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Diagnostic Combined
Assessment

Both autism and ADHD are neurodevelopmental differences, and whilst some of the characteristics can overlap, each have their own diagnostic criteria. A combined presentation is commonly being referred to as ‘AuDHD’.

It is important to understand that individuals experience autism and ADHD differently. Some may attempt to “mask” their difficulties around certain people or settings. If you notice that you, or your loved one has been struggling with social communication, language development, repetitive and restricted behaviours, or hyperactivity, impulsivity and inattention a combined assessment may be appropriate.

A diagnostic assessment will explore traits of autism and ADHD, their length, along with the impact on a person’s general level of functioning. More information can be found here.

The first step to getting the right support is to receive a robust and reliable assessment from a qualified clinician. Taking that first step can be daunting, but Young Wellbeing Hub are here to support you every step of the way.

What is autism?

Autism is a lifelong neurodevelopmental difference which impacts how people view, communicate and interact with the world.

It is important to understand individuals experience autism differently. Some may attempt to “mask” their difficulties around certain people or settings in order to fit in.

What is ADHD?

Characterised by hyperactivity, impulsivity or inattention, or by a combination of all three of these.


For a diagnosis these characteristics must be present in two or more settings, forinstance at work or school and at home. There must be evidence that these presentations are out of line with the individual’s learning ability

Reasons to pursue a diagnostic combined assessment

Early identification and diagnosis can open the door for your child to develop necessary skills to fulfil their potential and thrive.

To better understand their behaviours, thoughts, and emotions, building a sense of self-identity.
To help identify their strengths and where they may need support.
To allow others to better support them, such as teachers, family members and future employers.
To open opportunities to access appropriate services and benefits, including reasonable adjustments in education and work.

At Young Wellbeing Hub, we offer combined autism and ADHD assessments, allowing you to fully explore any of difficulties with learning, behaviour and communication that your child may have.

The first step to getting the right support for your child is to receive a robust and reliable assessment from a qualified clinician. Taking that first step can be daunting, but Young Wellbeing Hub are here to support you every step of the way.

Pathway information

Our approach

At Young Wellbeing Hub, we carry out autism and ADHD assessments, based on UK best practice models, which are designed strictly in line with the latest research and meet or exceed government standards including the GOLD standard recommendations from the National Institute for Health and Care Excellence (NICE).

Pathway information

Our tools

We use different types of assessments at the clinic, which assess for autism and ADHD to help determine what support will be best for your child. Any challenges that your child be facing, may not be autism or ADHD. Therefore, our specialist clinicians work hard to fully understand characteristics presented within the assessments by utilising a holistic approach and providing recommendations tailored to your child’s needs.

Our service

Our diagnostic combined assessment explores the client’s developmental history, their mental health experiences, as well as the characteristics of both autism and ADHD. The clinician will review these characteristics in line with the diagnostic criteria for autism and ADHD.

Pre-screening

We will ask you to complete a variety of questionnaires that provide our clinicians with helpful data. Depending on the age of the client being assessed, we may ask them to complete questionnaires, as well as their educational setting.

Assessment

There will be three assessment appointments, combining all components of our ADHD and autism pathways: an ADHD assessment (1-hour), an ADI-R assessment (2–3 hours), and an ADOS-2 Informed Observational Assessment (1-hour).

The assessments will be structured in order to review information in relation to the diagnostic criteria for autism and ADHD.

Multi-disciplinary team

The clinical team at Young Wellbeing Hub will meet and discuss the evidence collected in the assessment process. They will view this in line with the DSM-5 criteria for autism and ADHD and decide whether the criteria are fulfilled.

Feedback

The clinician will discuss with you the outcome of the assessment, alongside any preliminary advice and recommendations they may have to help you access specialised support and treatment.

Report

This comprehensive document will state the outcome of the assessment and may contain a formal diagnosis if decided upon. It will also include clear recommendations for any essential support.

1. Initial enquiry

To ensure we are the right service for you, we will ask you to complete various forms regarding details of you, and/or your child/young person, as well as strengths, challenges and background information. Please note that submitting an enquiry does not guarantee registration with Young Wellbeing Hub.

2. Referral review

Our referrals team will meet as part of a multi-disciplinary team (MDT) meeting to discuss the referral information. They will decide whether we, as a service are able to accept the referral at this time.

3. Check-in call

You will meet with a junior member of our clinical team, who will discuss the next stages of the process and answer any questions you may have.

4. Pre-assessment questionnaires

We will ask the client, and their informants (parent/carer and education setting) to complete a variety of questionnaires that provide our clinicians with helpful data.

