Help & answers

Frequently asked questions

Straight, honest answers about our fostering and ADHD assessments. Policies and clinical practice can vary, so if you can't find what you're looking for, just get in touch and we'll talk it through.

Fostering

Fostering Assessment

Everything you might be wondering about eligibility, your home, checks, finances and what happens along the way.

Eligibility & your circumstances

Can I pass a fostering assessment if I am in a same-sex relationship?

Yes. Your sexual orientation has no bearing on your suitability to foster, and same-sex couples and LGBTQ+ applicants are warmly welcomed as foster carers. The assessment considers the same things for everyone: the stability of your relationships, the safety of your home and your ability to meet a child's needs. What counts is the quality of care you can provide.

Can I apply for fostering if I am divorced or separated?

Absolutely. Being divorced or separated does not prevent you from fostering. Your assessor will simply want to understand your relationship history, how things ended and how you manage any co-parenting, as this helps build a full picture of your emotional resilience and stability. Many single and previously married people make excellent foster carers.

Can unmarried couples apply for a fostering assessment together?

Yes. You do not need to be married or in a civil partnership to foster as a couple. What assessors look for is a stable, committed relationship that can offer a child a secure home. You will both be assessed together, and the strength and longevity of your relationship will naturally form part of that conversation.

How long should we have lived together before applying to foster?

There is no fixed legal minimum, but most fostering services like to see a settled, established relationship, often around two years of living together, so they can be confident the partnership is stable. If you have been together for less time, it is still worth talking to us, as we look at your circumstances as a whole rather than applying a rigid rule.

Can I foster if English is not my first language?

Yes. Speaking English as an additional language is not a barrier to fostering, and bringing another language and culture into a child's life can be a real strength. You will need to communicate effectively with the child, professionals and the agency, and support with this can often be arranged where it is needed.

Can I apply for a fostering assessment if I am not a UK citizen or have limited immigration status?

You do not need to be a British citizen to foster, but you will usually need settled status or the right to remain in the UK on a long-term basis, as fostering is an ongoing commitment. Your immigration status is checked as part of the assessment. If you are unsure whether you qualify, get in touch and we can talk it through.

Will my religion or beliefs be discussed during my fostering assessment?

Your faith and beliefs are respected, and people of all religions and none foster successfully. Your assessor may explore your beliefs to understand your values and how you would support a child's own identity and background, which may differ from your own. The key is an open, inclusive approach that always puts the child's needs first.

Your home

Can I successfully complete a fostering assessment if I rent my home?

Yes. You do not need to own your home to foster. What matters is that your home is stable, safe and suitable, with enough space for a child. If you rent, your assessor may ask about the security of your tenancy, and it can help to let your landlord know of your plans. Renting is no barrier to becoming a foster carer.

Can I foster if I live in a flat or apartment?

Yes. Foster carers live in all kinds of homes, including flats and apartments. The important thing is that the home is safe, comfortable and has appropriate space, usually a spare bedroom for the child. Your assessor will carry out a health and safety check of the property, whatever its type, to make sure it is suitable.

Do I need a spare bedroom before starting a fostering assessment?

In most cases, yes. Fostering services generally expect a foster child to have their own bedroom, so a spare room is usually needed. There can be some flexibility depending on the type of fostering and the ages involved, so if you are unsure whether your space is suitable, it is always worth asking us before you begin.

How are pets assessed during the fostering assessment process?

Pets are welcome in many fostering households and can be wonderful for children. As part of the assessment, your assessor carries out a simple pet check to make sure any animals are safe and well cared for, and to consider temperament, particularly with dogs. It is about safety, not about excluding pet owners.

Do I need to drive to pass a fostering assessment?

Driving is not usually an absolute requirement, but being able to get around reliably is important, as fostering involves school runs, contact visits and appointments. If you do not drive, your assessor will look at how you would manage transport, for example through public transport or a partner who drives. Good local links can make a real difference.

Health & lifestyle

How does a disability or long-term health condition affect a fostering assessment?

