ADHD Assessment and Diagnosis

An ADHD assessment is a thorough evaluation designed to understand whether you (or your child) meet the diagnostic criteria for Attention-Deficit/Hyperactivity Disorder (ADHD). It is a comprehensive, evidence-based process carried out by trained clinicians, including psychiatrists, psychologists, or specialist ADHD practitioners.

The assessment usually involves several components:

Clinical Interview: A detailed discussion of developmental history, current difficulties, and daily functioning. For children, input from parents, teachers, or caregivers is often included.

Behavioural Questionnaires: Standardised ADHD rating scales and questionnaires provide insight into attention, hyperactivity, and impulsivity across different settings.

Objective Testing: Tools such as QbCheck, continuous performance tests, or neuropsychological assessments may be used to measure attention, focus, and activity levels.

Medical and Psychiatric Review* The clinician checks for other conditions (such as anxiety, depression, or learning difficulties) that may affect symptoms.

Following evaluation, the clinician integrates all findings to determine if ADHD is present and discusses recommendations for treatment or support. This may include psychotherapy, behavioural strategies, lifestyle adjustments, and, where appropriate, medication.

If medication is considered, a second medical consultation is required. This is to allow time for an ECG (electrocardiogram) to be performed to check heart health. (For information on an ECG, please see below). A review of current medications and medical history is given and benefits, risks, and monitoring plans for the future are also discussed.

ECG (electrocardiogram)

A psychiatrist in a private clinic setting, generally does not personally perform an ECG (electrocardiogram). However, an ECG may be required as part of the medical assessment before prescribing certain medications, especially ADHD stimulants (like methylphenidate or lisdexamfetamine), which can affect heart rate and rhythm.

Referral or Ordering:

The psychiatrist or the Service may request or refer the patient for an ECG to ensure it is safe to prescribe stimulant or other cardiac-risk medications.

Administration:

The ECG is performed by a qualified healthcare professional (nurse, GP, or cardiology technician) using standard equipment. The test is non-invasive and typically takes 5–10 minutes.

Review:
The psychiatrist reviews the ECG results before prescribing any medication. If any abnormalities are found, further cardiology assessment may be required.

ADHD assessment is not a single test but a collaborative, multi-step process designed to provide clarity, guidance, and practical strategies for managing attention and hyperactivity challenges effectively.

Adult ADHD assessment with Consultant Psychiatrist
1 hour 30 minutes @ €950