What should you know about NICE ADHD guidance?

ADHD can involve difficulty concentrating, forgetfulness, restlessness, impulsive decisions, or trouble organising tasks. The pattern often begins in childhood, although some people are recognised later when work, study, relationships, or parenting demands increase. Feeling anxious or irritable may accompany the strain of managing symptoms, but these experiences can also have other causes. A diagnosis is based on a detailed assessment, not one questionnaire or one difficult period.

A mental health assessment may review development, school or work history, sleep, mood, substance use, physical health, and information from someone who knows you well. Write down examples of missed deadlines, distractibility, impulsive behaviour, or restless periods and note where they occur. Practical support can include written instructions, breaking tasks into smaller steps, reminders, regular routines, sleep habits, and adjustments at school or work. Medication may be discussed when appropriate, with review of benefits and unwanted effects.

Arrange an assessment if attention or impulsivity is persistently disrupting education, work, relationships, driving, finances, or daily safety. Seek urgent help for thoughts of self-harm, severe agitation, hallucinations, or inability to care for yourself or a dependent person. A sudden change in concentration also deserves medical review because sleep problems, mood conditions, medicines, and physical illness can contribute.

Ask what information is needed for assessment, how other conditions will be considered, which supports are available before diagnosis, and how treatment would be monitored. If medication is suggested, ask about timing, appetite, sleep, mood, and follow-up.