A disability or health condition does not prevent you from fostering. As part of the assessment you will have a medical, which is reviewed by the agency's medical adviser, to check that you are well enough to care for a child over time. The focus is on your ability to provide safe, consistent care, not on the condition itself, and reasonable adjustments can be considered.

Can I pass a fostering assessment if I smoke or vape?

Smoking or vaping does not automatically rule you out, but there are usually restrictions, particularly for very young children or those with certain health needs, who may not be placed with people who smoke. Many services also ask carers not to smoke in the home or car. Your assessor will discuss this openly and explain any policies that apply.

Background & checks

Will a criminal record automatically prevent me from passing a fostering assessment?

Not necessarily. An enhanced DBS check is part of every assessment, but a criminal record does not automatically disqualify you. Certain offences, especially those against children, are an absolute bar, but many older or minor convictions are simply discussed openly to understand the context. Honesty is essential; it is far better to disclose something up front than for it to emerge later.

How honest should I be about my past during a fostering assessment?

Completely honest. The assessment explores personal and sometimes difficult areas, and it is designed to understand your whole story, including mistakes and hard experiences. Assessors are not looking for a perfect past; they are looking for insight, honesty and resilience. Being open builds trust, whereas anything concealed that later comes to light can seriously affect your application.

What happens if my references are not suitable?

If a reference raises a concern, your assessor will usually explore it with you rather than simply reject your application. Sometimes a referee is not appropriate, or a comment needs context, and additional references may be sought. Any genuine concern about your suitability is looked at carefully and fairly, and you will have the chance to respond.

Will my neighbours be contacted during my fostering assessment?

Not routinely. Your named personal referees are the people contacted for references, and your assessment does not usually involve approaching neighbours. If there were a specific reason to gather wider information, this would be discussed with you first. Your privacy is respected throughout the process.

Will my employer be contacted during my fostering assessment?

Only with your knowledge. If a reference relating to your work is needed, it is arranged with your agreement. You choose your personal referees, and any professional or employment reference is handled openly, so nothing happens behind your back.

Finances

How are my finances checked during a fostering assessment?

Fostering does not require you to be wealthy, but your assessor will look at your financial stability to make sure you can manage day to day. This usually means a straightforward review of your income, outgoings and any debts, to confirm your household is financially secure. Foster carers also receive a fostering allowance to help with the cost of caring for a child.

Can I continue receiving benefits during the fostering assessment?

Yes. Being in receipt of benefits does not stop you from fostering, and many foster carers claim benefits. The fostering allowance you receive as a carer is generally treated separately, though it is sensible to check how fostering might interact with your particular circumstances. Financial stability, rather than a specific income level, is what matters.

During & after your assessment

What happens if my circumstances change while I am being assessed?

Just let your assessor know. Life changes such as a house move, a new job, a relationship change or a health issue can usually be accommodated, and the assessment simply takes account of your updated situation. Being open about changes keeps your assessment accurate and on track, and your assessor will talk through any impact with you.

Can I pause my fostering assessment if something changes in my personal life?

Yes. If something significant happens, it is often possible to pause your assessment and pick it up again when the time is right. Fostering services would far rather you took the space you need than push on at a difficult moment. Talk to your assessor, and together you can agree the best way forward.

What happens if my assessment identifies areas I need to improve?

This is a normal and positive part of the process. Assessment is partly about preparation, so your assessor may highlight areas to develop, such as further training or building your support network. These are usually things you can work on rather than reasons to stop, and the aim is to help you become the best carer you can be.

Can I transfer my fostering assessment to another fostering agency?

In many cases, yes. If you are partway through, or already approved, there are established routes to move between fostering services, and much of the information already gathered can often be shared to avoid starting from scratch. If you are considering a transfer, talk to us about where you are in the process and we can explain your options.

Fostering

Becoming a Foster Parent

The journey to becoming a foster parent, from your first enquiry to pay, support, and the children you'll care for.

Getting started

What is the first step to becoming a foster parent?

