ADHD service

Adult ADHD Assessment

A 75–90 minute diagnostic assessment with a Consultant Psychiatrist, against DSM-5 criteria and NICE NG87, available online or in person in Epsom.

  • 75–90 min
  • Online
  • In-person
From £695 online · £1,095 in-person
  • CQC Registered
  • Consultant Psychiatrist-led
  • NICE NG87 aligned
  • DSM-5 criteria
Book your assessment

Online or in person

The assessment itself is the same either way: the same clinician, the same DSM-5 criteria, the same written report.

Adults

In-Person ADHD Assessment

In person

A comprehensive face-to-face ADHD assessment at our Epsom clinic.

  • Assessment with a GMC-registered Consultant Psychiatrist
  • Comprehensive face-to-face clinical consultation
  • Structured ADHD evaluation using recognised diagnostic criteria
  • Review of developmental, educational and work history
  • Detailed written diagnostic report

£1,095

75–90 min

Understanding ADHD

What adult ADHD looks like

ADHD is a recognised neurodevelopmental condition. DSM-5 describes it in two groups of symptoms — inattention, and hyperactivity-impulsivity. Most adults recognise themselves in both lists to some degree, and a diagnosis does not depend on any single item.

What matters clinically is the pattern: several symptoms present before the age of 12, showing up in more than one setting — work and home, or study and relationships — and getting in the way of how you function. Recognising yourself in a list is a reason to ask the question, not an answer to it. For everyday examples from work, home and relationships, read our guide to adult ADHD symptoms.

An adult working at a laptop by a window, seen from the side.
Your assessment

What your assessment covers

The consultation lasts 75–90 minutes and is informed by questionnaires you complete beforehand.

  • A detailed developmental and childhood history
  • Current symptoms across work, study and relationships
  • Mental and physical health, and a risk assessment
  • Review of your questionnaires and any collateral history
  • A comprehensive diagnostic report and a letter to your GP

Inattentive presentation

  • Missing details, or making careless mistakes in work or study
  • Finding it hard to hold attention on tasks, reading or conversation
  • Seeming not to listen even when someone is speaking directly to you
  • Starting things and drifting off before they are finished
  • Struggling to organise tasks, materials and time
  • Avoiding or putting off anything needing sustained mental effort
  • Losing the things you need — keys, phone, paperwork
  • Being pulled away by noise, movement, or your own train of thought
  • Forgetting appointments, replies, bills and errands

Hyperactive-impulsive presentation

  • Fidgeting, tapping, or shifting in your seat
  • Finding it uncomfortable to stay seated when you are expected to
  • A persistent inner restlessness, rather than visible over-activity
  • Finding it hard to do quiet things without needing more stimulation
  • Feeling driven, as though you cannot slow down
  • Talking more than the situation calls for
  • Answering before a question is finished, or finishing other people's sentences
  • Finding waiting — in queues, in conversation, in traffic — genuinely hard
  • Interrupting, or joining in on what others are doing
Free screening

Recognise yourself in those lists?

Our free screening test takes about five minutes. It cannot diagnose ADHD — only a full clinical assessment can — but it will help you decide whether to take the next step.

After diagnosis

What happens if you are diagnosed

A diagnosis is the start of a plan, not the end of the appointment. We discuss the findings with you, set out the options, and agree what to do next.

NICE NG87 sets out two broad routes for adults: psychological approaches, and medical treatment. For adults, NICE recommends medical treatment as the usual first-line option unless you would prefer a psychological approach — and we would suggest considering both together. Which route you take is your decision, made with the consultant.

Baseline checks

Before any medical treatment starts

These baseline checks follow NICE NG87. Some can be arranged through your GP; others can be done privately if your GP would prefer not to.

  • A review confirming the diagnosis still fits and that treatment is needed
  • A physical health review, including your medical history and anything you already take
  • Height, weight, pulse and blood pressure
  • A cardiovascular assessment
  • Blood tests, to rule out conditions that can mimic or complicate ADHD
  • An ECG where it is clinically indicated
Review & monitoring

How treatment is reviewed

If you start medical treatment, you will be reviewed every 3–4 weeks while the dose is being established, and every 3–4 months once it is stable. Your blood pressure and pulse are checked after every dose change and roughly every three months thereafter, so a home blood-pressure monitor is a worthwhile purchase.

Once you have been stable for at least four weeks, we can offer a Shared Care Agreement: your GP takes over routine prescribing while we stay responsible for specialist review. We make no charge for arranging this. Not every GP practice takes shared care on, so it is worth asking yours early — and we are happy to speak to them.

Your rights

Work and study

ADHD is capable of being a disability under the Equality Act 2010. Where it is, your employer or place of study has a legal duty to make reasonable adjustments so that you are not put at a disadvantage. In practice those are often small and practical: a quieter workspace or noise-cancelling headphones, flexible hours, written follow-ups to verbal instructions, regular check-ins, structured breaks in long meetings, and help breaking large tasks down.

In education, exam access arrangements — extra time and similar adjustments — are governed by the JCQ rules, which are on our resources page. Your diagnostic report is usually the evidence these processes ask for.

Your pathway

From first enquiry to shared care

A clear, evidence-based route from your first enquiry through to long-term care with your GP.

  1. Enquiry & free online screening

    A quick, non-diagnostic self-test helps you decide whether a formal assessment is worth pursuing.

  2. Book your assessment

    Choose an online or in-person appointment with the consultant.

  3. Complete your questionnaires

    Medical, psychiatric and collateral history, sent to you before your appointment.

  4. 75–90 minute assessment

    A detailed clinical interview against DSM-5 criteria and NICE NG87.

  5. Receive your diagnostic report

    A comprehensive written report with recommendations, and a letter to your GP.

  6. Treatment & titration

    Baseline checks first, then reviews every 3–4 weeks while your dose is established.

  7. Shared Care Agreement

    Once you are stable we offer to share ongoing care with your GP — at no charge.

  8. Ongoing specialist reviews

    Six-monthly reviews for safety, effectiveness and continued NICE alignment.

Questions about assessment

No. You can refer yourself, or your child, directly. We see adults and children privately, without a GP referral. If you'd like help choosing the right assessment, call us on 01372 660580 or email enquiries@kiamclinic.com.

Yes. Adult and child ADHD assessments are available online by secure video, or in person at our Epsom clinic. The assessment is the same either way: the same clinician, the same diagnostic criteria and the same written report.

The assessment is typically a 75–90 minute consultation with a Consultant Psychiatrist, followed by a detailed written report.

Book or enquire

Ready to book your assessment?

Choose online or in person, or ask us a question first.