Frequently Asked Questions

Everything you need to know about private adult ADHD assessment and psychiatry care in Northern Ireland — pricing, process, HSC GP coordination, medication, and more.

Adults · Diagnosis

Adult ADHD Assessment

A Consultant Psychiatrist–led, three–step private adult ADHD assessment delivered online across Northern Ireland.

About the Assessment

Who conducts the assessment?

Each assessment is delivered by a Consultant Psychiatrist–led multidisciplinary clinical team. Clinical governance is overseen by our Clinical Director, Consultant Psychiatrist Dr Vishnu Pradeep, who is GMC–registered and a member of the Royal College of Psychiatrists. All clinicians are registered with the appropriate UK statutory body (GMC, NMC, or HCPC).

Is online assessment as effective as in-person?

Yes. Adult ADHD assessments are delivered entirely online via secure video, in line with NICE NG87 ("Attention deficit hyperactivity disorder: diagnosis and management"). Online delivery removes travel, reduces anxiety, and lets you complete the assessment in a familiar environment. Suitability is reviewed at your initial consultation — if a clinician feels online isn't the right fit for your situation, they'll say so.

What is the minimum age for adult assessment?

Our private adult ADHD service is for people aged 18 and older living in Northern Ireland. We don't currently offer child or adolescent assessment in NI — if you're seeking an assessment for someone under 18, your HSC GP can advise on local options.

What if I have other conditions like anxiety or autism?

Adults with ADHD often have co-occurring conditions including anxiety, depression, autism, sleep disorders, or substance-use difficulties. Our comprehensive assessment screens for these and provides differential diagnostic guidance — so you leave with a complete clinical picture, not a single label. Where another condition is identified, we'll flag it and signpost appropriate next steps.

What diagnostic criteria are used?

Diagnosis follows DSM-5 criteria, which is the international gold standard and aligned with NICE NG87 — the same evidence base used by HSC and NHS clinicians across the UK. Validated structured tools including DIVA-5 and CAARS are used during the Full Assessment.

Is it worth getting assessed for ADHD as an adult?

For many adults, a formal diagnosis is the missing context for years of struggle — the explanation behind chronic underachievement, exhaustion, and self-blame. Diagnosis unlocks access to evidence-based treatment, workplace adjustments under the Equality Act 2010, university support via Disabled Students' Allowance (DSA), and exam access arrangements. For most patients, the biggest gain is self-understanding.

Recognition & Support

Is your diagnosis medically recognised?

Yes. Our Consultant Psychiatrists are fully GMC–registered, and our diagnoses follow NICE NG87 and UK Royal College of Psychiatrists guidance. The written diagnostic report is recognised by HSC GPs, employers under the UK Equality Act 2010, universities for Disabled Students' Allowance, and CCEA / JCQ exam boards for access arrangements where appropriate.

Can I use this for workplace accommodations or DSA?

Yes. Our reports are routinely used to support:

Reasonable adjustments at work under the UK Equality Act 2010
Disabled Students' Allowance (DSA) for higher-education funding
JCQ access arrangements (extra time, separate room, reader, scribe) for exam settings — including those administered by CCEA in Northern Ireland
• Internal university and college learning–support plans

Are services covered by private health insurance?

Some private health insurers cover part or all of private ADHD assessment costs — coverage varies significantly by insurer and policy. Please contact your insurer directly to confirm before booking. We can provide an itemised invoice and any clinical letters required for a reimbursement claim.

Note on tax relief: Unlike Ireland's Med 1 / Revenue rebate scheme, the UK does not offer income tax relief on private medical expenses for individuals via Self Assessment — HMRC treats them as personal expenditure.

What happens after diagnosis?

You receive a comprehensive written diagnostic report and a feedback session to talk through findings, next steps, and management options. From there you can:

• Enter our Adult Psychiatry pathway for medication initiation and titration
• Use the report for workplace, university, or exam adjustments
• Share the report with your HSC GP for shared care discussions
• Proceed without medication using non-pharmacological strategies

Will my HSC GP accept my private ADHD diagnosis?

Yes — our reports are written to NICE NG87 standards and follow UK Royal College of Psychiatrists guidance, the same evidence base your HSC GP works from. Private ADHD diagnoses are generally accepted at face value across NI primary care.

Whether your GP enters a shared care agreement for ongoing prescribing is a separate decision — that's at the GP's discretion under the regional Interface Pharmacist Network NI shared–care guidelines (see psychiatry section below).