The first step is simply to get in touch. An informal, no-obligation enquiry, by phone or through our contact form, lets you ask questions and find out whether fostering could be right for you. There's no commitment at this stage. If you'd like to go further, we arrange an initial visit and, from there, begin your fostering assessment. Many people find that first conversation is all it takes to feel reassured and ready to explore fostering properly.

What happens after I apply to become a foster parent?

Once you decide to go ahead, we arrange an initial home visit, then begin your fostering assessment, known as the Form F. Over several months, an assessing social worker gets to know you and your household through a series of visits, alongside background checks, references and preparation training. Your completed report is then presented to an independent fostering panel, which recommends whether you should be approved. Throughout, you'll be supported and kept informed.

Will I have a dedicated social worker throughout the application process?

Yes. You'll have an assessing social worker who guides you through the whole process, getting to know you, carrying out your visits and answering your questions along the way. They are there to support you, not to catch you out, and to make sure your assessment is a fair reflection of what you can offer a child. Once you're approved, you'll have a supervising social worker who continues to support you as a foster carer.

What happens at the fostering panel?

The fostering panel is a meeting of independent people, including experienced social workers, carers and other professionals, who consider your assessment report. You are usually invited to attend with your assessing social worker, and the panel may ask you a few questions. It isn't an interrogation; it's a careful, independent look at your application. The panel then makes a recommendation on your approval to the agency's decision maker, who makes the final decision.

When will I know if I have been approved as a foster parent?

You'll usually find out very soon after panel. The panel makes its recommendation on the day, and the agency's decision maker then confirms the final decision, typically within a week or two. You'll be told the outcome in writing. If you're approved, you'll also be told the type and number of children you're approved to care for, and you can begin your fostering journey with our support.

Training & support

What training do I need before becoming a foster parent?

Before you're approved, you'll take part in preparation training, often called a Skills to Foster course. This introduces you to what fostering involves, the needs of children in care, safeguarding, and the realities of the role, and it helps you feel ready. You don't need any qualifications or prior experience beforehand; the training gives you the grounding you need, and there is plenty more learning and support once you are approved.

What ongoing training do foster parents receive?

Learning continues throughout your fostering career. Once approved, you'll have access to ongoing training and development on topics such as understanding trauma, managing behaviour, attachment, education and health. This helps you build your skills and confidence over time and respond to the needs of the children you care for. Training is a normal, valued part of fostering, and it is provided as part of the support around you, not something you arrange alone.

What support will I receive after becoming a foster parent?

A great deal. Once approved, you'll have your own supervising social worker, regular support and supervision, and access to ongoing training. Many services also offer round-the-clock advice, support groups where you can meet other carers, and help for your own children. A fostering allowance supports the cost of caring for a child. You are never expected to do this alone; strong support is one of the things that makes fostering sustainable and rewarding.

Pay, allowance & working

How much do foster parents get paid?

Foster carers receive a fostering allowance for each child in their care, and many services also pay a fee or reward on top, in recognition of your time and skill. The exact amount varies depending on the fostering service, the type of fostering and the needs of the child. There is also a generous tax arrangement for foster carers. We're happy to talk through how allowances and fees typically work when you get in touch.

Do foster parents receive an allowance?

Yes. Every foster carer receives a fostering allowance for each child they look after. This is designed to cover the everyday costs of caring for a child, such as food, clothing, activities and travel, so that fostering doesn't leave you out of pocket. On top of the allowance, many fostering services pay a fee or reward for your time and commitment. The amounts vary between services and depend on the placement.

Can I continue working after becoming a foster parent?

Often, yes, though it depends on your circumstances and the type of fostering you do. Some placements, particularly very young children or those with additional needs, ask for a carer to be available full-time, while others fit more flexibly around work. What matters is that you can be there for a child when they need you, including for school runs, appointments and meetings. We'll talk through your working life and help you find the right fit.

The children you foster

What ages of children can I foster?

