Neurodevelopmental assessment

Private ADHD Assessment London

Private ADHD assessment in London for adults seeking diagnostic clarity, evidence-based screening, and a clear written report. NICE-aligned ADHD assessment using structured interview, rating scales, and clinical formulation.

DM
Dr Martina Paglia

Clinically reviewed by

Dr Martina Paglia

Founder & CEO of Mind a Porter

HCPC-registered Clinical Psychologist

Special interests include anxiety, depression, trauma, OCD, burnout, workplace stress, relationship difficulties and high-performance mental wellbeing.

Last reviewed: 13 August 2026

All health information on Mind a Porter is clinically reviewed by our clinical lead. These resources are educational and do not replace professional advice.

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Clinical Overview

Clinical overview: ADHD assessment

ADHD assessment is used when concentration, planning, time management, emotional regulation, restlessness, or impulsive decisions have become chronic patterns rather than occasional stress responses. A careful private assessment looks at both current functioning and developmental history so that ADHD can be distinguished from anxiety, trauma, burnout, sleep problems, and other overlapping presentations.

Prevalence

ADHD affects roughly 5% of adults, although many people are diagnosed later in life rather than in childhood.

Gold-standard tool

Structured clinical interview alongside rating scales such as the ASRS, functional history review, and where relevant QbTest or wider executive-function testing.

Typical timeline

Usually 1 to 2 assessment appointments plus questionnaires, followed by a written report within 1 to 2 weeks.

About ADHD assessment

What is a private ADHD assessment?

A private ADHD assessment is a structured clinical evaluation designed to answer a specific question: do your lifelong patterns of inattention, disorganisation, impulsivity, restlessness, or inconsistent follow-through fit ADHD, or is something else better explaining the picture? The process is not just a checklist. It looks at how difficulties show up across work, relationships, emotional regulation, daily routines, and your earlier developmental history.

Good ADHD assessment in London should be broad enough to rule out common lookalikes. Anxiety, chronic stress, depression, trauma, sleep disruption, substance use, and burnout can all affect concentration and executive function. That is why a high-quality assessment reviews context, timing, severity, and functional impact rather than assuming that every focus problem equals ADHD.

For many adults, the value of assessment is not only the diagnosis itself. It is also the explanatory clarity that comes with a careful formulation, the ability to make sense of longstanding struggles, and the practical next steps that can follow, including medication review, therapy, coaching, workplace adjustments, or university support where appropriate.

Signs and indicators

Common reasons people seek ADHD assessment

These features do not prove ADHD on their own, but they often prompt a fuller specialist assessment when they are longstanding and impairing.

Chronic distractibility

You start tasks with good intentions but find your mind pulled away by notifications, ideas, or surrounding activity.

Time blindness

You underestimate how long things take, run late, or lose whole stretches of time without noticing.

Executive overload

Planning, prioritising, replying, admin, and follow-through feel disproportionately difficult even when you care about the task.

Restlessness or internal agitation

You may not look stereotypically hyperactive, but you feel mentally or physically unable to settle.

Impulsive decisions

Interrupting, blurting things out, spending quickly, or acting before fully thinking through consequences can be recurring patterns.

Emotional reactivity

Small setbacks trigger sharp frustration, shame, or overwhelm that feels hard to regulate.

Childhood pattern history

Teachers, parents, or school reports noted forgetfulness, inconsistent performance, lateness, talking too much, or poor concentration.

Masking and overcompensation

You function outwardly by relying on last-minute pressure, perfectionism, or exhaustion, but the internal cost is high.

Assessment process

What happens in an ADHD assessment?

The aim is to combine structured data with real-life context, so the outcome is clinically grounded rather than rushed.

01

Pre-assessment screening

You complete standardised questionnaires and share the main difficulties that led you to seek assessment now.

02

Detailed clinical interview

The clinician explores attention, organisation, impulsivity, emotional regulation, functioning, and overlapping mental health concerns.

03

Developmental history review

Because ADHD is lifelong, the assessment looks for evidence of a similar pattern in childhood and adolescence.

04

Functional impact mapping

Work, study, relationships, finances, driving, daily routines, and self-esteem are reviewed to understand how difficulties play out in practice.