Process & Timeline

What is the first step?

Book the £49 Initial Consultation online. You'll meet a clinician via secure video to talk through your symptoms, history, and concerns. They'll confirm whether the Full Assessment is the right next step — or, if it isn't, advise on better-matched alternatives.

How long does the full assessment take?

Typically 3 to 6 weeks from your Initial Consultation to your final diagnostic report. The Initial Consultation itself is usually available within seven days of booking.

For comparison: HSC adult ADHD services are not yet formally commissioned in Northern Ireland (per the Department of Health's February 2026 ADHD Needs Assessment), and waiting times in some Trusts have stretched to several years. Our private pathway is designed to fix that gap.

Do I need a GP referral?

No. Most adults in Northern Ireland can self–refer and book directly online. With your consent, we share your diagnostic report and care plan with your HSC GP afterwards so your wider care team is informed.

How should I prepare?

Choose a quiet, private space with a stable internet connection and good lighting. Before your appointment, gather:

• School reports or memories of childhood difficulties
• Family history of ADHD or related conditions
• Specific examples of how symptoms affect your work, study, or relationships
• Any prior assessment reports or current medication details

The more concrete context you can provide, the more tailored your formulation will be.

How is adult ADHD diagnosed in Northern Ireland?

Through a structured three-step pathway:

Step 1 — Initial Consultation (£49): Clinical interview, symptom and history review, suitability check.
Step 2 — Full Assessment (£495): Comprehensive evaluation using validated DSM-5 tools including DIVA-5 and CAARS, with informant input where appropriate.
Step 3 — Diagnosis & Report (£325): Formal written diagnosis and management plan you can share with your HSC GP, employer, university, or exam board.

Total pathway: £869, only if you proceed at each clinical decision point.

Practical Information

Is there a payment plan?

Yes. The £49 Initial Consultation is paid up–front. Klarna interest–free monthly payment plans are available for both the £495 Full Assessment and the £325 Diagnosis & Report — so the largest costs can be split across manageable monthly instalments. Call 028 2544 0987 for more information.

Is medication available through ADHD Now after diagnosis?

Yes. Following a confirmed ADHD diagnosis, you can transition to our Adult Psychiatry pathway for medication initiation, titration and ongoing follow–up — Consultant Psychiatrist–led and GMC–registered. Non–pharmacological strategies are also discussed at every step.

How much does an adult ADHD assessment cost in Northern Ireland?

The pathway is split into three transparent stages:

£49 — Initial Consultation
£495 — Full Assessment
£325 — Diagnosis & Report

Total: £869, only if you proceed through all three stages. Klarna monthly payment plans are available for Stages 2 and 3.

Are private medical expenses tax–deductible in the UK?

For most individuals, no. HMRC treats private medical costs as personal expenditure, so they are not deductible from income tax via Self Assessment. This differs from the Republic of Ireland, where Med 1 allows a 20% Revenue rebate.

Some employers offer private medical insurance as a workplace benefit (which may cover part of an ADHD assessment); some private insurers also cover ADHD assessment directly. Check with your insurer or HR team before booking.

Can my HSC GP prescribe ADHD medication after diagnosis?

Once you're stabilised on medication through our titration programme, your HSC GP may be willing to enter a shared care agreement to take over repeat prescribing under specialist guidance.

This is at the GP's discretion. Northern Ireland uses an "amber" classification for ADHD medications under the Interface Pharmacist Network's regional shared–care guidelines — meaning shared care is supported in principle, but each individual GP can decline based on capacity or clinical grounds. We provide full clinical correspondence to support the request.

If your GP declines, you have two ongoing–care options with us: £125 follow–up reviews as needed, or Duality Healthcare membership at £49.99/month for prescription continuity.

What medication options are available for adult ADHD?

NICE NG87 recommends lisdexamfetamine (brand: Elvanse) or methylphenidate (brands: Concerta XL, Ritalin, Equasym XL, Medikinet) as equally valid first–line options for adults. If neither suits, options include:

Dexamfetamine — if responding to lisdexamfetamine but unable to tolerate the longer effect profile
Atomoxetine (Strattera) — non–stimulant
Guanfacine (Intuniv) — non–stimulant

Your psychiatrist will discuss what's clinically right for your profile, lifestyle, and any co–existing conditions.

Can I be diagnosed as an adult if I wasn't diagnosed as a child?