Children of all ages need foster homes, from babies through to teenagers approaching adulthood. As part of your assessment, you'll discuss which age range suits you, your household and your circumstances, and your approval will reflect this. Some carers prefer younger children, others feel best suited to teenagers, and both are hugely needed. There's no single right answer; it is about the match between you and the children you can best support.

Can I choose which children I foster?

To an extent, yes. Your approval sets out the age range and number of children you can care for, and you are never simply sent a child without discussion. When a child needs a home, the fostering service considers whether the match is right for you and for them, and talks it through with you. You can decline a placement that isn't right. The aim is always a good, stable match rather than filling a space.

Can I choose the type of fostering I want to do?

Yes. There are several types of fostering, and your assessment explores which suit you best. These include short-term fostering, long-term fostering, respite or short-break care, emergency fostering, and specialist options such as parent and child placements. Your approval reflects the types you're suited to, and this can develop over time as you gain experience. We'll help you understand the options and find what fits your family and your strengths.

How soon could my first foster child be placed with me?

This varies. Once you are approved, a placement could come quite quickly, sometimes within days or weeks, or it may take a little longer, depending on the children who need homes and the match with your approval. The priority is always the right match rather than the fastest one. Your supervising social worker will talk through any potential placement with you, so you feel confident and prepared before a child arrives.

Your role & rewards

What responsibilities do foster parents have?

Foster carers provide a safe, stable and nurturing home and meet a child's day-to-day needs, from routines and meals to school, health and emotional support. You'll help a child feel secure, encourage their development, keep records, attend meetings, and work as part of a team around the child, including social workers, schools and sometimes birth family. Safeguarding and promoting each child's welfare is at the heart of everything. It's a responsible role, and a deeply important one.

What are the rewards and challenges of becoming a foster parent?

Fostering is both challenging and hugely rewarding. Children who have had difficult starts may need patience, understanding and consistency, and there will be hard days. But watching a child grow in confidence, feel safe and begin to thrive is a reward like no other. Many carers describe it as the most meaningful thing they have ever done. You won't face the challenges alone; support and training are always there to help you.

Why should I become a foster parent?

Because every child deserves a safe, stable and loving home, and there are simply not enough foster carers to meet the need. As a foster parent, you can make a lasting, positive difference to a child at a time when they need it most. It asks a lot, but it gives a great deal in return, both to the child and to you. If you have room in your home and your heart, fostering could be for you.

After approval

Can I transfer to another fostering agency after becoming a foster parent?

Yes, in many cases. If you are already an approved foster carer, there are established routes to transfer between fostering services, and much of your existing information can often be shared, which can make the process quicker than starting from scratch. It is worth thinking carefully about your reasons and any children currently in your care. If you are considering a transfer, talk to us and we can explain how it works and your options.

What happens if my application to become a foster parent is unsuccessful?

Not everyone who applies is approved, and if that happens, you'll be given a clear explanation of the reasons. Sometimes it is about timing or circumstances that could change, and you may be able to reapply in the future. You also have the right to have your views recorded and, in some cases, to seek a review. Whatever the outcome, the process is handled fairly and respectfully, with the welfare of children as the priority.

ADHD

ADHD Assessment

Clear, honest answers about ADHD assessments for adults, teenagers and children, from how diagnosis works to what support follows.

ADHD diagnosis

At what age can a child be diagnosed with ADHD?

There is no single fixed age, but ADHD is most often diagnosed once a child has started school, frequently from around the age of five or six, when difficulties with attention or activity become clearer against everyday expectations. Some children are assessed earlier where concerns are significant, though diagnosing very young children takes particular care. What matters is that the difficulties are persistent, present in more than one setting, and genuinely affecting the child's daily life, rather than the age itself.

Can adults be diagnosed with ADHD later in life?

Yes. ADHD is a lifelong condition, but many people are only diagnosed in adulthood, sometimes in their thirties, forties or beyond. Adults often seek an assessment after years of struggling with focus, organisation or restlessness, or after recognising traits while their own child is assessed. A diagnosis requires evidence that difficulties were present in childhood, even if they were never formally identified at the time. Being diagnosed later can still be genuinely valuable, opening the door to understanding and support.