05

Differential diagnosis

The clinician considers anxiety, trauma, depression, burnout, sleep issues, and other factors that can mimic or complicate ADHD.

06

Feedback and report

You receive a clear diagnostic explanation, practical recommendations, and a written report suitable for onward sharing where needed.

Why people get assessed

What a thorough ADHD assessment can help with

Private assessment can be useful even when people are not sure whether they want medication. Clarity itself often changes what feels possible.

Diagnostic clarity

Understand whether ADHD is the main issue or whether another condition is driving the same symptoms.

Treatment planning

Use the outcome to guide medication review, ADHD-informed therapy, coaching, or practical executive-function support.

Workplace adjustments

A formal report can support conversations about reasonable adjustments, workflow changes, and focus-related accommodations.

Self-understanding

Make sense of patterns that may have shaped confidence, relationships, self-criticism, and repeated burnout for years.

Often a good fit

Who ADHD assessment is especially useful for

Assessment is most valuable when there is a longstanding pattern and the answer could change treatment, work, study, or self-understanding.

Adults missed earlier

Especially people who were bright, high masking, or primarily inattentive and never clearly identified at school.

Professionals in repeated burnout

When effort is high but organisation, deadlines, and prioritisation repeatedly fall apart.

Students seeking clarity

When attention or planning problems are affecting university performance, revision, or deadlines.

Clients considering medication or therapy

Useful when diagnosis would directly inform whether medication review or ADHD-focused psychological support is appropriate.

May not be the first step

When another assessment may be more appropriate first

Sometimes a different route gives a clearer answer, especially if attention problems are part of a broader cognitive or emotional picture.

Primary memory concerns

If the main issue is progressive forgetting, confusion, or cognitive decline, a broader cognitive or dementia assessment is usually more appropriate.

Cognitive AssessmentDementia Assessment

Specific literacy problems

When the question is mainly about reading, spelling, or written processing rather than attention, a dyslexia assessment may be more useful.

Dyslexia Assessment

Autism as the main concern

If sensory differences, social communication patterns, or rigid routines are central, autism assessment may answer the referral question more directly.

Autism Assessment

High acute distress without stable assessment conditions

If sleep loss, crisis, substance use, or severe mental health symptoms are dominating, stabilisation may need to come before diagnostic testing.

Anxiety CounsellingPsychiatry

Compared with alternatives

ADHD assessment compared with other private assessments

These pages are often searched together because they can overlap in presentation even when the underlying question is different.

When to seek help

When is it time to consider an assessment for adhd?

You might be wondering whether a formal assessment is the right step right now. These are some of the signs that a specialist evaluation could provide clarity and direction.

  • Difficulties with adhd have been present for months or years and are not explained by stress alone
  • Work, study, relationships or daily routines are being affected in ways that feel hard to manage
  • You have tried general therapy or self-help but feel you need a clearer clinical picture
  • You need formal documentation for workplace adjustments, exam arrangements, or treatment planning
  • You want to understand whether your experiences fit a recognised pattern or something else
Evidence and standards

How ADHD assessment is grounded clinically

Robust adult ADHD assessment follows NICE NG87 and combines rating scales, developmental history, impairment review, and differential diagnosis. It is strongest when it looks beyond symptoms alone and explains why ADHD does or does not fit the whole picture.

Fees & booking

Transparent pricing for private adhd assessment london

50-minute sessions, online or in person across London
Fees set by each therapist and shown before you book
Private insurance accepted by many clinicians

Clients never pay more with us than going direct, and our therapists offer their best rates.

Clinicians relevant to ADHD assessment and support

£1 Discovery Call
Param Singh Sahni
Easy Booking
Man Sudbury HillOnline via Google Meet

Mr Param Singh SahniPsychotherapist

MSc · PGDip · BA10+ years of experience

I am a UKCP-registered and BACP-accredited psychotherapist with over a decade of clinical experience, offering a warm, collaborative space for adults seeking meaningful change. My practice is informed by an MSc and a breadth of specialist training, allowing me to support clients through a diverse range of challenges including anxiety, depression, neurodivergence, addiction, and complex trauma. As a British Punjabi Sikh therapist, I bring a unique depth to my work, carefully considering the intersections of culture, race, faith, and identity. My expertise spans individual and online therapy, where I integrate modalities such as Cognitive Behavioural Therapy, Internal Family Systems, and Somatic Therapy to meet your specific needs. Whether we are navigating life transitions, relationship dynamics, or professional burnout, my aim is to facilitate genuine understanding. I am committed to providing an inclusive, non-judgemental environment where you can explore your personal history and current experiences to foster lasting emotional growth and wellbeing.

