ADHD assessment and treatment

However you get your treatment, the medication costs the same. The only choice is how you pay for your care.

• Come once. Pay per visit, no commitment. Have your assessment, get your prescription, and come back for a review or a dose change whenever you want one.

• Stay with us. A monthly fee covers your reviews, dose changes and messaging, so you are not paying visit by visit. The medication is billed separately, at the same price. Pause or cancel any time. No lock-in.

If you are on ADHD medication from another clinic, an NHS service, or an online provider, and you want to move your care to us, you are very welcome. Bring whatever records you have and we will take it from there. We can take over your prescribing where your original assessment meets the standards for shared-care. No obligation to switch onto a subscription.

We can usually help adults who recognise long-standing difficulties with attention, focus, organisation, restlessness, or impulsivity that have been present since childhood and affect everyday life. The assessment uses a structured DIVA-5 diagnostic interview against the NICE NG87 framework, alongside validated checks for the conditions that commonly overlap with ADHD. With your consent we also review your NHS records, so anything that should be treated alongside or instead of ADHD is not missed.

ADHD medication is not right for everyone. Where the assessment identifies something we cannot safely manage in a shared-care framework, such as complex psychiatric comorbidity or significant unstable cardiovascular disease, we will tell you honestly and, where it would help, refer you to our consultant psychiatrist, Dr Hamid Rahmanian (GMC 6117971), for deeper review. If your assessment points to autism rather than, or alongside, ADHD, we will refer you to the psychiatrist for that too, as autism is not something managed in primary care.

A blood test is not always needed, but we recommend a baseline check for some patients, including thyroid and ferritin, and an ECG where there are personal or family heart risk factors. This lets us start stimulant medication safely.

You choose how: a finger-prick kit at home, a phlebotomy appointment near you or a home visit, or here at our Westfield clinic.

Blood tests are priced separately, the same as the medication. If you have recent results from your NHS GP or another provider, we can use those.

Stimulant medication usually starts working within an hour, and most side effects are manageable. The common ones are reduced appetite, a faster heart rate, trouble sleeping if taken late, and a dip as the dose wears off, which is why we start low and build up slowly.

At the doses used for ADHD, stimulants are not addictive, and treating ADHD lowers rather than raises the risk of substance misuse. Non-stimulant options such as atomoxetine and guanfacine build up over a few weeks and suit people who cannot take stimulants.

We check your blood pressure, heart rate and weight at every review, and ask about mood, sleep and appetite at every contact, so anything that needs attention is caught early. You can message the clinical team between reviews if something troubles you.

One price for the assessment, whether you see a doctor in person at Westfield or by video. It is the same hour of a doctor's time and the same report either way, so it costs the same.

Waiting is often the hardest part. So when it is clinically right, it is possible to book in the morning, be assessed, and walk out of Westfield the same day with your medication in your pocket. By video, we can often prescribe the same day and post it to you.

• Assessment, £695: a full assessment with a registered GP with specific adult ADHD training and experience, supported by our consultant psychiatrist, in person or by video, including your diagnosis and a written report.

• Stay with us, £79 a month: your prescriptions, regular reviews, messaging between appointments, and any dose changes, for as long as it suits you. Pause or cancel any time.

• Or come back as you need to, £120 a visit: every follow-up is 15 minutes with a doctor, and everything that comes out of it, a prescription, a letter, a change to your plan, is included.

Your medication is priced separately and dispensed and delivered by us, so you can see exactly what you will pay. The price reflects the medicine itself: long-established medicines cost less than newer ones.

• Methylphenidate, from £15.99 a month: the long-established first-line stimulant, taken once or more through the day. The lowest-cost option.

• Lisdexamfetamine (Elvanse), from £69.99 a month: a once-a-day capsule that works steadily across the day. A newer medicine, which is why it costs more.

• Dexamfetamine, from £39.99 a month: a fast-acting option, usually taken more than once a day.

Your exact price depends on the dose your doctor recommends, and it is the same whether you collect it at Westfield or we send it to you.

• Blood tests or an ECG, if your doctor needs them: priced separately, with your choice of a home kit, somewhere near you, or here at Westfield. Already have recent NHS results? We will use those.

We ask for no deposit and no payment until after your assessment when you come to us in the clinic. In return, please tell us as early as you can if you cannot make it. An hour with a doctor is a big part of our day, and the sooner we know, the sooner we can give that time to someone else who needs it.

For video consultations we take the full payment at booking.

So you can see the whole cost from the start: £695 for your assessment, plus your first month's medication, for example from £15.99 for methylphenidate or from £69.99 for Elvanse. If you choose to stay with us afterwards, that is £79 a month plus your medication. Nothing else to pay, and nothing hidden.

The report is yours to keep and to share with your NHS GP. If you would rather move to NHS shared care once you are settled, we will write to your GP with everything they need.

If you need to cancel or reschedule, see our cancellation policy.

Our ADHD service has a consultant psychiatrist behind it: Dr Hamid Rahmanian, Fellow of the Royal College of Psychiatrists, with a specialist interest in adult ADHD. He is Associate Clinical Director for Sutton Community Mental Health and an Honorary Senior Lecturer at St George's, University of London.

Our GPs carry out your assessment within his framework, and he reviews complex cases directly.