Can women and girls be diagnosed with ADHD differently from men and boys?

ADHD can present differently in women and girls, which is one reason they are more often missed or diagnosed later. Rather than obvious hyperactivity, they may show more inattentive traits, such as daydreaming, disorganisation or being easily overwhelmed, and many learn to mask their difficulties to fit in. Good clinicians are alert to this and look beneath the surface, taking account of how ADHD can be internalised. The diagnostic criteria are the same, but experienced assessors know how differently it can appear.

Is an online ADHD assessment accurate?

It depends on how it is carried out and by whom. A remote or video assessment led by a qualified, registered clinician, following recognised criteria and drawing on questionnaires, history and information from more than one setting, can be just as valid as an in-person one. What is not reliable is a quick online quiz or a diagnosis based on a short questionnaire alone. If you consider an online assessment, check it is delivered by a registered professional and follows NICE guidance.

What tests are used to diagnose ADHD?

There is no single blood test or brain scan that diagnoses ADHD. Instead, clinicians use a combination of tools alongside a detailed clinical interview. These typically include validated rating scales and questionnaires, such as Conners for children or DIVA for adults, completed by the person and by others who know them well. Some services also use computer-based attention tasks. These tools support the assessment, but the diagnosis is a clinical judgement made against recognised criteria, not the result of any one test.

Can ADHD be diagnosed in one appointment?

Sometimes, but rarely on the spot with no preparation. A thorough assessment usually involves questionnaires completed beforehand and information gathered from more than one setting, then a clinical interview that may last one to two hours. For some adults this can be enough for a clinician to reach a diagnosis in a single appointment. For children it often takes a little longer, as school input is needed. Be cautious of any service promising an instant diagnosis with no proper evaluation.

How do I prepare for an ADHD assessment?

A little preparation helps. It is worth noting down the difficulties you experience and specific examples of how they affect daily life, at home, at work or at school. Thinking back to childhood, and gathering any old school reports, can be useful, as evidence of early difficulties is part of the criteria. Completing any questionnaires sent in advance, and arranging for someone who knows you well to contribute, also helps. Most of all, be open and honest during the assessment.

What is the difference between an ADHD screening and a full ADHD assessment?

A screening is a brief, initial check, often a short questionnaire, that indicates whether ADHD is likely and whether a full assessment is worthwhile. It cannot, on its own, diagnose ADHD. A full assessment is a detailed clinical evaluation by a qualified professional, drawing on questionnaires, developmental history, information from more than one setting and an in-depth interview, measured against recognised criteria. Only a full assessment can lead to a formal diagnosis, so screening is best seen as a helpful first step.

Can ADHD be mistaken for other conditions?

Yes. Several conditions share features with ADHD, including anxiety, depression, sleep problems, learning difficulties and autism, and difficult life circumstances can also affect attention and behaviour. This is exactly why a proper assessment matters. A skilled clinician does not simply confirm ADHD; they consider and rule out other explanations, and recognise where ADHD exists alongside another condition. Getting this right ensures any diagnosis is accurate and that you are pointed towards the most appropriate support.

What evidence is needed to diagnose ADHD?

A diagnosis rests on clear evidence that meets recognised criteria. The clinician looks for a persistent pattern of inattention and/or hyperactivity and impulsivity that has been present over time, ideally since childhood, and that shows up in more than one setting, such as home and school or work. There must also be evidence that these difficulties cause real impairment in everyday life, and that they are not better explained by another condition. This evidence comes from interviews, questionnaires and accounts from others.

ADHD assessments for adults

What does an adult ADHD assessment involve?

An adult ADHD assessment involves completing validated questionnaires beforehand, then an in-depth clinical interview with a qualified professional, usually lasting one to two hours. The clinician explores your current difficulties with attention, focus, organisation and impulsivity, how they affect your work, relationships and daily life, and evidence that traits were present in childhood. They also consider other possible explanations. Where the criteria are met, you receive a diagnosis and a written report with recommendations and next steps.

