12. Diagnosed over 60

Tell your GP how your symptoms affect your daily life, work or relationships. They will check for other causes and may refer you to an ADHD specialist. The specialist will ask about your childhood and school, and may want to speak to someone who knew you then.

School reports can help, but an assessment does not depend on having them. The specialist may use your own account, old records if available, and information from someone who knows you well. They will look for evidence that symptoms were present in childhood.

Problems with memory and concentration have many causes, including menopause, stress, poor sleep and other health conditions. The NHS says to see your GP rather than work out the cause yourself. Tell the GP about all your symptoms so they can look at the whole picture.

Before you start ADHD medicine, the specialist should check your medical history, other medicines, pulse, blood pressure and heart health. You only need a heart trace, known as an ECG, if there are certain warning signs. Your pulse and blood pressure should be checked after each dose change and every 6 months.

There is less research on ADHD medicines in people over 60. Your prescriber should review your physical health, other medicines, pulse and blood pressure before treatment and during follow-up. They will discuss the possible benefits and risks with you, especially if you have heart or blood pressure problems.

Waiting times for an adult ADHD assessment vary widely. In England, you can ask your GP about an NHS-funded referral through Right to Choose. Check which providers accept referrals in your area before you decide. Scotland, Wales and Northern Ireland have different systems.

ADHD medicine has to be started by a specialist. Your GP can take over prescribing only if they agree to a shared care agreement, and they do not have to. If you plan to be diagnosed privately, ask your GP about shared care before you pay.

You must tell the DVLA if ADHD, or a treatment side effect, affects your ability to drive safely. You must also follow any advice about driving from your prescriber. If you are unsure whether to tell the DVLA, check its guidance or ask a healthcare professional.