ADHD Assessments for adults

Adult ADHD experts in London

At the London Psychiatry Clinic, we diagnose and treat ADHD using an evidence-based approach. Our approach is always personalised to each patient. All of our ADHD specialists are highly qualified consultant psychiatrists.  They each have specialist training in Adult ADHD from some of the most prestigious institutions in the UK and the world. Our team has decades of combined clinical experience helping patients with ADHD from all backgrounds. Several of our clinicians have also led the development of specialist Adult ADHD clinics within the NHS. 

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If you are diagnosed with ADHD, your psychiatrist will be able to support you with a personalised treatment plan. This will help to address your symptoms and build on your strengths.

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Book a consultation with our leading ADHD experts. Find your specialist.

Why Choose the London Psychiatry Clinic for ADHD Diagnosis?

We offer private ADHD and ADD assessments at our clinic in London or online. These are carried out by our consultant psychiatrists who have extensive knowledge and experience in adult ADHD. 

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We make the process of booking an ADHD assessment quick and easy for our patients: 

• Private ADHD assessments at short notice and outside of working hours.
• Options for online ADHD assessments and appointments, using a video platform of your choice.
• Limited paperwork and flexible options for completing forms.
• Support from our medical secretaries every step of the way.
• Prescription certificates delivered digitally or by first-class post.
• Home or office delivery of prescription medication by courier service.

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We include the following services in the cost of your ADHD assessment:

• A personalised treatment plan tailored to your needs and preferences.
• A letter detailing your clinical assessment. The letter will include recommendations and the next steps for your treatment.
• Letters to your GP or other medical professionals (at your request).
• Letters to your school or workplace with recommendations for special adjustments or support. (Letters will only be sent at your request).
• Advice and guidance about medication or other medical questions are free of charge. Questions can be asked via email or call in between appointments. Calls are limited to brief conversations with specific questions lasting 10 minutes or less.

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Book your ADHD assessment with our friendly medical secretaries. Speak with us today.

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We also offer free ADHD tests on our website.

If you score high on the Adult ADHD Self-Report Scale (ASRS), scientific research indicates there is a significant likelihood you have ADHD.

While a high score isn't the same as a diagnosis, it does mean seeing a specialist for an ADHD assessment could be a good next step.

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Booking Your Private ADHD Assessment

Do I need a referral to book a private ADHD assessment?

You don’t need a referral to book a private ADHD assessment with a consultant psychiatrist. However, if you have a referral letter from your GP or other professional, you are welcome to share it with us.

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How long does an ADHD assessment take?

An adult ADHD assessment takes approximately 2 hours. This includes the diagnostic assessment in addition to an interview about your symptoms and history. If you’d like your psychiatrist to discuss a personalised treatment plan, which may involve medication, then this can take over two hours. The ADHD assessment and discussion of the treatment plan can be split into separate sessions if desired.

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Taking time to discuss the different medication and treatment options available to you is important. This is because your doctor will want to make sure to suit your unique symptoms, lifestyle and personal preferences.

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Where can I get an ADHD assessment?

We offer face-to-face appointments with ADHD specialists at our clinic, located at 55 Harley Street, London, UK.
We also offer remote video assessments for ADHD for patients anywhere in the UK. This includes Belfast, Brighton, Bristol, Cardiff, Coventry, Edinburgh, Glasgow, Leeds, Liverpool, Manchester, Nottingham, Sheffield, Yorkshire, and other locations. 

‍Book your ADHD assessment in London or via video consultation. Speak with us today.

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What happens after an ADHD assessment?

After your assessment, your ADHD specialist will provide you with clear advice and expert guidance. They will help you make an informed decision about different treatment options and choose the approach that will suit you best. 

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We offer a range of evidence-based treatments for ADHD.  These include psychoeducation, talking therapy, medication, nutrition advice, and lifestyle interventions. When developing your treatment plan, we’ll also consider important additional factors such as your school or work environment, personality, relationships, and what’s meaningful in your life.

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ADHD Assessment Costs & Insurance

How much does a private ADHD assessment cost?

For a private ADHD diagnosis in the UK, the cost can vary depending on the clinic you choose. It also depends on what services are covered within the cost and the expertise of the specialist conducting the assessment. 

