Please note we can only take referrals from your GP.
Please do not contact the service directly. The service will be in contact with you within 8 weeks on receipt of your referral.

GPs Referring Patients

The Adult ADHD Assessment: What to Expect and How to Prepare

February

Many adults in the UK seek an ADHD assessment after years of challenges with focus, organisation or emotional regulation. Understanding how an adult ADHD assessment works can help reduce anxiety and ensure you feel prepared for the process.

This guide explains what to expect from an NHS ADHD assessment, how the ADHD diagnosis process works, and how to prepare. It also explains how accessing care through Harrow Health, which has some of the shortest wait times in the UK, can help patients move forward sooner.

What Is an Adult ADHD Assessment?

An adult ADHD assessment is a specialist clinical evaluation carried out by a qualified clinician, usually a Consultant Psychiatrist, to determine whether ADHD is present.

In the UK, assessments follow national clinical guidance and focus on how symptoms affect everyday life, rather than relying on a single test. The aim is to understand your experiences fully and assess how symptoms have been present over time.

For eligible patients, assessments may be accessed through the NHS, including via the NHS Right to Choose pathway.

The ADHD Diagnosis Process Explained

The ADHD diagnosis process is structured and evidence-based. It typically includes:

  • A detailed clinical interview covering childhood and adult symptoms
  • Discussion of how symptoms affect work, education, relationships and daily life
  • Standardised ADHD questionnaires
  • Screening for co-occurring conditions such as anxiety or depression

A diagnosis is based on whether symptoms meet recognised clinical criteria and cause significant functional impairment across different areas of life.

How to Prepare for an ADHD Assessment

ADHD assessment preparation can help you get the most from your appointment. You may be asked to:

  • Complete questionnaires in advance
  • Reflect on symptoms from childhood and adulthood
  • Provide examples of how difficulties affect daily life
  • Share relevant medical or educational history

You do not need to prepare “perfect answers”. Honest, real-life examples are the most helpful and allow clinicians to make an accurate assessment.

What Happens After an ADHD Assessment?

If ADHD is diagnosed, your clinician will discuss appropriate next steps. This may include:

  • Psychoeducation and practical advice
  • Medication, where clinically appropriate
  • A titration period to find the right dose safely
  • Ongoing reviews and, where suitable, shared care with your GP

If ADHD is not diagnosed, you will still receive guidance and recommendations based on your assessment and individual needs.

Adult ADHD Assessment at Harrow Health

Harrow Health provides structured, consultant-led adult ADHD assessments in line with national guidance. Assessments focus on clarity, safety and understanding how symptoms affect your life.

Importantly, Harrow Health has some of the shortest wait times in the UK, allowing patients to access assessment and specialist care far sooner than many local NHS services.

For eligible patients in England, referrals may be made through the NHS Right to Choose, offering a clear and accessible route to assessment.
If you are a patient wishing to be assessed, you can download a GP Right to Choose letter template from the Harrow Health website.

👉 Visit https://adhdrighttochoose.com/information-for-patients/ for more information.

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INFORMATION FOR PATIENTS

How to get a referral to Harrow Health

If you are registered with a GP surgery in England and have been referred by your GP for an ADHD assessment, you have the legal right to choose the organisation providing your care, including Harrow Health.

Harrow Health manages prescribing and annual reviews directly, so your GP does not need to take part in shared care.

INFORMATION FOR GPs

How to refer a patient to Harrow Health

GPs can refer eligible adults for ADHD assessment and treatment through e-RS, with short waiting times, dedicated support and ongoing treatment pathways after diagnosis.

Prescribing and annual reviews are managed by Harrow Health, removing the need for the referring GP to enter into shared care arrangements.

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