What symptoms of ADHD do adults commonly experience?

Adults with ADHD often describe difficulty focusing or, conversely, hyperfocus on things that interest them, alongside disorganisation, procrastination, poor time management and forgetfulness. Many feel constantly overwhelmed or restless, struggle to finish tasks, act on impulse, or find their emotions hard to regulate. These traits can affect work, finances, relationships and self-esteem. Because adults often develop coping strategies, the signs can be subtle, which is why a thorough assessment looks at the underlying patterns rather than surface behaviour.

Can I have ADHD even if I did well at school?

Yes. Doing well at school does not rule out ADHD. Many people, particularly those who are bright or highly motivated, or who had a lot of structure and support, manage to cope through school, sometimes by working far harder than their peers. Difficulties often become more obvious later, when the demands of work, independent living or parenting increase and that external structure falls away. An assessment considers your whole history, not just academic results.

How is childhood ADHD confirmed during an adult assessment?

Because ADHD begins in childhood, an adult assessment looks for evidence that traits were present early in life, even if never formally diagnosed. The clinician will ask about your childhood, your school experiences and your behaviour growing up. It can help to bring old school reports or to involve a parent or someone who knew you as a child, as their recollections add valuable detail. This childhood evidence is combined with the picture of your current difficulties to reach a diagnosis.

Can anxiety or depression affect an ADHD assessment?

Yes, and they are very common alongside ADHD. Anxiety and depression can both mimic and mask ADHD, and living with undiagnosed ADHD can itself contribute to them. A skilled clinician takes this into account, working to understand which difficulties are due to ADHD, which are due to another condition, and where more than one is present together. A thorough assessment is designed to untangle this, so that the diagnosis is accurate and the right support can follow.

Can I bring someone with me to my ADHD assessment?

Yes, and it is often encouraged. Bringing a partner, parent, close friend or family member can be genuinely helpful, as they may recall examples of your difficulties, both now and in childhood, that you have not noticed or have come to see as normal. Their perspective adds useful evidence to the assessment. If they cannot attend, they may be able to contribute by completing a questionnaire or speaking to the clinician separately. You are welcome to bring someone for support too.

What happens if I am diagnosed with ADHD as an adult?

If you are diagnosed, you will receive a written report explaining the findings, and your clinician will discuss what happens next. Support can include practical strategies and coaching, therapy such as CBT, workplace adjustments and, in some cases, medication. Where medication is considered, it is started and reviewed carefully by an appropriate prescriber. Many adults find a diagnosis is a turning point, helping them understand themselves, be kinder to themselves, and access support that makes a real difference.

Will I be offered treatment after my ADHD diagnosis?

Where appropriate, yes. A diagnosis usually leads to a discussion about treatment and support tailored to you. This may include non-medication approaches, such as coaching, therapy and practical strategies, as well as medication where it is suitable and you wish to consider it. Any medication is managed and monitored by a suitably qualified prescriber. Treatment is a shared decision, and you are never obliged to take any particular option; the aim is to find what works best for you.

Can I be diagnosed with ADHD if I already have another mental health condition?

Yes. It is common for ADHD to exist alongside other conditions, such as anxiety, depression or a history of trauma. Having another mental health condition does not prevent an ADHD diagnosis. The clinician's task is to look at the whole picture, distinguish between conditions where possible, and recognise where more than one is present. Identifying ADHD alongside another condition often helps make sense of difficulties that previous support had not fully explained.

Is it worth getting assessed for ADHD as an adult?

For many people, yes. A diagnosis can bring real clarity, helping you understand lifelong patterns that may have caused frustration or self-blame, and it opens the door to strategies, adjustments and, where appropriate, treatment. Even where ADHD is not diagnosed, a good assessment can identify what else might be going on and point you towards the right help. Only you can decide, but if ADHD traits are affecting your life, an assessment is often a worthwhile step.

ADHD assessments for teenagers

What are the signs of ADHD in teenagers?

