How to get an ADHD diagnosis as an adult in England

GPs don't diagnose ADHD. Your GP refers you to a specialist, and in England you can choose which NHS-contracted provider does the assessment, using Right to Choose.

Who can diagnose ADHD

Under NICE guideline NG87 on ADHD, ADHD should be diagnosed by a specialist psychiatrist or another appropriately qualified healthcare professional with training in ADHD. A diagnosis needs a full clinical assessment, not just a questionnaire.

What a specialist looks for

• Symptoms of inattention and/or hyperactivity and impulsivity that meet recognised diagnostic criteria.
• Symptoms that started in childhood, even if nobody noticed at the time.
• At least moderate impact on daily life, seen in more than one setting, such as work and home.
• A check that another condition doesn't better explain the symptoms.

The steps

1. Write down your evidence. Main difficulties, since when, and where they cause problems. Old school reports and a family member's account help. The free evidence organiser does this with you.
2. Choose a provider. Check they hold an NHS contract and can take referrals from your area now. See what to check.
3. See your GP with your referral letter and the provider's form.
4. Complete the provider's questionnaires quickly when they arrive. Late forms are a common cause of delay.
5. Attend the assessment, usually a long online or face-to-face appointment.
6. After diagnosis, discuss treatment options, which may include medication and support.

Sources: NICE guideline NG87 on ADHD; NHS England patient choice guidance.

Related guides

• Right to Choose vs private ADHD assessment
• Right to Choose ADHD in Leicester, Leicestershire and Rutland
• Right to Choose ADHD in Bristol, North Somerset and South Gloucestershire
• Right to Choose ADHD in Hampshire and the Isle of Wight