EnglishHindiPunjabi+1
From £120 /session
£1 Discovery Call
Sarah Jane Sellors
WomanOnline via Zoom

Sarah Jane SellorsPsychotherapist

MA7+ years of experience

I am an HCPC-registered Integrative Arts Psychotherapist with seven years of clinical experience supporting adults, teenagers, and children. My practice is built upon a relational foundation, providing a confidential space for clients to explore their challenges at their own pace. Drawing on a diverse toolkit—including psychodynamic, attachment-based, and cognitive behavioural therapies, alongside Gestalt and narrative approaches—I provide bespoke support for a wide range of needs. My professional background spans the NHS, education, and public services, where I have developed a deep understanding of the pressures inherent in modern life. I possess particular expertise in supporting clients through neurodivergence, bereavement, life transitions, and workplace burnout, as well as recovery from trauma and domestic abuse. By integrating my background in art therapy with traditional counselling, I offer a flexible, human-centred environment that encourages curiosity and genuine connection, helping you navigate complex experiences and personal growth.

English
From £100 /session
£1 Discovery Call
Ashley Box
Easy Booking
WomanOnline via Google Meet

Ms Ashley BoxPsychotherapist

MA3+ years of experience

I am a BACP registered psychotherapist with three years of experience, offering private online therapy to adults across the UK. My clinical foundation was established through my MA in Psychotherapy and Counselling at Regent’s University London, and I maintain a commitment to the highest professional standards through my membership with the British Association for Counselling and Psychotherapy. I provide a dedicated, confidential space for individuals navigating complex life transitions, workplace stress, burnout, and the challenges of modern life. My practice encompasses a broad range of clinical specialisms, including work with depression, anxiety, ADHD, loneliness, and relationship issues such as codependency and abandonment. Whether we are addressing specific symptoms like panic attacks or broader themes of low self-esteem and perfectionism, I work collaboratively with my clients to foster meaningful change.

English
From £110 /session
Ronak Motlagh
Easy Booking
WomanOnline via Google Meet

Ms Ronak MotlaghPsychotherapist

Masters in Counselling · Psychotherapy · Bachelors in Social…9+ years of experience

I am a registered psychotherapist with nine years of clinical experience, dedicated to providing a secure and reflective space for adults navigating complex personal challenges. Holding a Masters in Counselling and Psychotherapy alongside a Bachelors in Social Work, I integrate a range of modalities including Psychodynamic, Gestalt, Person-Centred, and Attachment-Based therapies. My practice is informed by a deep understanding of how past experiences and relational history shape our present-day behaviours. Throughout my career, I have supported clients through a wide spectrum of concerns, including anxiety, trauma, neurodivergence, and the impact of narcissistic abuse. Whether we are addressing chronic pain, workplace burnout, or the challenges of life transitions, my approach is tailored to your specific needs. I am fully accredited by the BACP and offer sessions in English, Farsi, and German, providing both individual and online therapy to ensure you feel supported throughout your process of change and self-discovery.

EnglishFarsiGerman
From £129 /session
£1 Discovery Call
Leah Hastings
Easy Booking
WomanOnline via Google Meet

Ms Leah HastingsCounsellor

MSc · BA2+ years of experience

I am a qualified counsellor holding an MSc in Counselling and a BA in Psychology, registered with the NCPS. My practice is informed by two years of clinical experience supporting adults and seniors navigating the complexities of their inner worlds. I draw upon a diverse range of evidence-based modalities, including Cognitive Behavioural Therapy, Psychodynamic Therapy, and Compassion-Focused Therapy, alongside principles of Positive Psychology. I work with clients experiencing a broad spectrum of challenges, such as ADHD, eating disorders, body image issues, OCD, and burnout. My expertise also encompasses depression, social and generalised anxiety, relationship and trust issues, and the impact of life transitions or workplace stress. By integrating these various clinical frameworks, I provide a tailored space where we can examine your unique way of relating to yourself and the world. My goal is to facilitate a professional, insightful environment that honours your individual journey while working towards your personal objectives.