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At the London Psychiatry Clinic, we believe in clear and straightforward pricing for your private ADHD assessment. Our goal is to provide quality care without any hidden fees or unexpected costs. Our commitment to transparency ensures you know exactly what costs to expect for all appointments, prescriptions, and treatments.

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Our cost for a private ADHD assessment starts from £1,160 and includes the following:

• A 2-hour clinical assessment by a consultant psychiatrist with specialist training in Adult ADHD.
• A personalised treatment plan tailored to your needs and preferences.
• A letter detailing your clinical assessment, recommendations, and the next steps for your treatment.
• Letters to your GP or other medical professionals (at your request).
• Free advice and guidance about medication or any medical inquiries between appointments. This is offered via email or brief phone calls (limited to 10 minutes or less).
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‍Book a comprehensive assessment with a leading ADHD expert. Find your specialist.

Is there an additional fee for school or workplace recommendation letters?

Your ADHD specialist can also provide recommendation letters to your school or workplace as requested. However, an additional fee may apply based on the time required to prepare the letter. Rest assured, your specialist will always discuss any extra costs with you before proceeding.

How much does a follow-up consultation cost after an ADHD assessment?

The price for a standard 30-minute follow-up consultation starts from £290. During the follow-up, the specialist will review your medication and prescriptions. Longer consultations are also available. 

How can I pay for my ADHD assessment?

You can pay by card, via Direct Debit (GoCardless) or by bank transfer. If you are funded by medical insurance, we require a pre-authorisation number to secure your appointment. Please note that you may be liable for payment if your insurer does not cover the fees.

Will my insurance provider cover my ADHD assessment and treatment?

It's important to consider insurance coverage for your ADHD assessment and treatment. ADHD is increasingly recognised by many insurance providers. However, it's advisable to confirm with your provider whether ADHD assessments and treatment are covered under your policy. Most insurance companies consider ADHD a pre-existing condition. If you intend to apply for a health insurance plan in the future, it might be wise to do so before seeking a private ADHD assessment.

Which insurance providers does the London Psychiatry Clinic work with?

We are covered by the following providers:

• BUPA Global
• Cigna
• WPA
• Aviva
• Allianz

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Unfortunately, we are not currently covered by:

• AXA PPP
• BUPA UK
• Vitality health

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If your insurance provider is not listed above, your assessment might still be covered. Let us know who your provider is, and we will work on the claim with you.

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Ask our friendly medical secretaries about your insurance options. Speak with us today.

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FAQs: Understanding ADHD Diagnosis in Adults

How is ADHD diagnosed?

An ADHD diagnosis is a clinical assessment made by a psychiatrist. The assessment will be based on your developmental history, behavioural tendencies and symptoms. The diagnosis usually involves a lengthy interview with many questions and questionnaires. Your psychiatrist will take time to build a complete clinical picture of you as a person before making a diagnosis. There is no single ADHD questionnaire or test that is widely accepted.  Every psychiatrist has their preference and chooses the tests that they believe are most appropriate for each particular patient.

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The ADHD diagnostic assessment usually takes approximately two hours and includes: 

• Clinical and psychological evaluation:
  Involves a thorough assessment of an individual's symptoms and overall functioning in each area of life. The specialist will ask questions about areas such as school, work, home, relationships, and well-being. They may use a variety of techniques to gather this information. This could include interviews, questionnaires, and standardised tests.
  
  
• Medical and psychiatric history review: 

To assess whether ADHD symptoms were present during childhood (also known as developmental history). The specialist will also evaluate whether any underlying medical conditions that could be causing symptoms similar to those of ADHD.

• Observer reports:
  Teachers, parents, and other individuals who have regular contact with the individual being evaluated may be asked to provide observations and reports on their behaviour and functioning.

Who can diagnose ADHD in adults?

In the UK, the National Institute of Healthcare (NICE) guidelines state that an ADHD diagnosis should only be made by a licenced specialist psychiatrist, paediatrician, or another healthcare professional with specialist training in ADHD diagnosis. The ADHD specialist will assess whether the individual meets the diagnostic criteria for ADHD or ADD according to the DSM‑5 (The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) or the ICD‑10 (International Classification of Diseases 10th Revision).

What are the benefits of an ADHD diagnosis?

