What to Expect from your ADHD Assessment & Titration

Getting assessed for ADHD can feel like a big step - but you’re not alone. At Cognition Care, we offer a supportive, judgement-free space where you can explore your experiences, understand your needs, and take the next step with confidence.

This page is a simple guide to help you understand what happens before, during, and after your ADHD assessment and titration process. We’ll walk you through the key stages - from initial screening forms to follow-up reviews so you always know what to expect.

Whether you’re seeking answers for the first time or coming back to explore medication options, we’re here to support you with clarity and care every step of the way.

  • You’ll be sent links to complete the following before your appointment:

    • Adult ADHD Self-Report (ASRS)

    • ACE+IR Questionnaire

    • Medical & Contact Info form

    • Record Sharing Consent form
      Please complete these at least 2 days before your appointment.

  • Let us know as soon as possible. We may need to reschedule your appointment to make sure your clinician has everything they need.

  • Yes — we just ask for at least 48 hours’ notice for any changes or charges may apply.

  • The clinician will complete a structured diagnostic interview using the DIVA 5. This explores your experiences of attention, hyperactivity, and impulsivity during childhood and adulthood. It takes around 60- 90 minutes.

  • In most cases, yes. If the clinician needs further information — such as input from a parent, teacher, or GP — they’ll let you know what’s needed and what to expect next.

  • You’ll receive a written summary within 10-14 days. This includes your diagnosis (if confirmed), plus a personalised care plan which may include ADHD coaching, therapy, lifestyle support, or medication.

  • That’s absolutely fine. If you decide not to explore medication, we’ll still offer personalised recommendations tailored to your needs. This might include ADHD coaching, workplace adjustments, lifestyle strategies, or referrals for talking therapy or other services.

  • If medication is appropriate and something you’re open to, your clinician will talk you through the options, what to expect, and how the process works. Before prescribing, we’ll need up-to-date blood pressure and heart rate readings. Once confirmed, we’ll begin the titration phase.

  • All ADHD prescriptions at Cognition Care are issued using SignatureRx, a secure digital prescribing platform used by many private healthcare providers.

    We work closely with Signature Pharmacy, the dispensing partner linked to this platform. All prescriptions are sent directly to Signature Pharmacy for home delivery.

    How it works

    1. Once your prescription is approved by your clinician, it is issued using SignatureRx and sent securely to Signature Pharmacy.

    2. Signature Pharmacy will contact you directly with a secure payment link.

    3. After payment is received, your medication will be delivered to your home in discreet, tracked packaging.

    Delivery information

    • Free tracked delivery within the UK

    • Medications are usually delivered within 2–4 working days of prescription approval

    • You will receive delivery updates directly from Signature Pharmacy

    Medication costs

    Costs vary depending on the medication prescribed and current availability. As a general guide, ADHD medications typically range from £50 to £130 for a 28–30 day supply.

    Please note:

    • All payments for medication are made directly to Signature Pharmacy.

    • Prices are set by the pharmacy and may change depending on stock.

    • Cognition Care does not receive any payment for medication and is not responsible for pharmacy pricing.

  • Titration is the process of safely finding the most effective ADHD medication and dose for you. You’ll start on a low dose, with weekly check-ins to monitor symptoms, side effects, and progress. The process usually takes around 6–8 weeks.

  • Once a stable dose has been found (or if you decide not to continue), you’ll move on to regular review appointments — typically every 3 to 6 months. These are a chance to check in, adjust your plan if needed, and make sure you’re getting the right support.