ADHD €595 · Autism €750 · AuDHD €1,000 · Report within 6 weeks · No GP referral · Psychiatrist-approved reports

ADHD Services

FAQ

Frequently asked questions

Every question we answer across the site, grouped by topic.

Booking and getting started

Do I need a GP referral?

No GP referral required. All of our diagnostic assessments are available to you directly, as we are a private mental health clinic. This makes the process faster for you to obtain a full assessment and diagnostic report.

Is the assessment in person or online?

Online, by video call with a registered clinician. There is no clinic to travel to, and the fee is the same wherever in Ireland you live.

How long does the full process take?

Immediate appointments are available, and you'll receive your personalised, detailed diagnostic report within 6 weeks of your first appointment.

What do I need to do before my appointment?

Three things. Complete the questionnaire linked in your confirmation email. Make sure a family member, partner or close friend has completed their questionnaire (for a child, this is a parent or carer and their school). Gather any examples or records that support what you've experienced.

I'm feeling nervous about my appointment. Is that normal?

A lot of people feel anxious before their appointment, and that's normal. Come as you are. Our clinicians will help you feel at ease. Your assessment is likely to be an online video call, so a quiet room at home with some privacy works best. Most of our team are neurodivergent themselves, ADHD, autistic or both (AuDHD), and understand the challenges first-hand. Many people find it helps to treat the assessment as a discovery process: a deeper understanding of how your brain works and how it interacts with the world around you.

The assessment

What happens during an ADHD assessment?

An ADHD assessment involves a structured clinical interview with a qualified clinician. We explore your medical, developmental and personal history through validated questionnaires and seek feedback from family and/or school. The process assesses attention, hyperactivity, impulsivity and related traits. You'll receive a detailed diagnostic report, written in line with the HSE ADHD in Adults Model of Care. If you wish to explore medication, a qualified psychiatrist approves it.

What happens during an autism assessment?

An autism assessment involves meeting a qualified clinician to explore your developmental history, strengths and challenges. We use evidence-based tools, structured interviews and, where appropriate, input from family, school or work. The process looks at communication style, sensory differences, social interaction and thinking patterns. You'll receive a detailed, NICE-compliant report with a clear outcome and personalised recommendations for support.

Who is the ADHD assessment for?

This is a private adult ADHD assessment with a registered clinician. No GP referral required. Appointments are online by video, anywhere in Ireland, the UK and Northern Ireland.

Who is the autism assessment for?

This is a private adult autism diagnostic assessment mapped to DSM-5-TR and ICD-11. No GP referral required. Appointments are online by video, anywhere in Ireland, the UK and Northern Ireland.

Who is the combined ADHD and autism (AuDHD) assessment for?

This is one combined assessment covering both ADHD and autism (AuDHD), for the many people whose traits overlap. No GP referral required. Appointments are online by video, anywhere in Ireland, the UK and Northern Ireland.

Can I be assessed for autism at the same time?

Yes. The combined ADHD and autism assessment, AuDHD, is €1,000 and covers both diagnostic pathways in one coordinated process. You tell your history once instead of twice.

Will an assessment always end in a diagnosis?

No assessment can promise a diagnosis. Some people's difficulties turn out to have another explanation, such as stress, anxiety, sleep problems or the demands of their current life, and a good assessment identifies that. What we commit to is a thorough, neuroaffirming evaluation against DSM-5-TR, ICD-11 and NICE guidelines. You get a clear written report whatever the outcome, so you leave with answers either way.

Is an online ADHD assessment as valid as an in-person one?

Yes. The assessment uses the same structured clinical interview and the same validated instruments either way. The report is written in line with the HSE ADHD in Adults Model of Care either way. Most people find a video call from home easier than a clinic room, because they are already somewhere comfortable.

Who fills in the informant questionnaire?

Someone who knows you well: a partner, parent, sibling or close friend. For a child it is a parent or carer, with input from their school.

I am in my forties and only started wondering recently. Is it too late?

