The Lyceum

ADHD Subtypes: Assessment Led Guidance

Specialist CBT therapy for anxiety, OCD, depression and more in West London

ADHD is described in terms of presentations that reflect different patterns of difficulty. Some people experience primarily difficulties with attention, organisation, planning and memory. Others experience primarily restlessness, impulsivity and difficulty waiting. Many experience a combination of both. A guide cannot diagnose ADHD or determine which presentation applies to an individual. Presentations can change over time. Difficulties that were more visible in childhood may become less obvious in adulthood, while internal restlessness, difficulty managing demands and emotional regulation challenges may become more prominent. A guide cannot determine how a person's experience has changed over time or what is relevant for them now. ADHD presentations can overlap with other difficulties, including anxiety, depression, sleep disruption, trauma, learning differences and physical health conditions. A guide cannot determine whether ADHD, another condition or a combination of factors is relevant for an individual. An assessment can consider the full picture. Diagnosis of ADHD in adults requires a specialist assessment. A guide cannot provide a diagnosis, advise on medication or replace a specialist assessment. Questions about diagnostic assessment or medication should be discussed with an appropriately qualified assessor or prescriber. CBT may be considered after individual assessment where ADHD is affecting daily life. It can involve exploring routines, self criticism, avoidance, sleep, overwhelm, work patterns and relationships in ways that fit the person's individual circumstances and goals. Any behavioural work should be planned with a suitably qualified clinician after discussion of the rationale, alternatives, safety and pacing. For related information, see neurodivergence affirming CBT at https://lyceumclinic.co.uk/cbt for neurodivergent people/, the ADHD comprehensive guide at https://lyceumclinic.co.uk/guides/adhd comprehensive guide/, ADHD at work in West London at https://lyceumclinic.co.uk/guides/adhd work rights west london/ and ADHD and relationships at https://lyceumclinic.co.uk/guides/adhd relationships west london/. If there is immediate danger, thoughts of self harm, an inability to stay safe or a sudden marked deterioration, call 999, attend A&E or use urgent local crisis or medical support.

Frequently asked questions

Can a guide diagnose ADHD or determine a presentation?

No. A guide can describe general patterns. An individual assessment can consider your specific experience, health, safety and context.

Can ADHD presentations change over time?

Yes. Presentations can change across the lifespan. A guide cannot determine how a person's experience has changed or what is relevant for them now.

Can CBT help with ADHD?

CBT may be considered after individual assessment. Whether it is appropriate, and what it would involve, depends on the person's assessment, health, safety and goals.

When should I seek urgent support?

If there is immediate danger, thoughts of self harm, an inability to stay safe or a sudden marked deterioration, call 999, attend A&E or use urgent local crisis or medical support.

Related pages

  • CBT support for neurodivergent people
  • ADHD: comprehensive clinical guide
  • CBT support for neurodivergent adults
  • How CBT works
  • Book a free 15 minute consultation
  • How ADHD Affects Relationships: The West London Professional Picture
  • ADHD at School and Work: What the Evidence Says for West London Students and Professionals
  • ADHD in West London: What the Local Picture Really Shows
  • ADHD in Women and Girls: Assessment Led Guidance
  • Explore all clinical guides

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Written by Sanah Younis, BABCP accredited CBT Therapist at The Lyceum Clinic.

Last clinically reviewed: 14 August 2026

Clinical information on this page is general and does not replace personalised assessment. If you are in immediate danger, call 999 or attend A&E.

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