Yes. A DSM–5 diagnosis requires that symptoms were present before age 12, but does not require formal diagnosis in childhood. Many adults — particularly women, people who masked their symptoms, and those who attended school before ADHD was widely recognised — were missed as children. Adult assessment is the right route for them.

What if I'm not diagnosed with ADHD?

You'll still receive a full clinical report explaining the findings, alternative explanations for your symptoms, and recommended next steps — whether that's a referral to a different specialist, evidence–based self–management strategies, or therapy via your HSC GP. The assessment is never wasted.

Does ADHD run in families?

ADHD is highly heritable — twin studies estimate around 74% genetic component. It's common for adults assessed with us to recognise ADHD traits in parents, siblings, or children. Your assessment may be the first ADHD identification in a family that has carried it for generations.

What signs suggest I should get tested for ADHD?

Persistent, lifelong patterns including:

• Difficulty focusing on non–stimulating tasks
• Chronic procrastination and time blindness
• Emotional dysregulation and rejection sensitivity
• Impulsivity and restlessness
• Working–memory lapses ("walking into a room and forgetting why")
• A long history of "underachieving despite trying hard"

These patterns typically reach back into childhood. If they significantly affect your work, study, or relationships, an assessment is worth considering.

What does untreated ADHD look like in adults?

Research links untreated adult ADHD with higher rates of unemployment and workplace burnout, relationship difficulty, secondary anxiety and depression, sleep problems, substance misuse, and accidental injury. Diagnosis and evidence–based treatment are associated with measurable improvements across all of these domains.

Adults · Medication & Treatment

Adult ADHD Psychiatry

Consultant Psychiatrist–led medication initiation, titration and ongoing review for adults with a confirmed ADHD diagnosis.

Service Overview & Access

Will I be prescribed ADHD medication?

Only if it's clinically appropriate. At your £49 Psychiatry Intake Consultation, your Consultant Psychiatrist reviews your diagnosis, medical history (cardiovascular, mental health, sleep), other medications, and goals before recommending a treatment plan. Medication is never automatic — non–pharmacological options are discussed too. If a prescription is offered, dosing is closely monitored during the structured 3–month titration.

How long does it take to start treatment?

Most patients are seen within 7 days of booking. If medication is appropriate, initiation begins shortly after intake and runs as a structured 3–month titration with one Consultant Psychiatrist appointment per month.

This is dramatically faster than the HSC route — per the Department of Health's February 2026 ADHD Needs Assessment, adult ADHD services are not yet formally commissioned in Northern Ireland and waiting times in some Trusts have stretched to several years.

Who is ADHD Now's Psychiatry service for?

Adults aged 18 and over in Northern Ireland with a confirmed ADHD diagnosis (from us or another recognised provider) seeking medication initiation, titration, optimisation, or ongoing review. If you don't have a diagnosis yet, start with our Adult Assessment pathway.

I was diagnosed elsewhere — can you take over my care?

Yes, in most cases. The £49 intake consultation reviews your existing diagnostic documentation and any prior medication history. If the documentation meets UK clinical standards (NICE NG87, Royal College of Psychiatrists), we can either start a fresh titration plan or take over your existing prescription on the same structured pathway.

How much does ADHD psychiatry treatment cost?

Three–stage transparent pricing:

£49 — Psychiatry Intake Consultation
£289 per month for 3 months — structured Initiation & Titration
£125 per follow–up review — as clinically required after stabilisation

An optional ongoing Duality Healthcare membership at £49.99/month is available for stable patients seeking prescription continuity.

Are there ongoing monthly costs?

After the 3–month titration, follow–up reviews are £125 each, only when clinically required (typically every 6–12 months once stable). Eligible stable patients can also move to Duality Healthcare membership at £49.99/month for ongoing prescription continuity.

You're not obligated to continue with us indefinitely — care can be transferred to your HSC GP under a shared–care agreement if your GP accepts it.

How long is the Psychiatry Programme before I move to ongoing care?

The structured Initiation & Titration phase is 3 months, with one Consultant Psychiatrist appointment per month at £289/month (£867 total). Most patients reach a stable, well–tolerated dose within this window.

After stabilisation, you have two ongoing–care options:

£125 follow–up reviews as clinically needed
Duality Healthcare membership at £49.99/month for prescription continuity

Can I claim insurance or tax relief while using ADHD Now Psychiatry?