No. A large share of the adults we assess are diagnosed in their thirties, forties or later. A diagnosis at any age gives you an accurate explanation, a management plan and a report you can use for accommodations at work or in study.

Do you assess ADHD in women differently?

We assess against the same diagnostic criteria, though we ask different questions to get there. Our clinicians are experienced in the internalised and masked presentation more common in women, non-binary and trans people, so we ask about the effort behind the result rather than judging by how coped-with your life looks from outside.

I was told it was anxiety or depression. Can I still be assessed?

Yes. It is a common starting point. Anxiety and depression frequently sit alongside undiagnosed ADHD or autism. They are sometimes what gets treated first. Our clinicians are experienced in co-occurring presentations, so an existing diagnosis does not rule out an assessment or a different answer.

What if I have no school reports from childhood?

That is common and it does not stop the assessment. The clinical interview covers your developmental history in detail. An informant who has known you a long time adds to it. Records help where they exist, without being a requirement.

Our clinicians and your report

Are your clinicians fully qualified and registered?

Yes. All our clinicians are registered with the relevant professional bodies: CORU (Ireland's multi-profession health regulator), PSI (Psychological Society of Ireland) or the IMC (Medical Council of Ireland). Our clinicians are experienced in co-occurring presentations such as AuDHD (autism and ADHD together), anxiety and depression. They are also highly experienced in trauma and mental health.

Does the HSE or NHS accept your diagnostic reports?

ADHD reports are written in line with the HSE ADHD in Adults Model of Care, so your GP and other services in Ireland, Northern Ireland and the wider UK can use them. Our ADHD and autism diagnostic reports are completed by fully qualified clinicians. Whether a GP agrees to shared care is their decision. You can use the report to support access to public healthcare services, workplace or educational accommodations and onward referrals.

How long until I get my report?

You get your written diagnostic report within one week of your last appointment, and a follow-up call to go through it with you.

Can my GP use an ADHD report?

Our reports are written in line with the HSE ADHD in Adults Model of Care, so your GP and other services can use them. Whether a GP agrees to shared care is their decision.

Can my GP use an autism report?

Our reports are written in line with NICE guidance, so your GP and other services can use them. Whether a GP agrees to shared care is their decision.

Pricing and paying

How much does a private ADHD assessment cost?

An adult ADHD assessment is €595. An adult autism assessment is €750. A combined ADHD and autism (AuDHD) assessment is €1,000. That is the full fee. It covers the clinical interview, your written diagnostic report and a follow-up call, and it includes a free pre-assessment evaluation.

What is included in the price?

Every booking includes a free pre-assessment evaluation, a structured clinical interview with a registered clinician, your detailed written diagnostic report within one week of your last appointment, a personalised management plan and a follow-up call. Every assessment is carried out by our assistant psychologists, who are registered with the Psychological Society of Ireland, and you meet our consultant psychiatrist for your assessment and feedback appointment.

Why is your assessment cheaper than most private clinics?

Because of what we built, not what we left out. Our pre-assessment evaluation is extensive and thorough. We built our own proprietary technology, which is AI-assisted, and it frees our clinicians' time so they can focus on the more human tasks. We pass the savings on to you, because we know an assessment is the start of your journey.

Are there cheaper ADHD assessments than yours?

Yes. Two of the providers whose prices we reviewed in July 2026 publish a lower adult ADHD price than ours. Before booking a cheaper assessment anywhere, ask two things: whether the written report is included in the price rather than charged afterwards, and whether the provider supports onward care through the HSE or the NHS, including shared care with a GP. Some of the lowest-priced assessments do not support that, which can mean paying privately for the next stage too. Our report is included in the €595 and written in line with the HSE ADHD in Adults Model of Care, so your GP and other services can use it. Whether a GP agrees to shared care is their decision.

Can I pay in instalments?

Yes. Payment plans can be arranged over 2 to 3 monthly instalments. Ask us on your free call or by email and we will set one up for you. This is arranged by hand, so there is no instalment option to click at checkout. We agree the amounts and the dates with you and send you a secure payment link for each one. Your assessment goes ahead as normal, and your written report is released once the final instalment has been paid.