5. ADI-R assessment

This interview is conducted by an ADI-R-trained clinician with the child's parents or carers. It will include questions about a child's behaviour, language and communication, social interactions, and special interests to build a full picture of your child's development from an early age. It is one of the most reliable and well-validated methods when assessing young people who are potentially on the spectrum.

6. Observational assessment

Assessment of child/young person incorporating elements of the ADOS-2 (Autism Diagnostic Observation Schedule) and BOSA (Brief Observation of Symptoms of Autism). Delivered remotely by a Young Wellbeing Hub clinician.

7. ADHD assessment appointment

In this in-depth 1-hour appointment, the qualified clinician will explore and discuss any difficulties the client has been facing and assess the presence of characteristics of ADHD.

8. MDT

The multidisciplinary team (MDT) at Young Wellbeing Hub will meet and discuss the evidence collected in the assessment process. They will review this in line with the diagnostic criteria for both autism and ADHD, and decide whether the criteria are fulfilled.

9. Feedback

The clinician will discuss with you the outcome of the assessment, alongside any preliminary advice and recommendations they may have.

10. Report

This comprehensive document will state the outcome of the assessment and may contain a formal diagnosis if decided upon. It will also include clear recommendations for any essential support.

Diagnostic combined assessment FAQs

Who can benefit?

We offer diagnostic combined assessments for clients aged between 6 years old to 18 years old. Determining whether a diagnostic combined assessment is right for your child can be challenging. Try our free autism and ADHD quizzes to help you decide if they may benefit from a formal assessment. For clients aged over 18, please visit our adult service, Harley Street ADHD.

The diagnostic combined assessment consists of three separate assessment appointments.

  1. The ADI-R involves solely the parent/carers, lasts 2-3 hours and is delivered remotely.
  2. The observational assessment requires both parent/carer and child/young person to be present. The appointment lasts 1 hour and is
    delivered remotely.
  3. The ADHD assessment requires both parent/carer and child/young person to be present. The appointment lasts 1 hour and is delivered remotely.

There is a separate 1-hour feedback appointment.

There are no specific pre-requisites for a diagnostic combined assessment, however all clients must fulfil our inclusion criteria. Therefore, please ensure you have reviewed our inclusion and exclusion criteria and are happy to proceed to the next stage.

Please note the fee for the diagnostic combined assessment includes a non-refundable referral review fee of £149. If your referral is not accepted, this fee will be deducted from your refund.

The fee for diagnostic combined assessment is £2950. This includes a non-refundable referral review fee of £149. If your referral is not accepted, this fee will be deducted from your refund.

If you would like to see our full-service price list, please refer to our fees and payment page.

If your child/young person would like to access medication to help manage their difficulties, our qualified clinician will be able to help to create a personalised treatment plan using medication. Please see our medication titration services page for more information.

Combined assessment

£2950

Per assessment

Medication review appointment

More info

£245

Per appointment

Repeat prescription fee

More info

£50

Per prescription request

Looking for support for an adult?

Young Wellbeing Hub is for clients aged between six and 17. Harley Street ADHD provide high-quality assessments and support to adults with neurodevelopmental and mental health needs.

Book an appointment

Please choose an appointment that suits you

'Speak with Us' appointments
Consultation
Initial Screening
Neuro-Affirmative Needs Based Assessment
Diagnostic ADHD assessment
Diagnostic autism assessment
Diagnostic combined assessment
Diagnostic general assessment
Mentalisation Based Therapy (MBT)
Medication titration and review appointments
Art Therapy
Psychological Education Webinars
Looking for adult support? Visit Harley Street ADHD

Please be advised that is a preliminary screening tool, based upon the DSM-5 criteria for ADHD, and not a formal diagnostic assessment. 

ADHD Assessment • Part B

Question 1

Do they often fidget with or taps hand or squirm in their seat? 


ADHD Assessment • Part B

Question 2

Do they often leave their seat in situations when remaining seated is expected? 

E.g. Leaves his or her place in the classroom, in the office or other workplace, or in other situations that require remaining in place

ADHD Assessment • Part B

Question 3

Do they often run about or climb in situations where it is not appropriate?


ADHD Assessment • Part B

Question 4

Are they often unable to play or take part in leisure activities quietly?


ADHD Assessment • Part B

Question 5

Are they often “on the go” acting as if “driven by a motor”?

E.g. Is unable to be or uncomfortable being still for extended time, as in restaurants, meetings; may be experienced by others as being restless or difficult to keep up with


ADHD Assessment • Part B

Question 6

Do they often talk excessively?


ADHD Assessment • Part B

Question 7

Do they often blurt out an answer before a question has been completed?