Insurance: Some private health insurers cover part of private ADHD psychiatry — please contact your insurer directly to confirm. We can provide itemised invoices for any reimbursement claim.

UK income tax relief: Not available on private medical expenses for individuals. HMRC treats private medical costs as personal expenditure, so they are not deductible on Self Assessment. (This differs from the Republic of Ireland's Med 1 / Revenue rebate.)

Will my HSC GP accept your treatment plan?

We provide full clinical correspondence for every patient — diagnostic basis, current medication, dose, monitoring readings — written to NICE NG87 standards. Your HSC GP can decide whether to enter a shared–care agreement; this depends on local Trust policy, individual GP capacity, and the regional Interface Pharmacist Network NI shared–care guidelines (which classify ADHD medications as "amber" — supported in principle, GP discretion in practice).

Many GPs do enter shared care; some don't. We support either outcome.

Will my HSC GP prescribe ADHD medication after I finish with ADHD Now?

Once you're on a stable maintenance dose, your HSC GP may agree to take over repeat prescribing under shared care. We provide a comprehensive handover letter to support that. If your GP declines (which they're entitled to under regional NI guidance and recent LMC advice across the UK), you have two ongoing options with us:

£125 follow–up reviews with private prescriptions, as needed
Duality Healthcare membership at £49.99/month for prescription continuity

Note: Right to Choose — the NHS England scheme that lets patients choose private ADHD providers under NHS funding — is not available in Northern Ireland.

Medication Specifics

Can ADHD Now prescribe controlled medications in Northern Ireland?

Yes. Our Consultant Psychiatrists are GMC–registered and authorised to prescribe ADHD medications — including controlled drugs such as methylphenidate, lisdexamfetamine and dexamfetamine — in line with UK clinical guidelines (NICE NG87) and the Royal College of Psychiatrists' adult ADHD guidance. Private prescriptions can be dispensed at any registered UK pharmacy across Northern Ireland.

What if ADHD medication doesn't work for me?

Medication isn't mandatory and isn't right for everyone. If a medication is ineffective, causes intolerable side effects, or doesn't fit your life, your psychiatrist will review the plan. Per NICE NG87, if you've had a 6–week trial of one first–line option (lisdexamfetamine or methylphenidate) without adequate benefit, the alternative first–line is typically trialled. Non–stimulant options (atomoxetine, guanfacine) and non–pharmacological strategies are also available.

How long does it take to get ADHD medication in Northern Ireland?

Privately, the process begins within days of a confirmed diagnosis. Your £49 intake is typically within 7 days of booking, with medication initiation starting at the next monthly appointment as part of the structured 3–month titration. By comparison, HSC adult ADHD services are not formally commissioned in NI and waiting times in some Trusts run into multiple years.

What is the most common ADHD medication in Northern Ireland?

NICE NG87 recommends lisdexamfetamine (Elvanse) and methylphenidate as equally valid first–line options for adults — the choice depends on individual clinical profile, lifestyle and tolerability, not on a hierarchy.

Methylphenidate is widely used in NI and available in multiple branded forms (Concerta XL, Ritalin, Equasym XL, Medikinet). Elvanse is also commonly prescribed. If neither is suitable, dexamfetamine, atomoxetine (Strattera) or guanfacine (Intuniv) may be considered.

Is Elvanse (lisdexamfetamine) or Concerta XL (methylphenidate) better?

Neither is objectively better — both are NICE NG87 first–line options for adults. They contain different active ingredients with different effect profiles:

Lisdexamfetamine (Elvanse): smoother, longer–lasting effect (up to 13 hours); pro–drug formulation reduces some abuse potential.
Methylphenidate (Concerta XL, Ritalin, Equasym XL, Medikinet): available in multiple release formats — immediate, sustained, and modified–release — allowing fine–tuned dosing through the day.

Your psychiatrist matches the option to your individual response, schedule, and any co–existing conditions.

What are the side effects of ADHD medication?

The most commonly reported side effects of stimulant medication include:

• Reduced appetite
• Mild sleep disturbance
• Increased heart rate or blood pressure
• Dry mouth
• Headache

Most are dose–related and either temporary or manageable with dose adjustment. We monitor cardiovascular markers, sleep, mood, and appetite at every titration appointment and adjust the plan if anything is problematic.

Can ADHD medication cause personality changes?