Can I claim an ADHD or autism assessment back on my health insurance?

We give you an itemised receipt for your assessment so you can make a claim. It shows the practitioner's name, their professional registration, the date of the appointment and the service provided, which is what insurers usually ask for. Whether you get any of it back depends on your own policy. Some policies cover part of an outpatient assessment and some cover none of it.

Northern Ireland and the UK

How much does a private ADHD assessment cost in Northern Ireland?

£500, the same as the rest of the UK. The assessment is held by video call, so you can be assessed from Belfast or anywhere else in Northern Ireland. Your report is written to NICE guidance. Whether a GP in Northern Ireland agrees to shared care is their decision.

Can I get an adult ADHD assessment on the NHS in Northern Ireland?

Not through a commissioned service. In Northern Ireland the public health service is the NHS. The Department of Health confirmed in June 2026 that there is currently no commissioned service for ADHD in Northern Ireland, so there is no regionally commissioned ADHD assessment pathway and what you can get depends on your local NHS trust. Its ADHD Needs Assessment, published in February 2026, described the wait for adults as several years. Ask your GP what your trust offers now.

Does Right to Choose apply in Northern Ireland?

No. In England, when your GP refers you to a mental health professional, you have a legal right to choose which provider you go to for your first appointment, as long as that provider has an NHS contract for the service you need. People often call this Right to Choose. It is set out in the NHS Choice Framework, which applies to England only, so it does not give you a route to an NHS-funded assessment from Northern Ireland.

Will the NHS accept my report?

Our reports are written to NICE guidance and completed by clinicians registered with CORU, the Psychological Society of Ireland or the Medical Council of Ireland, so your GP and other services can use them. Whether a GP agrees to shared care is their decision.

Will my GP agree to shared care after a private ADHD assessment?

That is your GP's decision, not ours. Shared care is an agreement between a specialist and your GP about who looks after which part of your ongoing treatment. The Department of Health's ADHD Needs Assessment, published in February 2026, noted reports that people diagnosed privately in Northern Ireland are often unable to get ADHD medication through their GP under shared care. Ask your GP practice about its position before you book, so you know what to expect.

Can I take a private ADHD report to my GP in Northern Ireland?

Yes. What happens next is decided by your GP and your local NHS trust, not by us. Our reports are completed by registered clinicians and written to NICE guidance, so your GP and other services can use them. Whether a GP agrees to shared care is their decision. The same applies to the HSE in Ireland.

Can I get an adult ADHD assessment on the NHS in Derry~Londonderry?

Not at the moment. The Western Health and Social Care Trust said in July 2026 that there is no commissioned ADHD service for adults in its area, so there is no adult waiting list to join. Its adult route is for people diagnosed by the Trust's children's services who are already taking medication. Ask your GP what they can do for you now.

Can I use my report across the border in Donegal?

Yes, it travels. You can use the same report in Ireland. GPs and other services on either side of the border can use it, though shared care is always the GP's decision.

Where we assess

Can I get an ADHD assessment in Dublin?

Yes. The assessment is held by video call, so you can be assessed from Dublin, Cork, Galway or any other part of Ireland for the same €595. We have a Dublin page if you would like to read about it locally first.

Do I have to come to Dublin for my assessment?

No. Assessments are carried out as online video calls. A face-to-face appointment in Dublin can be arranged, but you do not need to travel to be assessed.

I live outside Cork city. Can I still be assessed?

Yes. Because appointments are online, where you live in the county makes no difference. You need a private room, a device with a camera and a connection steady enough for a video call.

How long is the public wait for an adult ADHD assessment in Limerick?

About 1.5 years. That was the HSE's figure in December 2025 for the public adult team covering Limerick, Clare and North Tipperary, with CAMHS transfers seen sooner. Check the current wait with your GP.

I live in Clare or North Tipperary. Can I still be assessed?

Yes, from anywhere in the Mid West. The assessment runs over video, so all you need is a quiet room and a device with a camera.

