ADHD Assessment Pathway
Begin with a €89 Initial Consultation. If the screening suggests a full evaluation is appropriate, you'll progress to the Full Assessment and then your Diagnosis & Report — including an official confirmation letter.
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An ADHD assessment is a clinical evaluation that determines whether you have ADHD, using tools like the DIVA-5 interview and CAARS rating scales. Fettle's pathway, with ADHD Now, is fully online from €89
Everyone arrives at ADHD care from a different place. Pick the route that matches your situation — and if you're not sure, the ADHD Now team will point you in the right direction.
Begin with a €89 Initial Consultation. If the screening suggests a full evaluation is appropriate, you'll progress to the Full Assessment and then your Diagnosis & Report — including an official confirmation letter.
Have a confirmed ADHD diagnosis — from ADHD Now or elsewhere — and want to explore medication or psychiatry support? Start with a €89 Intake Consultation to review your history and plan what comes next.
Real Trustpilot reviews from people who found the right therapist through Fettle.
Genuinely transformed how I operate day-to-day. Before starting with Fettle, I was very close to hitting burnout - struggling with procrastination, time management, and a frustrating lack of structure. Over the last three months, working with my therapist, Louise O'Sullivan, gave me the exact circuit breaker I needed.
I really enjoy my weekly sessions with Dylan Johnston. I have tried therapy before but this time I feel I'm getting a lot more out of it. I feel so understood and it makes life less overwhelming. It's been so great to be able to do it on my laptop at home instead of the added stress of travel.
I am so happy I decided to try fettle. Emma Keane was my therapist and I felt immediately at ease with her, she helped me a tremendous amount. Her empathy helped me navigate difficult relationships and gain a much clearer understanding of my anxiety.
I am really enjoying my sessions with Pavel. The service fettle provides is very good and I highly recommend it
Great support provided by the fettle team. They are really fantastic in following up and helping with any issues on the platform. Wonderful therapists and lovely people.
Fettle really got me over a hard part in my life. My father had died and I was drinking heavily. They got back to me and got me talking to someone very fast.
Fettle makes therapy simple. I booked by text message and had my first session the same week. My therapist was accredited and really down-to-earth. It's great to know I can access support from home whenever I need it.
I was nervous about starting therapy online, but Fettle made it effortless. Irish-based, accredited therapists and excellent communication. I booked through WhatsApp, and everything was sorted instantly. Fantastic service!
The support and understanding that I've received from working with a therapist through fettle has been life-changing for me, and my on-going therapy experience has enabled me to make such positive changes in my mindset, my thinking and in my life.
Brilliant experience with Fettle, easy to book online and so compassionate throughout. Would highly recommend
Found a therapist who matches my needs, and has been open and engaging. I've been able to set up appointments on my own terms. It is certainly a service I value. Setting up additional sessions is easy and the reminders and calendars are handy to have.
Excellent MH service. Brendan has the right tone and pace. Really felt heard.
Great support provided by the fettle team. They are really fantastic in following up and helping with any issues on the platform. Wonderful therapists and lovely people.
I am really enjoying my sessions with Pavel. The service fettle provides is very good and I highly recommend it
I am so happy I decided to try fettle. Emma Keane was my therapist and I felt immediately at ease with her, she helped me a tremendous amount. Her empathy helped me navigate difficult relationships and gain a much clearer understanding of my anxiety.
I really enjoy my weekly sessions with Dylan Johnston. I have tried therapy before but this time I feel I'm getting a lot more out of it. I feel so understood and it makes life less overwhelming. It's been so great to be able to do it on my laptop at home instead of the added stress of travel.
Genuinely transformed how I operate day-to-day. Before starting with Fettle, I was very close to hitting burnout - struggling with procrastination, time management, and a frustrating lack of structure. Over the last three months, working with my therapist, Louise O'Sullivan, gave me the exact circuit breaker I needed.
Excellent MH service. Brendan has the right tone and pace. Really felt heard.
Found a therapist who matches my needs, and has been open and engaging. I've been able to set up appointments on my own terms. It is certainly a service I value. Setting up additional sessions is easy and the reminders and calendars are handy to have.
Brilliant experience with Fettle, easy to book online and so compassionate throughout. Would highly recommend
The support and understanding that I've received from working with a therapist through fettle has been life-changing for me, and my on-going therapy experience has enabled me to make such positive changes in my mindset, my thinking and in my life.
