Many adults seek ADHD assessment after years of managing attention, organisation or impulsivity difficulties without an explanation. Assessment pathways and current availability vary by provider and demand. The Lyceum provides CBT based therapeutic support for ADHD related difficulties but does not provide diagnostic assessment or prescribe medication. This guide was written by Sanah Younis, a BABCP accredited Cognitive Behavioural Therapist with over 11 years of clinical experience in specialist clinical settings and private practice. BABCP accreditation signals adherence to professional training and supervision standards; it does not guarantee a particular assessment or therapy outcome. Understanding access and assessment Many adults seek assessment after recognising a long standing pattern or after demands change at work, home or study. Similar difficulties can also occur alongside anxiety, low mood, sleep disruption, trauma, physical health concerns, medication effects or current pressures. A careful assessment can consider childhood history, daily functioning, context, health, risk and other possible explanations rather than relying on a checklist or social media content. The Lyceum provides CBT based support for ADHD related difficulties where clinically appropriate. The clinic does not conduct diagnostic assessments, prescribe medication or decide whether workplace adjustments are required. A formal diagnosis is not always required to discuss patterns such as planning difficulties, procrastination, self criticism, overwhelm or relationship strain, but an assessment service may be the more relevant route where diagnostic clarification or medication review is being considered. Support and practical boundaries CBT based work can explore routines, priorities, coping patterns, mood, anxiety and the practical impact of attention related difficulties. It cannot replace a diagnostic service, medical review, occupational health assessment, legal advice or an employer’s decision about adjustments. Workplace or university support questions may need to be discussed with the relevant organisation, occupational health team or disability adviser. Medical and urgent safety boundaries New, severe or concerning physical symptoms, medication questions, significant substance use, a sudden marked change in mental state or possible specialist needs should be discussed with an appropriate medical professional. If you cannot keep yourself safe, have thoughts of harming yourself, experience psychosis, severe agitation, confusion or a sudden deterioration, seek urgent help. In immediate danger, call 999 or attend A&E. Frequently asked questions Can therapy diagnose ADHD? No. The Lyceum does not provide diagnostic assessment; a relevant assessment service should explain its own pathway directly. Can I discuss ADHD related difficulties without a diagnosis? Yes. A clinician can discuss current difficulties and whether CBT based support, diagnostic assessment, medical review or another route may be relevant. For related information, see https://lyceumclinic.co.uk/guides/cbt for adhd evidence/, https://lyceumclinic.co.uk/guides/neurodivergent burnout/, https://lyceumclinic.co.uk/therapy/anxiety/ and https://lyceumclinic.co.uk/therapy/depression/. The Lyceum offers BABCP accredited CBT therapy face to face in Chiswick, Ealing and the Richmond venue, and online. Session fees are £110 online and £140 face to face. Contact the clinic to discuss whether CBT based support is suitable for your circumstances and check current availability. Your first 15 minute consultation is free. For further reading, visit the Clinical Guides library at lyceumclinic.co.uk/guides, or book a free consultation at lyceumclinic.co.uk/start.