Is there a public adult ADHD service in Waterford?

It has been in development. In a reply to a parliamentary question in April 2025, the HSE said it had funded a public adult ADHD service for Waterford, Wexford, Kilkenny, Carlow and South Tipperary. It said progress had been slow. WLR FM reported in May 2025 that the team would be based at John's Hill Primary Care Centre. Ask your GP whether it is taking referrals now.

I live in Wexford, Kilkenny or Carlow. Can I be assessed?

Yes, anywhere in the South East works. The assessment happens over video, so you only need privacy and a device with a camera and a reliable connection.

Can I get an ADHD assessment in Belfast?

Yes. The assessment is held by video call, so you can be assessed from Belfast for the same £500 as anywhere else in the UK. We have a Belfast page if you would like to read about it locally first.

Can I be assessed from Belfast without travelling to Dublin?

Yes. Assessments are online video calls, so you are seen from home anywhere in Northern Ireland. Our clinic address in Dublin is for appointments there. No visit is needed for your assessment.

Do I have to travel to Belfast or Dublin for my assessment?

No, the assessment happens over video from your own home. A face-to-face appointment in Dublin can be arranged. Nobody has to travel to be assessed.

ADHD, autism and conditions that look alike

What are the benefits of an ADHD assessment?

An assessment identifies the root cause of what you have been experiencing and gives you an accurate answer, whether that is ADHD or something else. With a diagnosis you get a personalised management plan, a report you can use for workplace or educational accommodations, and a route to medication if you choose to explore it. Most people tell us the biggest benefit is understanding themselves: focus, relationships and self-esteem all make more sense once you know how your mind actually works.

Is it possible to not know you have ADHD?

Yes, and it is common, especially in adults. Symptoms are often mistaken for stress, anxiety or personality, and many people build coping systems that hide the difficulty without removing its cost. Women, non-binary and trans people are missed most often, because their presentation tends to be more internal and more masked than the classic picture. Many of our clients are diagnosed in their 30s, 40s or later.

Can you have ADHD and autism at the same time?

Yes. ADHD and autism frequently co-occur, and the combination is often called AuDHD. The two interact, so one can mask, amplify or complicate the other. That is why we offer a single combined assessment covering both diagnostic pathways rather than asking you to choose one and come back later for the other.

Does a diagnosis of one rule out the other?

No. A diagnosis of ADHD does not exclude autism and a diagnosis of autism does not exclude ADHD. Both can be diagnosed in the same person, and our combined assessment is built for exactly that situation.

I was diagnosed with one of them years ago. Could the other have been missed?

It is worth asking. Many historic assessments examined one pathway only, and the other was never considered. Masking and the older descriptions of how autism and ADHD present in women mean that plenty of adults hold one diagnosis that is correct and one that was never looked for. Bring your existing report to your pre-assessment evaluation and a clinician can tell you what was and was not covered.

I am not sure which assessment to book. What should I do?

Book the free pre-assessment evaluation and let a clinician help you decide. If it becomes clear that both pathways need assessing, the combined assessment is €1,000 in Ireland and £1,000 in the UK, which costs less than paying for the two separately and means you tell your story once.

Can a screener tell me whether it is ADHD or autism?

No. A screener indicates whether a full assessment is worth pursuing and points to which traits are worth exploring. It cannot separate ADHD from autism, because that distinction depends on your developmental history, how the traits show up across different settings and a structured clinical interview. Any tool that claims to diagnose from a short questionnaire is overstating what it does.

Can anxiety look like ADHD?

Yes, and it often does. Anxiety can produce poor concentration, restlessness, disturbed sleep, irritability and avoidance, all of which appear in ADHD as well. The distinction comes from your developmental history, whether the difficulties appear across most areas of life and what the attention is doing when it goes: drifting to anything or returning to a specific worry.

Can I have both ADHD and anxiety?

Yes. The two commonly occur together, and one diagnosis does not rule out the other. Our clinicians are experienced in co-occurring presentations including anxiety and depression, and an assessment considers them rather than stopping at the first explanation that fits.

