold a previous health issue against them.
 
It doesn't really matter how people consider it; it must pass legal muster.

MSDCI resources exist, so claiming "we can't accommodate you" is harder to use as an excuse to warrant rejection from admissions. It has to address the program's technical standards.

To Luna's point: the focus should not be a deficit-based perspective. It's what you can do and what the limits are, now that a diagnosis and some treatment are helping.
 
Should I outwardly state that I was dealing with undiagnosed ADHD? Or just leave it at “health issues”?

Some people on Reddit and SDN seem to be very anti disclosing having ADHD / being neurodivergent on med school apps.

I‘ve received time and a half exam accommodations since high school due to what was then diagnosed as an anxiety disorder (which I was prescribed antidepressants for) all of university, and I continue to receive exam accommodations with my updated diagnosis of ADHD. Sorry for the weird formatting initially, SDN is weird on mobile.
We've worked with clients who had ADHD or who had previously suffered from mental health issues. As long as they could perform and met the other requirements for medical school, they got in. The point is to show that you can handle medical school, and a DIY post-bac program with all or mostly A's should do that as well as a competitive MCAT score. I do think saying you had undiagnosed ADHD prior to 2024 and that with treatment you were able to excel would provide necessary context. If you don't say what happened in 2022-24, adcom will wonder and will have to come to their own conclusions, which could be worse than you just saying what happened.
 
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