Free guide

ADHD assessment in Ireland: the complete guide

What actually happens, what it actually costs, and how to give yourself the best start. Written for adults in Ireland who suspect ADHD and don't know what the first step looks like.

The GP conversation

In Ireland the public route always starts with your GP, and so do some private clinics. Others, including many online ones, let you book an assessment directly without a referral (more on that below). Either way, the GP conversation is worth knowing how to have: it is the free route in, and your GP is who you will want continuing any medication down the line. You don't need a speech; you need one honest opening line and, ideally, something organised in your hands. Any of these will do the job:

• “I've been struggling with focus and organisation for as long as I can remember, and I'd like to look into whether it's ADHD.”
• “I did a structured screening using the same questionnaires clinics use; here are the results, and I'd like your advice on a referral.”
• “This has been affecting my work and my relationships, and I want to take it seriously.”

GPs respond to specifics. Two or three concrete recent examples (the missed deadline, the abandoned course, the bills forgotten despite the money being there) say more than any adjective. Consider booking a double appointment so nobody is watching the clock. My free GP Conversation Kit puts all of this on one printable page.

The public route: HSE

Your GP can refer you to the HSE's adult ADHD service for your area. It costs nothing, and for many people that makes it the right route. The honest part: capacity is far behind demand, waiting lists are commonly measured in years rather than months, and they vary a lot by region. None of that is a reason not to be on the list. Ask your GP to send the referral anyway; your place in the queue costs nothing, and you can pursue other options while you wait.

The private route

A private adult ADHD assessment in Ireland typically costs somewhere between €930 and €1,500. It usually involves a detailed clinical interview covering your current life and your childhood, sometimes across more than one session, with a written report at the end. Waits run from a week or two to a few months. Many clinics now assess entirely by video, which widens your options well beyond your own county, and a lot of them accept self-referral: you book directly, do the assessment online, and share the report with your GP afterwards. That is increasingly how Irish adults actually get assessed. Involving your GP at some point still matters, especially if medication is ever on the table. The current figures, and what sits behind them, are here.

Questions worth asking any private clinic before you book:

• What is the total cost, including the report and any follow-up?
• Who carries out the assessment, and are they a consultant psychiatrist or working under one's supervision?
• What is the current waiting time?
• If medication is recommended, can prescribing be shared with my GP afterwards?
• Will this diagnosis be accepted if I later want medication, or would I need to see a psychiatrist separately?
• Is the assessment recognised by the HSE and other Irish services?

Those last three matter more than they sound. A diagnosis from a psychologist may not be enough to start medication on its own, and some GPs decline shared care with some providers, which can leave you paying privately for prescriptions indefinitely. Ask before, not after.

What to bring: the part most people skip

ADHD is, by definition, a condition that starts in childhood, so every serious assessment probes your early years. Adults routinely show up with a clear picture of their present and nothing at all about their past, and it weakens an otherwise strong case. Before any appointment, gather what you can: a parent's or older sibling's memories, old school reports, the family stories. My free guide to gathering childhood evidence gives you the exact questions to ask.

Where a screening fits

A screening is not an assessment and cannot diagnose anything. What it does is organise the question: whether your current pattern crosses the standard thresholds, how your childhood picture looks, and whether anxiety or low mood might be part of the story. Walking into that appointment, GP or private clinic, with your history on paper turns “I think I might have ADHD” into a structured conversation. That is exactly what my free 2-minute check and the full assessment are for, and you can read a complete sample report before you decide whether any of it is worth your time. The report itself is free.

A note on treatment

Medication and non-medication supports (coaching, therapy, workplace adjustments) are decisions for after a diagnosis, made with a clinician. Be cautious of anyone selling certainty before assessment. And if low mood or anxiety is weighing on you right now, that deserves attention from your GP now, not after the ADHD question is settled. Support options are on my supports page.