Official ADHD testing is a comprehensive clinical process, not a single test, involving detailed interviews with the individual and family/teachers, standardized rating scales (like ASRS, Conners), symptom history (before age 12), ruling out other conditions, and sometimes medical checks, conducted by professionals like psychiatrists or psychologists to assess behavior across settings for a formal diagnosis.
If you are concerned about whether someone might have ADHD, the first step is to talk with a healthcare provider to find out if the symptoms fit an ADHD diagnosis. The diagnosis can be made by a mental health professional, like a psychologist or psychiatrist, or by a primary care provider, like a pediatrician.
A medical, physical or neurodevelopmental exam identifies if you or your child meets the criteria for ADHD symptoms, including hyperactivity, inattention or impulsivity. Recording symptoms using rating scales and other sources of information ensures you or your child meets standardized criteria.
The ADHD "30% Rule" is a guideline suggesting that executive functions (like self-regulation, planning, and emotional control) in people with ADHD develop about 30% slower than in neurotypical individuals, meaning a 10-year-old might function more like a 7-year-old in these areas, requiring adjusted expectations for maturity, task management, and behavior. It's a tool for caregivers and adults with ADHD to set realistic goals, not a strict scientific law, helping to reduce frustration by matching demands to the person's actual developmental level (executive age) rather than just their chronological age.
Asking for an ADHD assessment
Speak to a GP or SENCO to request a referral for an ADHD assessment. While waiting for a referral or assessment, the child or young person should continue to get support at home and in school.
The 20-minute rule for ADHD is a productivity strategy to overcome task paralysis by committing to work on a task for just 20 minutes, leveraging the brain's need for dopamine and short bursts of focus, making it easier to start and build momentum, with the option to stop or continue after the timer goes off, and it's a variation of the Pomodoro Technique, adapted for ADHD's unique challenges like time blindness. It helps by reducing overwhelm, providing a clear starting point, and creating a dopamine-boosting win, even if you only work for that short period.
Adults can have ADHD.
Inattention: Difficulty paying attention, staying on task, or being organized. Hyperactivity: Excessive activity or restlessness, even at inappropriate times, and difficulty engaging in quiet activities. Impulsivity: Acting without thinking or having trouble with self-control.
The only way to know for sure is to see a doctor. That's because the disorder has several possible symptoms, and they can easily be confused with those of other conditions, such as depression or anxiety. Everyone misplaces car keys or jackets once in a while. But this kind of thing happens often when you have ADHD.
The 5 C's of ADHD, developed by psychologist Dr. Sharon Saline, is a framework for parents and individuals to manage ADHD challenges, focusing on Self-Control, Compassion, Collaboration, Consistency, and Celebration. This approach builds skills for better emotional regulation (Self-Control), empathy (Compassion), working together (Collaboration), establishing routines (Consistency), and recognizing progress (Celebration) to foster a supportive environment and reduce stress.
Adult ADHD symptoms may include:
Your appointment will be with an ADHD specialist such as a psychiatrist. They'll ask about the history of your symptoms, particularly if they started when you were a child, and how these symptoms affected you at school. The assessment will focus on different areas of your life, including: work and education.
The most successful ADHD-friendly careers are emergency room doctor, firefighter, entrepreneur, teacher, graphic designer, and software developer. These jobs leverage ADHD strengths like quick thinking, creativity, and high energy while minimizing focus challenges.
Dislikes or avoids activities that require paying attention for more than one or two minutes. Loses interest and starts doing something else after engaging in an activity for a few moments. Talks a lot more and makes more noise than other children of the same age. Climbs on things when instructed not to do so.
Option 1- NHS Assessment
To get an ADHD assessment through the NHS, you will first need to go and speak to your GP about why you think that you have ADHD. Your GP should take you seriously, and ask why you think you might have ADHD.
The ADHD burnout cycle is a pattern where constant effort to manage ADHD symptoms (like executive dysfunction, overstimulation, and masking) leads to extreme mental/physical exhaustion, a "crash," and a shame spiral, often followed by trying to overcompensate again, repeating the cycle. It involves phases like the initial push/overcompensation, the struggle/stress, the collapse/shutdown, and the guilt-ridden recovery attempt, resulting in fatigue, irritability, procrastination, and disengagement from life.
The ADHD "2-Minute Rule" suggests doing any task taking under two minutes immediately to build momentum, but it often backfires by derailing focus due to weak working memory, time blindness, and transition difficulties in people with ADHD. A better approach is to write down these quick tasks on a separate "catch-all" list instead of interrupting your main work, then schedule specific times to review and tackle them, or use a slightly longer timeframe like a 5-minute rule to prevent getting lost down "rabbit holes".
The main difference between 'ordinary' laziness and ADHD is that lazy people don't make an effort to complete the tasks, and they don't feel guilt or anxiety when they don't complete the task. Laziness is defined as an unwillingness to work. People with ADHD put effort and care into their work.
ADHD is a neurodevelopmental condition, meaning it's related to how the brain is wired and functions from an early age. Anxiety is a mental health condition that may mimic some ADHD symptoms (like distractibility), but it does not lead to the neurological patterns associated with ADHD.
The 24-hour rule for ADHD is a self-regulation strategy to combat impulsivity by creating a mandatory waiting period (often a full day) before reacting to emotionally charged situations or making significant decisions, allowing time for reflection and reducing regretful snap judgments, especially for things like impulse purchases or arguments. It's a pause button that gives the brain space to process, move from impulse to intention, and evaluate choices more logically, helping manage ADHD's impact on emotional regulation and decision-making.
The top 3 core symptoms of ADHD are inattention (difficulty focusing, staying organized), hyperactivity (excess restlessness, excessive movement), and impulsivity (acting without thinking, poor self-control). People with ADHD often experience a combination of these, though some might primarily struggle with inattention (inattentive type) or hyperactivity/impulsivity (hyperactive-impulsive type).
Why are my ADHD symptoms getting worse?
There is no single cause of ADHD and the risk factors that have been identified so far appear to be non-specific. That is, risks such as chromosomal microdeletions (eg, VCFS), large, rare CNVs, extreme low birth weight and prematurity appear to affect a range of different neurodevelopmental and psychiatric phenotypes.
Accomplishing one big item, three medium-sized items, and five small items every day will help you tackle your list. Be sure that items with a deadline, such as bills that need to be paid, get done whenever they are on a to-do list. You may struggle sometimes to get such items and others that are real priorities done.
An estimated 50-75% of adults with ADHD experience sleeping problems, ranging from insomnia to secondary sleep conditions. If you have ADHD, you are more likely than others to sleep for shorter periods overall, have problems initiating sleep and remaining asleep, and you may even develop sleep disorders.