I am already being treated for anxiety but I still cannot focus. What does that mean?

It means the question is worth asking, and it does not answer it on its own. Some people find that their remaining difficulties are explained by ADHD that was never assessed. Others find the explanation is something else, including sleep, stress or the demands of their current life. Keep working with whoever is treating your anxiety, and book a free pre-assessment evaluation to look at the rest.

Will an ADHD assessment look at my anxiety too?

Yes. A thorough assessment covers physical and mental health, sleep, emotional regulation and your current circumstances, because those are exactly the things that can explain attention difficulties or occur alongside ADHD. Your written report sets out the outcome either way, so you leave with an answer rather than another question.

Does the ASRS diagnose ADHD?

No. The ASRS is a screener. It indicates whether a full assessment is worth pursuing and it cannot diagnose ADHD, rule it out or distinguish it from anxiety. A diagnosis requires a structured clinical interview such as DIVA-5, a developmental history and informant input, reviewed by qualified clinicians.

Can social anxiety be mistaken for autism?

Yes, in both directions. Social anxiety and autism both produce avoidance of social settings, dread beforehand and exhaustion afterwards. Clinicians separate them by looking at what the difficulty is attached to, whether it reaches back into early childhood, how sensory conditions affect it and whether familiarity resolves it or only reduces it.

Can I have both autism and social anxiety?

Yes. Autistic adults can also have an anxiety condition, and having one diagnosis does not rule out the other. Our clinicians are experienced in co-occurring presentations, and an assessment considers anxiety rather than stopping at the first explanation that fits.

I am comfortable with close friends but not in groups. Does that rule out autism?

No. Many autistic adults find one-to-one conversation and shared interests much easier than groups, and that pattern is common rather than contradictory. What a clinician wants to understand is why groups are harder: whether it is the sensory load and the processing demand, the fear of judgement or a combination of the two.

Does the AQ-10 diagnose autism?

No. The AQ-10 is a screener used to indicate whether a fuller assessment is worth pursuing. It cannot diagnose autism, rule it out or separate it from social anxiety. A diagnosis requires a structured developmental and clinical interview with qualified clinicians, mapped to DSM-5-TR and ICD-11.

How do clinicians tell ADHD apart from problems caused by heavy social media use?

By looking at your history, not just your present. ADHD is neurodevelopmental, so a clinician looks for signs that reach back to childhood and show up across different settings: home, school, work and relationships. Difficulties that appear only recently, or only in one part of life, point somewhere else. We use structured clinical interviews and validated instruments to make that distinction carefully.

Is social media increasing ADHD?

Social media does not cause ADHD. ADHD is a neurodevelopmental difference, not a habit. Heavy use can worsen anyone's attention and can look like ADHD from the outside, which is one reason a careful assessment matters. Research shows an association between heavy use and attention difficulties, not proof that one causes the other.

Free screening tools

Female-Presentation ADHD Screener

Is this screener an ADHD diagnosis?

No. It is a screening questionnaire. It records how strongly you recognise yourself in twenty-five statements and shows you the shape of your answers across seven areas. A diagnosis needs a clinical interview, your developmental history, information from someone who knows you well and a clinician qualified to weigh all of it together.

Does a low score mean I do not have ADHD?

No. The screener cannot rule anything out. Its bands are first-pass clinical anchors from an instrument still in validation, not tested cut scores. A total is also seven areas added together, so one strong area can be diluted by quieter ones. If the questions described your life, that matters more than the total does.

I do not have a menstrual cycle. Is the screener still useful?

Yes. Answer Never to the three cycle questions. Your total will sit lower than it otherwise would, because those questions still count towards the maximum. The other six areas will read exactly as they should. Use the area breakdown rather than the total.

How is this different from the ASRS?

The ASRS is the World Health Organisation's adult ADHD screener. It is established, well evidenced and built around the widely described presentation. This one is designed for the internalised presentation instead: attention that runs inwards, hidden compensatory effort, sensitivity to rejection, masking and hormonal variation. It is our own instrument and it is in validation, so it carries far less published evidence behind it than the ASRS does. Many people find it useful to complete both.