After an ADHD diagnosis, you can begin to use this new information and knowledge to your advantage, with the support of your psychiatrist and medication if you have opted for it. An ADHD diagnosis will enable you to have more control over your actions and how you feel. You could live a more organised and fulfilling life and plan better for the future. Importantly, you will have more control over your thoughts, more discipline and willpower. Taking control of your ADHD will make you more productive and help you to be the best version of yourself.

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Book a comprehensive assessment with a leading ADHD expert. Find your specialist.

What happens if I have ADHD?

There is nothing to fear from an ADHD diagnosis.  If anything, it can be seen as an opportunity to improve your self-awareness and overcome difficult symptoms. Your psychiatrist will provide you with important and helpful information about your strengths, weaknesses and vulnerabilities.

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Essentially, an ADHD diagnosis will enable you to have more control over your actions and how you feel. You could live a more organised and fulfilling life and plan better for the future. Importantly, with the right treatment, you will have more control over your thoughts, more discipline and willpower. Taking control of your ADHD will make you more productive and help you to be the best version of yourself.

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There is a powerful Zen proverb that discusses what happens after someone achieves enlightenment. “Before enlightenment, we carry water and we chop wood; after enlightenment, we carry water and we chop wood.”

What if I only have some symptoms of ADHD?

Although it may seem like it, an ADHD diagnosis is not black or white. ADHD is a spectrum condition, which means that different symptoms can be present to varying extremes in different people. For people with severe ADHD, it’s usually evident that they seem to have a lot of symptoms that qualify for a diagnosis. However, for people with milder or moderate versions of ADHD, it may seem more unclear. Or they might be displaying symptoms that they didn't even realise were associated with ADHD. In these cases, it can be challenging to decide whether or not to proceed with a diagnostic assessment for ADHD. This is why it’s crucial to receive an ADHD assessment from a psychiatrist who has training and experience in diagnosing adult ADHD.

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Discover more about adult ADHD, its symptoms, causes, and types. Dive into Adult ADHD.

Can I still drive with ADHD?

If you have ADHD, you will still be able to drive. However, ADHD is a notifiable condition for the DVLA. The Royal College of Psychiatrists advises that “patients should be informed that this is their responsibility to contact the DVLA” and that “treatment for ADHD has been shown to significantly improve driving safety”.

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The advice given by the Driver Vehicle and Licensing Agency (DVLA) is that:

• If you already have a driver’s licence and your ADHD symptoms do not affect your driving, and your symptoms are stable, there is no need to tell the DVLA about your diagnosis.
• Anyone applying for a driver’s licence will need to inform the DVLA of their ADHD diagnosis when they first apply for a provisional licence.
• When it comes to car insurance, you must always inform your insurance provider of your ADHD diagnosis. If they are unaware of your ADHD diagnosis, this may invalidate insurance in the event of an accident.

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FAQs: Diagnostic Tests and Tools for Adult ADHD

What tests are used to diagnose ADHD?

There are many types of assessment tools that clinicians might use to diagnose ADHD or ADD in adults. Different specialists will use different assessment tools because there isn’t one single test that is universally accepted for diagnosing ADHD.  Each test has benefits and limitations. In the UK, the National Institute of Healthcare (NICE) guidelines state that although standardised tests and rating scales are valuable tools to identify ADHD symptoms, an ADHD diagnosis should not be made based solely on the results of assessment tools.

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Some of the common standardised tests used to diagnose adult ADHD or ADD are:

• Diagnostic Interview for ADHD in Adults (DIVA)
• Adult Self-Report Scale for ADHD (ASRS)
• Barkley Adult ADHD Rating Scale-IV (BAARS-4)
• Current Symptoms Rating Scale
• Copeland Symptom Checklist for Attention Deficit Disorders
• Social Communication Questionnaire (SCQ)
• Mind Excessively Wandering Scale (MEWS)
• ADHD Rating Scale-IV (ADHD-RS)
• Wender Utah Rating Scale (WURS)
• Test of Variables of Attention (TOVA)
• Continuous Performance Test (CPT)
• Strengths and Difficulties Questionnaire (SDQ)

What ADHD tests are used for adults?

