Getting an ADHD diagnosis in Ireland as an adult

Getting an ADHD diagnosis in Ireland as an adult can feel like a daunting task, especially when you are already dealing with the symptoms of executive dysfunction.

Following my previous blog on [identifying ADHD symptoms], I wanted to share a transparent, step-by-step guide to the process in the Republic of Ireland. This is based on my own journey of being diagnosed in 2023 at age 30, combined with the most current 2025 guidelines for navigating the Irish healthcare system.

1.   Documentation: Building Your Case

The first step is a personal "deep dive." Because ADHD is a developmental condition, clinicians need to see that symptoms have been present since childhood and impact multiple areas of your life (work, home, social).

●      Symptoms Log: I kept a journal for several weeks, noting not just what I was feeling, but the frequency and impact.

●      Peer Support: I spoke with an ADHD coach and friends who had been through the process. Hearing their "aha!" moments helped me articulate my own.

●      Childhood Evidence: If possible, look for old school reports or speak to a parent.

Comments like "has potential but is easily distracted" are often the first breadcrumbs.

2.   The GP Gateway & Health Screening

In Ireland, your GP is your first port of call. They cannot officially diagnose ADHD, but they are essential for two reasons: Referral and Exclusion.

●      Mental Health Screening: My GP performed a full health screening to rule out other conditions. This is a vital step because anxiety, depression, and certain thyroid issues can mirror ADHD symptoms.

●      Physical Baseline: If you are considering medication, you will eventually need a "fit-to-prescribe" check, including an ECG (Electrocardiogram) and blood tests to ensure your heart and general health are stable before starting stimulants.

3.   Choosing Your Pathway: Public vs. Private

This is where the journey can vary significantly in terms of time and cost.

Feature	Public (HSE)	Private
Cost	Free	€600 – €1,500+
Wait Time	2–3+ Years (highly variable)	6–12 Months
Referral	Required via GP	Often required / Self-referral

Pro Tip: Check your health insurance policy. While many don't cover the assessment itself, some providers (like Laya or VHI) may reimburse a portion of the "Consultant Psychiatrist" or "Psychologist" fees depending on your plan.

4.   The Assessment Process

If you go private, you will likely work with a Clinical Psychologist or a Consultant Psychiatrist. My assessment in 2023 was a multi-stage process:

1.     Initial Screening: A consultation to review history and suitability.

2.     In-Depth Evaluation: A 90-minute face-to-face session involving a clinical interview and a deep dive into lived experiences.

3.     The "Spectrum" Questionnaires: I was given seven validated questionnaires. It’s important to note that a thorough assessment often looks for "co-morbidities" like Autism, Bipolar, OCD, or EUPD (Borderline Personality Disorder) to ensure the diagnosis is accurate.

4.     Psychiatric Review: If a psychologist performs the assessment, you must have a final session with a Psychiatrist if you wish to discuss medication.

5.   The Diagnosis & Beyond

Once the notes and surveys are reviewed (which took about a month in my case), you receive your official report.

●      Medication: If you are prescribed medication (such as Ritalin or Tyvense), you will undergo a "titration" period. This involves regular check-ups to find the right dosage.

●      Cost Reality: My total journey cost approximately €1,200. While expensive, the clarity and the "user manual" for my brain that came with it were life-changing.

Final Thoughts

The process in Ireland is currently a "lengthy one" due to a shortage of specialists. My journey took nine months from the first GP visit to the final prescription. If you are starting this path, be patient with yourself—the clarity at the end is worth the paperwork.

Would you like me to help you draft a checklist of symptoms or a template letter to bring to your GP for that first appointment?

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