What does 'in validation' mean here?

It means the instrument is being tested and does not yet have published cutoffs or norms. The items and the seven areas come from clinical practice, and the bands were set as first-pass clinical anchors rather than derived from a study sample. Read the pattern in your answers rather than treating the number as precise.

Are my answers saved?

Yes, and here is exactly how. Your answers and your result are saved against a private link, with no name, no account and no IP address attached. Anyone holding that link can see the result, so keep it to yourself unless you choose to share it. Everything is deleted after twelve months.

MASC (Masking Scale)

What is masking?

Masking, also called camouflaging, is the work of adjusting how you present so you come across the way other people expect. Rehearsing conversations in advance, forcing eye contact, monitoring your own facial expressions, copying other people's behaviour and suppressing the movements that would help you settle. It is usually learned young and it usually works, which is why other people rarely see it and why it is tiring to keep doing.

Is MASC validated?

The forty-eight-question core scale is validated on an initial cohort of 115 women and non-binary adults, and it has one threshold from that study. The six supplemental questions about attention, memory and recovery after forced focus are pending separate validation, so they are reported apart from the core average and do not count towards it. There are no percentiles and no severity bands, because the study does not support them.

Can men take MASC?

Yes, and the questions describe real experience for men. The threshold comes from a sample of women and non-binary adults, so it has not been tested for men. Your area averages still describe your answers accurately. Read those rather than the above or below verdict.

Does a high masking score mean I am autistic?

No. MASC measures camouflaging and what it costs you, not autism or ADHD. Camouflaging is common among autistic and ADHD people, and it also occurs for other reasons. A high result is a reason to get assessed properly, not an answer in itself.

How is MASC different from the CAT-Q?

The CAT-Q is an established camouflaging questionnaire and it is well known. MASC is our own instrument, designed for female, non-binary and trans presentation. It goes wider than social camouflage alone. It asks about social anxiety, exhaustion and burnout, the effect on your sense of self and avoidance. The newer modules add hiding attention and memory difficulty. MASC carries much less published evidence than the CAT-Q, which is why the validation status is stated on this page.

What happens to my answers?

The screener is anonymous and needs no account. Your result is saved against a private link, so you can print it or save it as a PDF to bring to an appointment. It is deleted after twelve months.

ADHD-50

What score means I have ADHD?

There is no such score on this instrument. ADHD-50 is in validation, it has no published cutoffs and it deliberately reports no severity band, so no count here means ADHD and no count rules it out. What it gives you is how many of the fifty experiences you recognised and where those recognitions cluster across five groupings.

Why does it never tell me the result is negative?

Because an instrument with no validated cutoff cannot rule ADHD out. Issuing a negative screen from an unvalidated scale would give false reassurance with a number attached to it. So the result shows your pattern and keeps the conversation open instead.

Some questions do not apply to me. What should I answer?

Answer no. The instrument was written around how ADHD shows up in women and non-binary adults, so a few questions, including one about premenstrual tension, will not apply to everyone. Every item is kept because removing items would make it a different instrument. Where you answered no for that reason, read the groupings rather than the count.

Why is one of the questions about creativity?

Because strong creativity and intuition belongs in the same description rather than outside it. If you recognise that statement, your result says so. It is reported and never weighted, since there is no scoring model here to weight it in.

How is this different from the female-presentation ADHD screener?

ADHD-50 is fifty yes-or-no questions and reports a count of recognised statements across five groupings. The female-presentation ADHD screener is twenty-five questions on a five-point scale and reports a score out of 100 with a band description for each of seven areas. ADHD-50 covers more of life. The other one reads intensity more finely. Both are NeurAtip instruments in validation and both are free.

Are my answers stored?

Yes. Your answers and result are saved against a private link, with no name and no account attached, so you can keep it, print it or email it to yourself. Anyone holding the link can see the result. Everything is deleted after twelve months.

AuDHD Screener

What does AuDHD mean?