Effective ADHD medication should reduce ADHD symptoms without flattening you out. Feeling "zombified" or losing your spark is usually a sign that the dose is too high, the medication isn't the right fit, or there's an unaddressed factor (sleep, food, anxiety). Your psychiatrist adjusts the plan rather than persisting with a treatment that doesn't feel right.

How do I know if I need ADHD medication?

It's a clinical conversation, not an automatic next step after diagnosis. At your £49 Psychiatry Intake, your psychiatrist reviews:

• How much ADHD symptoms affect your daily functioning
• What non–pharmacological strategies you've tried
• Your medical history and any current medications
• Your personal goals and preferences

Many patients benefit; some choose not to. The decision is yours, informed by clinical guidance.

What happens after I book?

You'll receive an email confirming your booking with documentation requirements (your diagnostic report if from elsewhere, current medication details, HSC GP information). Your psychiatrist reviews these before your appointment. You attend the £49 intake online via secure video. You leave with a clear plan — treatment, monitoring, and ongoing–care options — and full written follow–up.

What if I'm not sure psychiatry is the right route for me?

Completely normal. Call us on 028 2544 0987 to talk it through, or book the £49 intake — it's a no–commitment conversation with a Consultant Psychiatrist who can advise whether medication is appropriate for your situation. You're never locked in to ongoing treatment.

Northern Ireland Service

About the NI Service

Practical questions about how ADHD Now operates in Northern Ireland, what we offer, and what we don't.

Do you offer child or adolescent ADHD assessment in Northern Ireland?

Not currently. The ADHD Now Northern Ireland service is for adults aged 18+ only. Our two NI services are Adult ADHD Assessment and Adult ADHD Psychiatry, both delivered online across Belfast, Derry, Newry, Lisburn, Antrim, Down, Tyrone, Fermanagh, and Armagh. If you're seeking an assessment for a child or adolescent, your HSC GP can advise on local options.

Do you offer ADHD therapy or coaching in Northern Ireland?

Not currently. Our NI service focuses on Consultant Psychiatrist–led adult assessment and medication management. If you're looking for ADHD therapy, coaching, or CBT specifically, your HSC GP can advise on local options or you may find suitable BACP–accredited practitioners privately.

Where is the service delivered?

All appointments are delivered online via secure video — accessible from anywhere in Northern Ireland with a private space and a stable internet connection. Ongoing care is supported through our partnership with Duality Healthcare, which has established physical clinics in Omagh, Ballymena, and across NI.

Why is ADHD Now operating in Northern Ireland?

Adults across Northern Ireland face some of the longest waiting lists for ADHD assessment in the UK. The Department of Health's February 2026 ADHD Needs Assessment confirmed there are no formal commissioning arrangements for adult ADHD services in NI, with provision described as "fragmented and inconsistent across Trust areas" and adults in some Trusts waiting years for first contact — or being told they may never be seen.

We exist to fill that gap with private, regulated, Consultant Psychiatrist–led care available within days.

Is ADHD Now a regulated, credible service?

Yes. ADHD Now is the largest specialist–led private ADHD service operating across Ireland and Northern Ireland. Clinical governance is led by Consultant Psychiatrist Dr Vishnu Pradeep, a member of the Royal College of Psychiatrists in both the UK and Ireland.

Our clinicians hold registrations with the appropriate UK and Ireland statutory bodies (GMC, NMC, HCPC, IMC, NMBI, PSI). The service is independently audited by Healthcare Informed (HCI). We hold a 4.9 / 5 patient rating across 500+ Google reviews.

How does ADHD Now coordinate with my HSC GP?

With your consent, we share your diagnostic report, treatment plan and prescription details with your HSC GP — so they have a complete picture of your care. Whether your GP is willing to enter a shared–care agreement for repeat prescribing is at their discretion under the regional Interface Pharmacist Network NI guidelines, which classify ADHD medications as "amber" requiring shared–care arrangements.

We provide all necessary clinical correspondence to support a shared–care request, but cannot guarantee individual GP acceptance.

How do I get in touch?

Call 028 2544 0987 (Mon–Fri 9am–5pm, Sat 11am–2pm) or email clinic.ni@adhdnow.com. You can also book online directly — most patients secure their first appointment within 7 days.

Still have questions? Talk to the team

If you can't find the answer you're looking for, call us or book the £49 Initial Consultation — a no–commitment conversation with a clinician.

Book Initial Consultation

Have any questions? Call us on

028 2544 0987
Call ADHD Now NI 028 2544 0987