ADHD Assessment Hub

This page will help you understand what to expect from you or your child’s ADHD assessment, how to prepare, and what happens next. We know this process can feel like a big step, so our aim is to make everything as clear, supportive, and reassuring as possible.

Assessment hub contents:

What to expect from a ADHD assessment

The assessment is a structured, clinician-led conversation designed to understand experiences across different stages of life. We use a recognised assessment tool called the Young DIVA 5 (Diagnostic Interview for ADHD in Children).

This is not a test that can be passed or failed. Instead, it aims to develop a comprehensive understanding of how ADHD can affect a individuals daily life. Assessments are carried out by a qualified ADHD clinician and will take around 2.5hrs. You are welcome to bring a partner, family member, or supporter, if this helps you feel more comfortable or provides additional insight.

The DIVA 5 assesment tool explores:

What happens during the assessment?

Your clinician will guide you through a structured but flexible conversation, including:

Current day-to-day experiences
Childhood development and school years
Work, education and relationships
Your health and wellbeing
Any coping strategies you’ve developed

The assessment is designed to build an understanding of an individual’s experiences, strengths and challenges. You won’t need to remember everything perfectly, examples or estimates can be provided where exact details are difficult to remember.

Preparing for your assessment

Gather useful information

If available, bring or review:

School reports or academic records. Academic records or reports noting focus, organisation or behavioural challenges.
Medical or mental health records. Any past or current diagnoses (e.g. anxiety, depression) and medication histories. Clinic letters or summaries from GPs, psychiatrists or psychologists
Previous therapy or coaching notes. Notes from CBT, coaching or occupational therapy sessions focused on ADHD or executive function.
Information about any diagnoses or medication

Think about experiences over time

It’s helpful to reflect on how ADHD may have shown up in different stages:

Childhood – e.g. school focus, behaviour, organisation
Teenage years – e.g. routines, relationships, impulsivity
Current experiences – strengths and challenges

Consider additional areas

You may also be asked about:

Family history of ADHD or mental health
Coping strategies you’ve used and have worked/have not worked
Risk-taking or impulsive behaviours (if relevant)]

You could also build a simple timeline (by age or school year) of key life events and observations.

Assessment requirements (remote appointments)

To help your session run smoothly:

Use a device with a screen larger than a mobile phone
Ensure your device is stable (not handheld)
Sit in a quiet, private space
Keep your camera on, showing you from the waist upwards

If you require an interpreter, this must be approved by the service in advance.

This is a supportive, non-judgmental process and you don’t need to prepare perfectly or remember everything. You can take your time and ask questions at any point. The goal is to understand you, your experiences, and how best to support you moving forward.

Frequently asked questions

Can I see the questions beforehand?

We don’t provide the full list of questions in advance, as the assessment is tailored to you.

However, you now know the key areas we’ll explore (detailed above), so you can feel prepared for the assessment.

What types of questions will you ask?

Your clinician will explore:

Attention and concentration
Organisation and time management
Impulsivity and decision-making
Emotional regulation
Childhood behaviour and development
Daily life, work and relationships

There are no right or wrong answers, being open and honest is what matters most.

Is there time allowed for breaks?

Yes — absolutely. These are long sessions, you can ask for a break at any time and stand up, move, or take a pause whenever needed.

Does the camera need to be on?

Yes. Your camera needs to be on throughout the assessment, so your clinician can fully engage with you and ensure a high-quality assessment.

Can I bring someone with me?

Yes. You may bring someone for support and to make you feel more at ease. They could also offer additional insights where appropriate.

What happens after the assessment?

After your session:

Your clinician reviews all the information gathered
A diagnostic decision is made using clinical criteria
A detailed report is written. Your report will include:
Your assessment outcome
A summary of your experiences
Personalised recommendations and next steps

How long before we hear back?

You’ll usually receive your outcome and report within a few weeks of your assessment.

What if I need to rearrange the session?

If you’re unable to attend, please let us know at least 48 hours in advance. This allows us to offer the appointment to another patient and helps keep waiting times fair.

Please contact us on 0808 175 3608 or email xyla.ndservice@nhs.net.

Contact us

Whether you need support with an appointment or have a general enquiry, please get in touch. Our team are available, Monday to Friday, 9:00am–5:00pm

Call: 0808 175 3608

Email: xyla.ndservice@nhs.net