I was nervous about starting therapy online, but Fettle made it effortless. Irish-based, accredited therapists and excellent communication. I booked through WhatsApp, and everything was sorted instantly. Fantastic service!
Fettle makes therapy simple. I booked by text message and had my first session the same week. My therapist was accredited and really down-to-earth. It's great to know I can access support from home whenever I need it.
Fettle really got me over a hard part in my life. My father had died and I was drinking heavily. They got back to me and got me talking to someone very fast.
Four clear stages. No referral letter needed, no travel — a structured, clinician-led process you can complete from home.
Choose the assessment route, or the psychiatry intake if you already have a diagnosis. Evening & weekend slots available.
A €89 screening review of your symptoms and history with a specialist, plus pre-appointment intake questionnaires.
If appropriate, an in-depth evaluation using validated tools such as the DIVA-5 interview and CAARS rating scales.
Results reviewed on a video call, a full diagnostic report, and an official confirmation letter with next steps.
An ADHD assessment is more than a label — it's a neurobiological explanation for lifelong struggles. With a clear diagnosis, you can replace self-criticism with self-compassion, access the right treatment, and unlock workplace and academic supports.
Get clear clinical language for difficulties with focus, procrastination and emotional regulation, so years of being labelled "lazy" or "disorganised" finally make sense.
A formal diagnosis opens the door to ADHD coaching, therapy and — where clinically appropriate — consultant-led medication management through the psychiatry pathway.
Recognised reports can be used to seek reasonable accommodations in higher education and the workplace, including RACE/DARE applications where clinically appropriate.
Research indicates a formal diagnosis is often life-transforming, leading to marked improvements in functionality, productivity and self-esteem — and enabling access to specialised workplace and academic supports.
NICE Guidelines · HSE Adult ADHD National Clinical ProgrammeYou only ever pay for the next step — and only progress when a clinician confirms it's right for you. Each stage can be spread over monthly payments with Klarna.
A secure video call with a specialist — private, flexible and the first step on either pathway.
An in-depth evaluation using multiple validated diagnostic instruments, completed from home.
Booked only after your initial consultation, if recommended by the clinical team.
Your results reviewed with you, plus a full diagnostic report and official confirmation letter.
Compiled by the clinical team once your full assessment is complete.
The total for all three stages — and you only ever pay stage-by-stage, after a clinician confirms each step is appropriate. 20% tax relief may be available on qualifying medical expenses via Revenue (Med 1) — check your eligibility.
Assessment and psychiatry care is delivered by the ADHD Now clinical service with consultant psychiatrist oversight, in partnership with Fettle.
Clinical Director & Consultant Psychiatrist
Chartered Principal Psychologist
Senior Clinical Nurse Specialist
Medical Doctor & Psychiatry Registrar
Choose the tab that matches your situation before booking. Not sure? Call ADHD Now on +353 1 270 7906 and the team will help.
Once your assessment is complete, the clinical team will guide you towards whichever of these is right for you.
A full diagnostic report with an official confirmation letter, plus a feedback session with your clinician to talk through what it means for you.
Where clinically appropriate, consultant-led titration and ongoing prescription management through the ADHD Now psychiatry pathway — stimulant and non-stimulant options.
Access a free ADHD Group Coaching session, with one-to-one coaching and therapy available to build practical strategies for work, study and daily life.
Recognised reports for reasonable accommodations and RACE/DARE applications. Many GPs accept a shared-care arrangement for repeat prescriptions once you're stabilised.
Covered by leading Irish health insurers
ADHD assessment fees may be partially claimable through VHI, Laya, or Irish Life Health, depending on your plan, and many patients qualify for a 20% tax rebate from Revenue (Med 1). All documentation needed for pay-and-claim reimbursement is provided. Check your Table of Benefits or call your insurer before booking to confirm your cover.
Book the ADHD Assessment Initial Consultation if you don't yet have a confirmed ADHD diagnosis. Book the Psychiatry Intake Consultation if you already have a confirmed diagnosis and want to explore medication or psychiatry support. If you're unsure, call ADHD Now on +353 1 270 7906.
