Adult ADHD Diagnosis in the UK
Understanding Adult ADHD
Attention Deficit Hyperactivity Disorder (ADHD) affects an estimated 3–4% of adults in the UK.
Many live for years without a diagnosis, often misattributing their struggles to stress, personality, or poor habits.
Left unrecognised, ADHD can impact relationships, career progression, and mental wellbeing.
Diagnosis is the gateway to effective management, treatment, and support.
Common Symptoms in Adults
Inattention: Forgetfulness, distractibility, losing items, difficulty focusing
Hyperactivity: Restlessness, excessive talking, inability to relax
Impulsivity: Interrupting, rushing decisions, difficulty waiting
Executive Dysfunction: Struggles with planning, organisation, and time management
Coping strategies may mask symptoms, making diagnosis more complex. If these descriptions resonate, an assessment can provide clarity.
NHS Diagnosis Pathway
The Process
GP Consultation – Discuss symptoms and request referral
Referral – GP refers to a local ADHD service
Waiting List – Long waits are common
Assessment – Psychiatric evaluation with structured tools
Diagnosis & Treatment Plan – Options may include medication, therapy, or lifestyle strategies
Current Waiting Times
NHS England projects over half a million people are waiting for ADHD assessments. In some areas, waits exceed 10 years.
GP Referral Tips
Bring a clear symptom list and examples of daily impact
Consider a self-assessment tool (ASRS)
Provide childhood evidence if available ( school reports)
Persist if initially refused referral
Private Diagnosis Options
Benefits
Reduced Wait Times – Appointments available within weeks
Comprehensive Assessment – Detailed and personalised
Choice of Specialist – Clinicians with adult ADHD expertise
Faster Treatment – Begin a treatment plan without years of delay
Costs with Focus Gently
We offer a transparent, staged pathway:
| Service | What’s Included | Price |
|---|---|---|
| Adult ADHD Diagnostic Consultation | 90-minute structured assessment, formal diagnostic report, recommendations, NICE-aligned tools | £895 |
| Assessment + Medication Initiation | Diagnostic consultation, initial prescription & titration plan, one review consultation, GP summary & discharge letter | £1,600 |
| Titration & Review (8–10 weeks) | 45–60 min review, up to three follow-ups, side-effect & outcome monitoring | £495 |
NHS Right to Choose
Patients in England can use the Right to Choose pathway to access independent providers commissioned by the NHS. This combines faster access with reduced costs. Ask your GP directly about this scheme.
Diagnostic Tools and Assessment Process
Common Methods
DSM-5 Criteria
Adult ADHD Self-Report Scale (ASRS)
DIVA-5 Interview
Conners’ Adult ADHD Rating Scales
Collateral Evidence from family, partners, or colleagues
What to Expect
A 90–120 minute assessment typically includes:
Structured clinical interview
Standardised questionnaires
Review of developmental, educational, and occupational history
Screening for other conditions
Diagnostic formulation and treatment recommendations
ADHD Presentation Differences
By Subtype
Inattentive Type: Distraction, forgetfulness, unfinished tasks
Hyperactive-Impulsive Type: Fidgeting, impulsivity, excessive talking
Combined Type: Mix of both symptom clusters
By Gender
Women: More inattentive, internalised struggles, higher anxiety
Men: More outward hyperactivity and impulsivity
These differences contribute to under-diagnosis in women.
Common Comorbidities
Anxiety disorders (~50% of adults with ADHD)
Depression
Learning difficulties (dyslexia, dyspraxia, dyscalculia)
Autism spectrum conditions
Sleep disorders
Comorbidities make comprehensive assessment critical.
Post-Diagnosis Treatment Options
Medication
Stimulants: Methylphenidate (Ritalin, Concerta), amphetamines (Elvanse, Adderall)
Non-stimulants: Atomoxetine, guanfacine
Psychological Interventions
Cognitive Behavioural Therapy (CBT)
ADHD coaching
Psychoeducation
Lifestyle Strategies
Structured calendars and reminders
Exercise
Consistent sleep hygiene
Balanced nutrition
Taking the Next Step
NHS Route
Book GP appointment
Prepare documentation and evidence
Follow up on referral progress
Join ADHD support groups during the wait
Private Route
Research accredited providers
Verify clinician credentials
Schedule assessment
Bring records and symptom history
Why Choose Focus Gently for Your ADHD Assessment
Specialist Expertise – Experienced in adult ADHD diagnosis and treatment
Reduced Wait Times – Assessment available in weeks
Comprehensive Evaluation – Evidence-based diagnostic tools
Ongoing Support – Medication management, therapy, and coaching
GP Integration – Shared care arrangements where possible
Book Your Assessment Today
Don’t let ADHD continue to hold you back. Diagnosis opens the door to support, treatment, and strategies that can improve daily life.
