Waiting years for an ADHD assessment in Northern Ireland? Here are your options
If you're a parent in Northern Ireland who has just been told your child could wait years for an ADHD assessment, you're not alone. Many families I speak to feel stuck, worried and unsure what to do next.
The good news is that waiting doesn't have to mean doing nothing. Here are the main options open to you, and the practical steps you can take right now.
Option 1: Stay on the NHS waiting list
If your child has been referred through your GP or school, keep that place. Being on the list costs nothing, and you can still explore other options alongside it.
To make the most of it:
Keep a simple diary of what you notice at home, such as sleep, mealtimes, homework and friendships.
Ask the school for written examples of what they see in class.
Keep copies of school reports and any letters from professionals.
Let your GP know if things get worse, as this may need to be shared with the service.
It's worth knowing that the "Right to Choose" scheme you may have read about online applies in England, not Northern Ireland.
Option 2: Ask the school for support now
Your child doesn't need a diagnosis to get help in school. Support should be based on what your child needs, not on whether they have a label.
Ask to speak with the school's SENCO (Special Educational Needs Coordinator). Share what you've noticed at home and ask what can be put in place now. Small changes, such as movement breaks, seating near the teacher or instructions broken into steps, can make a real difference while you wait.
Option 3: A private ADHD assessment
Some families choose a private assessment so they can get answers sooner. A good assessment should be thorough, evidence-based and focused on understanding your child, not just ticking boxes.
At ADHD Diagnostics, a child assessment includes:
a structured diagnostic interview with you, using recognised clinical tools
questionnaires for both parents and teachers, so we see how your child manages at home and at school
a look at related areas such as anxiety, emotions and social communication
a clear written report with practical recommendations you can share with the school
Our approach is calm and neuroaffirming. That means we focus on your child's strengths as well as their challenges, and we take time to explain everything.
A note about medication
A diagnosis gives you understanding and a clear plan. If you are considering medication, it's important to know that a private diagnosis does not automatically mean your GP will prescribe. Medication for ADHD is usually started by a specialist, and arrangements vary.
We'll talk this through honestly with you at the start, so you know what to expect before you decide anything.
While you wait: small steps that help
Keep routines predictable. Simple visual timetables for mornings and bedtime can reduce daily battles.
Break tasks down. One instruction at a time works better than a list.
Notice what goes well. Praise effort, not just results. Children with ADHD often hear far more criticism than praise.
Look after yourself too. Parenting a child who is struggling is exhausting, and your wellbeing matters.
Not sure which option is right for you?
Book a free, no-obligation 15-minute call. We'll listen to what's happening, answer your questions and help you decide on the best next step for your family, whether that's an assessment with us or not.
Book your free 15-minute consultation
Dr Pauline Hunter is a registered nurse with over 30 years' clinical experience and the founder of ADHD Diagnostics Ltd, based in Northern Ireland.