E.g. Completes people’s sentences; cannot wait for turn in conversation


ADHD Assessment • Part B

Question 8

Do they often have trouble waiting their turn?


ADHD Assessment • Part B

Question 9

Do they often interrupt or intrude on others?


ADHD Assessment • Part B
Results

Would you like to hear from Young Wellbeing Hub? 

You do not need to submit an email to get your result. This will be provided on the next screen.

By providing your email address you consent to Young Wellbeing Hub storing your email address and contacting you with information regarding our neurodevelopmental and mental health assessments, in accordance with GDPR legislation.


Thank you for completing Part B of our ADHD quiz!

Your score indicates that they may have challenges surrounding hyperactivity and impulsivity and could benefit from seeking an ADHD assessment.

Please be advised that is a preliminary screening tool and not a formal diagnostic assessment. If you would like to explore this further, please get in touch with our team today to book in your assessment!

Thank you for completing Part B of our ADHD quiz!

Your score indicates they are showing some characteristics of hyperactive/impulsive challenges.

Please be advised that is a preliminary screening tool and not a formal diagnostic assessment. If you would like to explore this further, please get in touch with our team today to book in your assessment!

Thank you for completing Part B of our ADHD quiz!

Your score indicates there are no impulsive or hyperactivity challenges at present.

However please be advised that is a preliminary screening tool and not a formal diagnostic assessment. If you would like to explore this further, please get in touch with our team today to book an initial consultation!

Please be advised that is a preliminary screening tool, based upon the DSM-5 criteria for ADHD, and not a formal diagnostic assessment.

ADHD Assessment • Part A

Question 1

Do they often fail to give close attention to details or makes careless mistakes in schoolwork, at work, or during other activities? 

E.g. Overlooks or misses details, work is inaccurate


ADHD Assessment • Part A

Question 2

Do they often have trouble holding attention on tasks or play activities?

E.g. Has difficulty remaining focused during lessons, conversations or lengthy reading tasks


ADHD Assessment • Part A

Question 3

Do they often not seem to listen when spoken to directly?


E.g. Mind seems elsewhere, even in the absence of any obvious distraction

ADHD Assessment • Part A

Question 4

Do they often not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace?


E.g. Starts tasks but quickly loses focus or is easily side-tracked

ADHD Assessment • Part A

Question 5

Do they often have trouble organising tasks and activities?

E.g. Difficulty managing sequential tasks; difficulty keeping materials and belongings in order; messy, disorganised work; has poor time management; fails to meet deadlines


ADHD Assessment • Part A

Question 6

Do they avoid, dislike, or is reluctant to do tasks that require mental effort over a long period of time?


E.g. Schoolwork or homework; for older adolescents and adults, preparing reports, completing forms, reviewing lengthy papers

ADHD Assessment • Part A

Question 7

Do they often lose things necessary for tasks and activities?

E.g. School materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones


ADHD Assessment • Part A

Question 8

Are they often easily distracted by extraneous stimuli?

For older adolescents and adults, may include unrelated thoughts


ADHD Assessment • Part A

Question 9

Are they often forgetful in daily activities?

E.g. Doing chores, running errands; for older adolescents and adults, returning calls, paying bills, keeping appointments


ADHD Assessment • Part A

Results

Would you like to hear from Young Wellbeing Hub? 

You do not need to submit an email to get your result. This will be provided on the next screen.

By providing your email address you consent to Young Wellbeing Hub storing your email address and contacting you with information regarding our neurodevelopmental and mental health assessments, in accordance with GDPR legislation.


Thank you for completing Part A of our ADHD quiz!

Your score indicates that they may have challenges surrounding inattention and could benefit from seeking an ADHD assessment.

Make sure to complete Part B to look at hyperactivity and impulsivity traits.

Please be advised that is a preliminary screening tool and not a formal diagnostic assessment. If you would like to explore this further, please get in touch with our team today to book in your assessment!

Thank you for completing Part A of our ADHD quiz!

Your score indicates they are showing some characteristics of inattentive challenges.

Make sure to complete Part B to look at hyperactivity and impulsivity traits.

Please be advised that is a preliminary screening tool and not a formal diagnostic assessment. If you would like to explore this further, please get in touch with our team today to book in your assessment!

Thank you for completing Part A of our ADHD quiz!

Your score indicates there are no inattentive challenges at present.

However please be advised that is a preliminary screening tool and not a formal diagnostic assessment. If you would like to explore this further, please get in touch with our team today to book an initial consultation!

Make sure to complete Part B to look at hyperactivity and impulsivity traits.