Before your appointment you'll complete a set of intake questionnaires that help the team start understanding whether ADHD is the right explanation for your symptoms. The consultation itself is a screening review of your symptoms and history, and whether the Full Assessment is the right next step for you.
The Psychiatry Intake is the first step for adults who already have an ADHD diagnosis. The team reviews your diagnostic documents, treatment history, medical background and suitability for the psychiatry pathway. If the structured pathway is clinically appropriate, the programme is €335 per month for 3 months, with ongoing prescription management from €57.99 per month for stable patients.
In many cases, yes. The €89 Psychiatry Intake Consultation is the right first step — the team will review your external diagnosis and confirm whether the psychiatry pathway is appropriate for you.
ADHD assessment and psychiatry support is delivered through the ADHD Now clinical service, in partnership with Fettle. Fettle is your front door to the pathway; clinical care, diagnosis and treatment decisions are made by the ADHD Now clinical team.
The main assessment interviews and report writing are performed by a Clinical Psychologist specialising in Adult ADHD or an equivalent specialist in ADHD. The service is overseen by ADHD Now's Clinical Director, Consultant Psychiatrist Dr Vishnu Pradeep.
Yes — in most cases the assessment can be conducted entirely online via secure video conferencing, offering convenience and comfort. Suitability for an online assessment is reviewed during your initial consultation.
The comprehensive assessment is designed to take into account and identify co-occurring conditions (like anxiety, depression, or autism). You'll receive guidance on all findings and recommended next steps.
The assessment follows the evidence-based DSM-5 criteria — the gold standard for diagnosis, aligned with best-practice guidelines — using validated tools such as the DIVA-5 interview and CAARS rating scales.
Yes — diagnoses are medically recognised and accepted by GPs, workplaces, and universities across Ireland. These assessments follow NICE guidelines and the HSE Adult ADHD National Clinical Programme standards. The detailed report can be used to seek reasonable accommodations in higher education or the workplace, including RACE/DARE applications where clinically appropriate.
You'll receive a comprehensive report, a feedback session with your clinician, and access to a free ADHD Group Coaching session. You may then consider coaching, therapy, or medication management — all available through the pathway.
From initial consultation to final diagnostic report typically takes 3 to 6 weeks, subject to specialist availability. Initial consultation availability is within seven days.
No GP referral is required — you can self-refer directly. Keeping your GP informed is encouraged for coordinated care. GPs can refer directly via Healthmail: adhdnow@healthmail.ie.
Come rested, in a quiet private space. Gather any relevant historical information beforehand, such as old school reports or accounts from family members.
The total investment for the full three-step diagnostic pathway is €1,279 — an initial consultation (€89), a comprehensive assessment (€695), and the final formulation and reporting (€495). Many patients spread this cost using Klarna, and Irish residents can claim 20% tax relief on these medical expenses through the Med 1 form.
Yes. Post-diagnosis, if deemed clinically appropriate by the Consultant Psychiatrist, you can access the medication management service. Options include stimulants such as Methylphenidate (Ritalin, Concerta XL) and Tyvense, plus non-stimulant alternatives like Atomoxetine (Strattera) or Guanfacine (Intuniv). ADHD coaching and therapy are also available.
Once a patient is stabilised on medication through a specialist titration period, many GPs accept a "shared-care" arrangement. The specialist provides detailed clinical correspondence to the GP, who then takes over responsibility for issuing monthly repeat prescriptions.
Yes — symptoms must have been present before age 12, even if never formally diagnosed. Many adults were missed as children, especially those with the predominantly inattentive type.
If ADHD is ruled out, you'll still receive a comprehensive report with findings and guidance on alternative explanations or conditions, along with recommended next steps for support.
Whether you're seeking clarity through assessment or structured psychiatry support after diagnosis, the pathway starts with one €89 consultation. Not sure which route is right? Call ADHD Now on +353 1 270 7906.
Book todayFettle is a mental health concierge and online platform. ADHD assessment, diagnosis, psychiatry and treatment decisions are provided by the qualified clinicians of the ADHD Now clinical service. Fettle is not a crisis or emergency service — if you are in immediate danger, call 999 or 112, or attend your nearest Emergency Department. Insurance reimbursement and tax relief depend on individual eligibility, policy terms and provider requirements.
Book a free 20-minute consultation with one of our specialist advisors. No pressure, no commitment — just honest guidance to find the right therapist for you.