Assessment · 8 min read

Private ADHD assessment for children: what to expect

What a private ADHD assessment for a child involves, what a good report contains, the questions to ask a provider, and how to avoid a poor-quality service.

Two parents talking with a clinician who is taking notes

Families usually consider a private ADHD assessment for one reason: the difficulties are affecting their child now and the local waiting list is measured in years. A good private assessment is not a faster diagnosis — it is the same standard of assessment, sooner.

What actually happens

  1. 1Pre-assessment questionnaires for you and, with your permission, your child's school.
  2. 2A long appointment covering pregnancy, early development, milestones, medical history and family history.
  3. 3A structured review of symptoms against diagnostic criteria, with examples from each setting.
  4. 4Direct time with your child, appropriate to their age.
  5. 5Consideration of alternatives and co-occurring conditions: sleep, anxiety, mood, learning difficulties, autism.
  6. 6A written report with the outcome, reasoning and recommendations.
  7. 7Follow-up: school recommendations, parent support and, if appropriate, a medication trial with monitoring.
Diagram

What a good report should contain

  • The clinician's name, registration number and qualifications
  • Which diagnostic criteria were used
  • Evidence from home and from school, quoted
  • Conditions considered and why they were excluded
  • A clear diagnostic conclusion or explanation
  • Specific, practical recommendations for school and home

Questions worth asking before you pay

  • Who will assess my child, and what is their registration?
  • How long is the assessment, and is it in more than one session?
  • Do you gather information from school as standard?
  • Is a written report included, and when will we receive it?
  • What are the costs of follow-up, medication titration and annual review?
  • Will you write to our GP about shared care?

Signs of a service to avoid

  • A diagnosis promised in a single short video call with no school input.
  • No named, registered clinician before payment.
  • No written report, or a report of a page or two with no reasoning.
  • Medication offered before a full history has been taken.

Frequently asked questions

How much does a private ADHD assessment cost?
It varies considerably by provider and region, so ask for a full written quote covering the assessment, the report, and any follow-up or medication monitoring before booking.
How quickly can it happen?
Private assessments are typically arranged within weeks, though good providers still need time to collect school information.
Can we get a diagnosis without seeing my child?
You should not. A guideline-compliant assessment includes direct contact with the child alongside information from home and school.

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