AuDHD is the shorthand people use for having both ADHD and autism. It is not a separate diagnosis in DSM-5-TR or ICD-11. It describes the situation where both sets of traits are present in the same person, which is common enough that we run a combined assessment for it.

I already have an ADHD diagnosis. Is this screener still relevant?

Yes, and that is one of the situations it was written for. Two of the questions ask directly about one condition being identified while the other was missed. If your ADHD diagnosis explained part of your experience and left a remainder, this screener asks about the remainder.

Can this screener tell me which one I have?

No. It cannot separate the two and it does not try to. It describes how strongly you recognise yourself in the combined presentation, area by area. Separating the strands is assessment work, which needs a clinical interview and your history.

Why do some questions seem to contradict each other?

That is deliberate. Wanting routine and breaking routine, seeking sensory input and avoiding it, hyperfocus and being unable to start: on a combined presentation both halves are often true, and the tension between them is part of what the screener measures. Answer each question for how things usually are and let both answers stand.

Is the screener validated?

Not yet. It is a NeurAtip instrument in validation. The items and the eight areas come from clinical practice, and the bands are first-pass clinical anchors rather than tested cut scores. There is no published cutoff, so read the pattern across the areas rather than the number.

NEXA

Why does NEXA not give me a score?

Because it has no published cutoffs and no reference group. It is a NeurAtip instrument in validation, so there is no validated number to compare you with. Instead it reports your average answer out of 4 for each of the eleven areas and how many questions in that area you answered at the middle option or higher. That is a description of your answers rather than a measurement against anyone else.

Is a high average a bad result?

No. A higher average means you recognised yourself in more of those questions, more strongly. It does not mean anything is wrong with how your mind works. Two of the eleven areas, thinking strengths and focused interests, describe capabilities, so a high average there reads differently again. NEXA does not reverse the direction of any area.

Ninety-six questions is a lot. Can I stop part-way?

Yes. The result describes the areas you answered and tells you how many questions each average came from. A partial run is still a real description of those areas. A run you leave part-way through is not saved, so coming back later starts again.

Does NEXA tell me whether I am autistic or have ADHD?

No. It makes no attempt to sort your answers into a category. It describes eleven areas of how your mind works, and several of those areas are relevant to both ADHD and autism. A diagnosis needs a full assessment with a clinician.

What is interoception?

Interoception is the sense of what is happening inside your own body. Noticing hunger, thirst, needing the bathroom, pain, tiredness, temperature and the physical part of an emotion. Eleven of the ninety-six questions ask about it, because difficulty reading those signals is common among neurodivergent people and is rarely asked about in a standard screener.

Can I bring my NEXA result to an appointment?

Yes, and it is worth doing. Print the result or save it as a PDF to bring with you. The area breakdown gives a clinician specific starting points, which is more useful than a general description of finding things hard.

ASRS v1.1

Can the ASRS diagnose ADHD?

No. The ASRS is a screening questionnaire. It tells you whether your answers resemble the answers adults with ADHD gave, which is a reason to look further rather than an outcome. A diagnosis needs a clinical assessment that examines childhood history, more than one setting, the real cost to you and whether something else explains the pattern better.

Can I score low on the ASRS and still have ADHD?

Yes. The ASRS asks about behaviour that other people can see, and it asks about outcomes rather than effort. If your restlessness is internal, or if you have built systems that keep your life running, you can answer every question honestly and still land in a low band. That is why we also offer screeners designed for internalised and masked presentation.

Why does the ASRS ask about the last six months?

Because ADHD is a persistent pattern rather than a bad week. Six months is long enough to look past a stressful patch and short enough that most people can remember it accurately. It does mean a pattern that comes and goes, such as one that shifts across the menstrual cycle, tends to average out into a middle answer.

What is the difference between Part A and the total score?

Part A is the six-question screen from the original 2005 publication. Each of those six has its own threshold, and four or more crossing it makes the screen positive. The total is the sum of all eighteen answers out of 72, read against the bands published by Adler and colleagues in 2019. The two can disagree, and you are shown both.