If you've ever wondered, "do I have ADHD?" or searched for an "ADHD test for adults" you're not alone. ADHD symptoms in adults can be different from those in children, which leaves many adults asking, "what does an ADHD test look like for adults?" While children with ADHD are often visibly restless and hyper, adults might feel restless inside and struggle to stay organised. So ADHD tests in adults typically look at things like how they handle work and daily responsibilities.

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While many free online ADHD tests for adults are available, it's crucial to approach them with caution. Although quick and easily accessible, these tests often provide a limited perspective. Their interpretation can vary based on individual life circumstances. Remember, only a trained clinician can provide an accurate ADHD diagnosis.

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At the London Psychiatry Clinic, we'll guide you through two established screening tests designed to evaluate adult ADHD symptoms before your comprehensive ADHD assessment. These tests focus on potential areas you struggle with and memories of any symptoms during your childhood. By completing these tests in advance, it allows for a more in-depth exploration of your symptoms during the assessment.

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We use the following ADHD tests for adults:

• Adult Self-Report Scale for ADHD (ASRS): A tool developed by the World Health Organization (WHO).
• Barkley Adult ADHD Rating Scale-IV (BAARS-4): Created by Dr Russel Barkley, a world-leading researcher in adult ADHD

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It is important to understand taking an ADHD test on your own is just a starting point. It helps identify symptoms but doesn't confirm if you have ADHD. You can't get a real ADHD diagnosis from an online test or a quick chat with a doctor.

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Other health issues can look like ADHD. So, it's important to see a qualified professional who can tell the difference and give the right diagnosis. A comprehensive ADHD assessment for adults includes looking at your current symptoms, medical history, family history and childhood, and asking questions to rule out other health problems.

Book a comprehensive assessment with a leading ADHD expert. Find your specialist.

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What is the Diagnostic Interview for ADHD in Adults (DIVA)?

The Diagnostic Interview for ADHD in Adults (DIVA) is a standardised questionnaire that is used by psychiatrists worldwide to diagnose ADHD. It’s incredibly popular because the questions are intuitive and easy to adapt to different individuals. At the London Psychiatry Clinic, we like to use the DIVA for adult ADHD assessments. This is because the DIVA offers patients and relatives extensive insight into what ADHD is and what specific symptoms the patient has.

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The DIVA engages the patient’s parents or caregivers by asking for feedback so that it can exhaustively assess any ADHD symptoms over the lifespan. It contains simple sentences describing typical ADHD symptoms, as well as blank spaces for patients and relatives to provide examples, such as “I tend to be late to places”.

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DIVA scores map accurately to the diagnostic criteria for ADHD set out by the Diagnostic and Statistical Manual of Mental Disorders (DSM–5), which is the most popular handbook for diagnosing mental disorders used by medical health professionals worldwide. The diagnostic criteria provided in the DSM itself is used for scientific studies, including clinical trials.

Is there a biological test for ADHD?

There are no definitive biological markers for ADHD, so doctors can’t request a physical blood test or brain scan to help with diagnosis.

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While there is some evidence that several biological markers may be either increased or decreased in ADHD, these results vary substantially between patients and with the type and severity of symptoms. There is currently no scientific evidence that a brain scan using a neuroimaging technique (such as a CT, MRI or PET scan) can improve the diagnostic process.

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Discover more about adult ADHD, its symptoms, causes, and types. Dive into Adult ADHD.

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FAQs: Understanding ADHD Treatment for Adults

How do we approach ADHD treatment for adults?

At the London Psychiatry Clinic, we believe in a holistic approach to treating ADHD in adults. Standard treatments often involve medication, education, skills training, and psychological counselling.  We go a step further. We focus on creating a personalised treatment plan that not only manages ADHD symptoms but also builds on individual strengths and addresses challenges in work, school, or personal relationships.

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Experience the comprehensive care we offer for ADHD. Find an ADHD specialist.

What’s included in a personalised treatment plan for adult ADHD?

Every individual with ADHD has a unique set of symptoms, experiences, and challenges. Recognising this diversity is crucial. A one-size-fits-all approach can often overlook the nuances of each person's journey with ADHD. Personalised treatment ensures that the care provided is tailored to address the specific needs and preferences of each patient. This leads to more effective and sustainable outcomes.

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Our treatment plans are developed by ADHD specialists who adhere to the National Institute for Health and Care Excellence (NICE) guidelines. We integrate these guidelines with the latest scientific research to ensure each patient receives a treatment tailored to their unique needs. Beyond just symptoms, we consider factors like work or school environment, personal relationships, and individual life goals.