English
From £50 /session
£1 Discovery Call
Deepthi Kanjirathodiyil
Easy Booking
Woman Blackheath Royal StandardOnline via Google Meet

I am a HCPC-registered Clinical Psychologist with 15 years of professional experience across mental health and physical health services in the UK and India. Throughout my career, I have worked in diverse clinical settings, including the NHS, hospital systems, and private practice, where I support adults and seniors navigating complex life challenges. My practice is informed by an integrative framework, incorporating modalities such as CBT, psychodynamic therapy, ACT, and compassion-focused therapy to address issues ranging from ADHD, trauma, and PTSD to perinatal mental health and relationship complexities. I provide a dedicated, inclusive space for clients managing burnout, bereavement, chronic pain, and various identity-based concerns. By drawing on my extensive clinical background, I offer tailored, evidence-based support in English, Hindi, Tamil, Urdu, and Punjabi. I am committed to helping you navigate transitions, deepen your self-awareness, and develop sustainable coping strategies that foster a more meaningful and manageable way of living.

EnglishHindiTamil+2
From £110 /session

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Frequently asked questions about Private ADHD Assessment London

What does a private adult ADHD assessment involve?

A private adult ADHD assessment usually combines questionnaires, a structured clinical interview, developmental history, and a review of how symptoms affect work, study, relationships, and day-to-day functioning. The goal is not only to count symptoms, but to decide whether ADHD is the most accurate explanation once overlapping conditions have been considered.

Can adults be diagnosed with ADHD even if they were not picked up at school?

Yes. Many adults are diagnosed later because they masked well, had primarily inattentive symptoms, or were described as bright but inconsistent rather than obviously hyperactive. Assessment looks for evidence that the pattern was present earlier in life, even if it was never formally recognised.

Do I need school reports or a parent informant for ADHD assessment?

They can be helpful but they are not always essential. Good clinicians use whatever developmental information is realistically available and interpret it alongside your own history, current functioning, and standardised screening tools.

How long does an ADHD assessment take?

Many private adult ADHD assessments take one long appointment or two shorter appointments, plus pre-assessment questionnaires. You would normally expect a written report shortly afterwards rather than waiting months.

Can anxiety, trauma, or burnout look like ADHD?

Yes. Chronic stress, poor sleep, trauma, anxiety, depression, and burnout can all reduce concentration and executive function. That is why differential diagnosis is a central part of a responsible ADHD assessment rather than an optional extra.

What happens if the assessment does not support ADHD?

A good assessment should still be useful because it explains what does seem to be driving the difficulty and what next step makes most sense. Sometimes people leave with a clearer direction toward therapy, psychiatry, sleep work, broader cognitive testing, or autism assessment instead.

Can an ADHD assessment report be used for university or work?

Often yes, especially when the report clearly documents diagnosis, functional impact, and recommendations. Exact acceptance depends on the university, employer, insurer, or prescribing pathway involved, so it is worth checking their requirements in advance.

Is medication the only reason to get assessed for ADHD?

No. Some people want medication review, but many seek assessment for diagnostic clarity, self-understanding, therapy planning, coaching, or workplace and education adjustments. The value of assessment is often wider than prescribing alone.

How much does a private private adhd assessment cost in London, what is included, and can I use insurance?

The cost of a private private adhd assessment in London depends on whether you need a brief screening, a full diagnostic assessment, or a more detailed report for a GP, school, university, employer, or another clinician. Many assessments include a clinical interview, standardised questionnaires or testing, feedback on the findings, and a written report, but the exact scope and report turnaround time vary by service. Some insurers reimburse private psychological assessment when it is clinically indicated, although cover rules differ by policy, so it is important to confirm reimbursement, excess, and authorisation requirements before booking.

Clinically reviewed guidance Evidence-led private assessment Online and in-person options

This page is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. If you are concerned about private adhd assessment london, please speak with a qualified therapist or your GP. In a crisis, call 999 or Samaritans on 116 123.

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If ADHD might be the missing explanation, a structured private assessment can give you a clear answer and a more confident next step.

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