How is the ASRS different from your own ADHD screeners?

The ASRS is the established WHO screener and it maps closely to the diagnostic criteria, which is exactly why it is here. Our own instruments were designed for questions it does not ask: internalised attention, hidden effort, change across the month and camouflage. They are not proven better than the ASRS, and each states its validation status on its page. Taking both and comparing the results tells you more than either one alone.

AQ-10

Is the AQ-10 an autism diagnosis?

No. It is a ten-question screener used as an early step on the NHS adult autism pathway. A score of 6 or more is the published signal that a full assessment is worth considering. A diagnosis needs a clinical assessment of your developmental history, your communication and relationships, your sensory experience and how you process information, mapped to DSM-5-TR and ICD-11.

Why is the cutoff 6 out of 10?

That threshold comes from the 2012 publication by Allison, Auyeung and Baron-Cohen, where 6 gave the most useful separation between autistic and non-autistic respondents. It is a sorting line rather than a boundary in nature, which is why a 5 and a 6 tell you almost the same thing.

Can I be autistic and score below 6?

Yes. The AQ-10 asks nothing about masking, about exhaustion after social contact or about social skills you learned deliberately rather than by instinct. If you have spent years studying how other people interact, you can answer several items with an honest disagreement and still be autistic. If the questions described your life despite the total, that reaction is worth more than the number.

Should I take the AQ-50 as well?

It is often worth it. The AQ-50 is the full version of the same family and it reports five subscales rather than a single total, so an uneven pattern becomes visible. It takes about ten minutes. If you think camouflaging is a large part of your picture, MASC asks about that directly.

Can I take an AQ-10 result to my GP?

Yes, as a screening result, which is what the AQ-10 is designed to be. It is not a diagnosis, because it is not one. A diagnosis comes from an assessment by a qualified clinician. Ours are written to NICE guidance, so your GP and other services can use them, and your report arrives within six weeks of your first appointment. Whether your GP refers you on is their decision.

AQ-50

Is 32 a diagnosis?

No. 32 is the published research threshold from the 2001 Baron-Cohen paper, and totals at or above it are strongly associated with autistic experience. It is a screening signal. A diagnosis comes from a clinical assessment of your developmental history, communication, sensory experience and thinking style, mapped to DSM-5-TR and ICD-11 in line with NICE guidelines.

Which should I take, the AQ-10 or the AQ-50?

The AQ-50 if you have ten minutes. It reports five subscales instead of one total, so you can see which areas are driving your result, and the pattern is usually more useful than the number. The AQ-10 is quicker and is the version most often used as a first step on the NHS pathway.

Why do the imagination questions feel wrong for me?

Because that subscale asks about fiction, pretend play and picturing things in your mind, and interest in those things varies widely among autistic people. Plenty of autistic adults read the imagination items as describing someone else. It is a known limit of a self-report instrument written in 2001, and it is one reason to read your subscales separately rather than trusting the total alone.

I scored below 32 but I relate to autistic experience. What now?

Check your subscales first, because one very high area can shape a life while the average stays low. Then consider MASC, which asks about camouflaging directly and was validated on an initial cohort of women and non-binary adults. The NEXA profile is also worth a look, since it maps how your neurodivergence expresses itself rather than testing you against a cutoff. If the questions here described your life, that is worth taking to a clinician regardless of the total.

Can I use my AQ-50 result to get an assessment?

You can bring it, and it is genuinely useful as a starting point, particularly if you note the examples that came to mind while answering. You do not need it, and you do not need a GP referral either. Our assessments are booked directly and the diagnostic report arrives within six weeks of your first appointment.

Your data

What precautions do you take with my data?

You remain the owner of your data. We act as its custodian. All information is protected with bank-level encryption, strict access controls and secure storage that meets or exceeds GDPR requirements. Access is limited to authorised personnel and staff are trained in privacy best practice. We have tested backup, disaster-recovery and breach-notification procedures. You can request, correct or delete your information at any time.

Ready to understand how your brain works?

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