In teenagers, ADHD may show as difficulty concentrating or completing schoolwork, disorganisation, forgetfulness, and leaving things unfinished. Some are restless, impulsive or talkative, while others are quietly inattentive and easily distracted. You may notice mood swings, difficulty managing emotions, or friction at home and school. Because adolescence brings its own challenges, and some teenagers mask their difficulties, the signs are not always obvious. What matters is a persistent pattern that affects several areas of their life.

How is ADHD different in teenagers compared to younger children?

As children grow, obvious physical hyperactivity often settles into a more internal restlessness, so teenagers may appear less overtly active but still struggle with focus, organisation and impulsivity. The demands of secondary school, exams and greater independence can make difficulties more visible, just as the structure of primary school falls away. Social pressures and emotional ups and downs also play a bigger part. Assessment takes account of these differences and the particular context of adolescence.

Can schools recommend an ADHD assessment?

Schools often play an important part. Teachers and the special educational needs coordinator (SENCO) may be the first to notice difficulties and can raise concerns with parents, put in place support, and suggest that an assessment is considered. A school cannot itself diagnose ADHD, but its observations are extremely valuable evidence, because ADHD needs to be seen across settings. If a school has suggested an assessment, it is well worth discussing with us or your GP.

What happens during a teenage ADHD assessment?

The assessment gathers information from more than one setting, so parents and school are usually asked to complete questionnaires and share observations. The clinician meets the young person for an in-depth interview, exploring their difficulties, development and how things affect them at school, at home and socially, while considering other explanations. Where the criteria are met, a diagnosis is made and explained to the family, with a written report and recommendations for support. The process is handled sensitively and age-appropriately.

Will parents be involved in the assessment?

Yes. For a teenager, parents or carers are an important source of information, as they can describe difficulties over time and across situations, including in early childhood. Parents are usually asked to complete questionnaires and take part in the assessment, and they are involved in discussing the outcome and next steps. At the same time, clinicians give the young person space to share their own views, recognising that teenagers have valuable insight into their own experiences.

Can a teenager be diagnosed with ADHD without school reports?

It is possible, but information about how a young person functions at school is important, because ADHD must be seen in more than one setting. Where school reports are not available, clinicians can gather evidence in other ways, for example through questionnaires completed by a teacher, or accounts from the young person and family about their school experiences, past and present. If a diagnosis is harder to confirm without this evidence, your clinician will explain what is needed and why.

How does ADHD affect GCSEs and college?

ADHD can make exams and coursework harder, through difficulties with concentration, organisation, revision and managing deadlines, even in able students. The good news is that support is available. A diagnosis, or evidence of need, can help a school or college put reasonable adjustments in place, which may include extra time in exams, a quieter room, or study support. Identifying ADHD around this stage can make a real difference to a young person reaching their potential.

Can ADHD develop during the teenage years?

ADHD is a neurodevelopmental condition that is present from childhood, so it does not suddenly begin in the teenage years. However, it is often first recognised then, because the increased demands of secondary school and growing independence bring difficulties to the surface that were previously masked or managed. So while the ADHD itself is not new, a teenager being identified and diagnosed at this stage is very common, and the earlier traits will usually be evident when explored.

What support is available after a teenager is diagnosed with ADHD?

After a diagnosis, support is tailored to the young person. It can include practical strategies and coaching, adjustments at school or college, and help for the family in understanding and responding to ADHD. Therapy may help with related difficulties such as anxiety or low self-esteem, and in some cases medication is considered, managed by an appropriate prescriber. A diagnosis can also support requests for formal help, including reasonable adjustments or an Education, Health and Care Plan.

How can I help my teenager prepare for an ADHD assessment?

You can help by talking openly with your teenager about why an assessment might be useful, reassuring them that it is about understanding and support, not blame. Encourage them to think about the difficulties they notice and how these affect them. Gathering school reports and completing any questionnaires in advance is helpful, as is involving their school. On the day, let them share their own views, and remind them there are no right or wrong answers, only honest ones.