What are the ADHD treatments for adults?

From psychological therapies to lifestyle guidance, our multifaceted treatment plans are designed to offer a well-rounded support system for adults with ADHD.

• Psychoeducation: support and information about ADHD to help you better understand and manage your symptoms.
• Psychotherapy: psychological talking therapies, such as cognitive behavioural therapy (CBT), interpersonal, family or systemic, psychodynamic, psychoanalytic, mindfulness-based cognitive therapy, or mentalisation-based therapy (MBT).
• Medication: different options will be offered with an explanation of the benefits and potential side effects according to your unique symptoms, lifestyle and personal preferences. Adjusting your schedule and meal times can also enhance how well your medication works.
• Lifestyle optimisation: integrating small changes into your lifestyle and developing a structured routine can help you stay organised and on track. 
• Diet and nutrition: evidence-based advice and guidance to promote a healthy and balanced diet, increase energy levels, minimise symptoms or medication side effects, and prevent nutrient and vitamin deficiencies. Supplements for ADHD backed by scientific evidence may also be recommended. 
• Physical activity: exercise and spending time in nature can improve physical and mental health, as well as enhance cognitive function and focus.
• Sleep therapy: improve sleep through targeted therapy such as cognitive behavioural therapy for insomnia (CBT-I or CBTI), sleep hygiene, and circadian rhythm optimisation.
• Mindfulness: mind-body centre exercise to increase the relaxation response and help you become aware of your thoughts, feelings, and needs.
• Behavioural learning: we collaborate with educational institutions to provide tailored learning techniques for those studying or training.

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FAQs: Medication for ADHD

Do I need to take medication for ADHD?

You don’t need to take medication if you’re diagnosed with ADHD.  The decision about whether to take medication is dependent on your personal preferences and symptom severity.

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You can discuss whether you should take AHD medication with your psychiatrist, who will give advice based on the range of ADHD symptoms and their intensity. If your symptoms are negatively influencing your school or work performance and relationships, then your specialist will discuss medication and other treatment approaches.

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Find the right ADHD specialist for your needs. Speak with us today.

What medications are used to treat ADHD and ADD?

Stimulant medications are the most commonly prescribed medication treatment for ADHD and ADD. They work by increasing the levels of certain chemicals in the brain, such as dopamine and norepinephrine, which improve focus, attention, motivation, and impulse control. Examples of ADHD stimulant medications include Elvanse, Dexedrine, Amfexa, Ritalin, Concerta, or Medikinet. ADHD stimulant drugs are prescribed in either immediate-release or extended-release formulations.

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Non-stimulant medications can also be used to treat ADHD and ADD, such as Strattera and Intuniv. These medications work by affecting certain chemicals in the brain or by inhibiting the breakdown of certain neurotransmitters involved in attention and behaviour. Unlike fast-acting stimulants, ADHD non-stimulant medications can take several weeks to work. However, they can be helpful for people who cannot take stimulants or do not respond well to them. 

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Some tricyclic antidepressants, such as imipramine, have been used off-label to treat ADHD in the past, but they are less commonly prescribed due to the potential for side effects.

What medications are prescribed for ADHD in the UK?

In the UK, there are five different types of medication licensed for ADHD and ADD that are commonly prescribed:

• Methylphenidate: stimulant medication. This is the first-line treatment for ADHD in children and young people, and is either short or long-acting. Common brand names include Ritalin, Concerta, Delmosart, Equasym, Xaggitin, and Medikinet.
• Lisdexamfetamine: stimulant medication. This is the first-line treatment for ADHD in adults. The only licensed Lisdexamfetamine brand in the UK is Elvanse (known as Vyvanse in the US).
• Dexamfetamine: stimulant medication. This is the first-line treatment for ADHD in adults. Common brand names include Dexedrine and Amfexa (known as Adderall in the US).
• Atomoxetine: non-stimulant medication. Common brand names include Strattera and Atomaid.
• Guanfacine: non-stimulant medication typically prescribed for children with ADHD. Common brand names include Intuniv.

‍Discover more about adult ADHD, its symptoms, causes, and types. Dive into Adult ADHD.