ADHD assessments for children

What are the early signs of ADHD in children?

Early signs can include a child who finds it very hard to concentrate, is constantly on the go, or acts without thinking. You might notice difficulty following instructions, being easily distracted, forgetfulness, fidgeting or an inability to sit still, and strong reactions or impulsive behaviour. Many young children are naturally energetic, so what stands out with ADHD is a pattern that is more marked than in other children of the same age, is persistent, and affects everyday life.

What age should my child be assessed for ADHD?

There is no single right age, but children are most often assessed once they are at school, frequently from around five or six, when difficulties become clearer against classroom expectations. If concerns are significant earlier, it is still worth seeking advice. The important thing is not to wait unnecessarily if your child is struggling, as earlier understanding can bring earlier support. Speak to us, your GP or your child's school if you are unsure whether the time is right.

How do doctors diagnose ADHD in children?

A qualified clinician diagnoses ADHD in children by gathering evidence from home and school and assessing it against recognised criteria. Parents and teachers usually complete standardised questionnaires, and the clinician meets the child, considers their development and early history, observes them, and rules out other explanations. Because ADHD must be seen in more than one setting, information from school is important. Where the pattern and impact meet the criteria, a diagnosis is made and explained to the family.

Will my child's teacher be involved in the assessment?

Almost always, yes. Teachers see your child in a structured environment alongside their peers, so their observations are extremely valuable and are usually gathered through questionnaires or written feedback. This helps confirm that difficulties are present across settings, not only at home, which is an important part of the criteria. School involvement also means that, after any diagnosis, teachers are well placed to put helpful support and reasonable adjustments in place.

How can I tell if my child has ADHD or is simply energetic?

This is one of the most common questions, and it is exactly what an assessment is designed to answer. Lots of children are lively and full of energy, which is completely normal. ADHD is different: the difficulties are more intense than in other children of the same age, they are persistent over time, they appear in more than one setting, and they genuinely interfere with learning, friendships or family life. A professional assessment can tell the difference reliably.

What should I expect during my child's ADHD assessment?

You can expect to complete questionnaires beforehand, and for your child's school to contribute too. During the assessment, the clinician will talk with you about your child's development, behaviour and difficulties, and will meet and observe your child in an age-appropriate way. They consider other possible explanations before reaching a view. Afterwards, you receive a clear outcome and, where appropriate, a diagnosis, set out in a written report with recommendations for support at home and school.

Can ADHD affect my child's behaviour at school?

Yes. ADHD can make school genuinely challenging. A child may struggle to concentrate, follow instructions, sit still or wait their turn, and may act impulsively or become frustrated easily. This can affect their learning, friendships and confidence, and is sometimes mistaken for naughtiness rather than a difficulty they cannot easily control. Understanding that ADHD is behind these behaviours allows school and home to respond with the right strategies and support, rather than simply discipline.

What happens after my child receives an ADHD diagnosis?

After a diagnosis, you will have a written report and a discussion about support tailored to your child. This can include practical strategies for home and school, reasonable adjustments in the classroom, and help for you as parents in understanding and responding to ADHD. In some cases medication is considered, managed by an appropriate prescriber. The report can also support requests for additional help, including an Education, Health and Care Plan where needed.

Can my child have ADHD and autism at the same time?

Yes. ADHD and autism often occur together, and it is quite common for a child to have both. They can share some features, such as difficulties with attention or social situations, but they are distinct conditions. A thorough assessment takes this into account, and where both are present, recognising each one helps ensure your child gets the full understanding and range of support they need. If autism is a concern too, do mention it when you enquire.

What support is available for children diagnosed with ADHD?

Support is wide-ranging and tailored to the child. It can include strategies and adjustments at home and school, such as clear routines and classroom accommodations, guidance and training for parents, and support for the child's confidence and friendships. Therapy may help with related difficulties, and medication is an option in some cases, overseen by an appropriate prescriber. A diagnosis can also open access to formal support, including reasonable adjustments and, where appropriate, an Education, Health and Care Plan.

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