Online ADHD assessment & treatment

In adults the picture looks subtler than in childhood: missed deadlines, difficulty starting tasks, mental “noise,” emotional swings and chronic forgetfulness. Hyperactivity often shifts from running around to inner restlessness—fidgeting, multitasking or needing constant background noise.

Clinicians group symptoms into two domains: inattention (e.g., losing keys, zoning out in meetings) and hyperactivity/impulsivity (e.g., interrupting, overspending). Meeting at least five criteria in one or both domains—going back to before age 12—is central to a DSM-5 diagnosis.

Medication is only part of the story: when stimulants or atomoxetine bring core symptoms under control, people engage better with CBT, coaching and sleep hygiene, multiplying gains in focus and emotional regulation. A 2024 meta-analysis of 12 RCTs found that combining medication with brief CBT sessions produced an extra 18-point drop on the ADHD Rating Scale compared with pills alone.

Safety profiles are solid when monitoring is in place. Long-term registry data from Sweden (n = 25 k) links continuous treatment to a 42 % lower accident rate and fewer ER visits for substance-related issues (source: JAMA Psychiatry, Chang Z et al. 2017;74(6):603–610). The same data set shows no increase in serious cardiovascular events among adults without pre-existing heart disease.

Bottom line: an evidence-based assessment unlocks targeted therapy, reduces life disruption and, crucially, rules out conditions that mimic ADHD, such as anxiety or thyroid dysfunction. Book your assessment to see whether treatment could deliver similar gains for you.

Your psychiatrist will use validated rating scales (e.g., ASRS, Conners) alongside a detailed medical and psychiatric history to rule out mimicking conditions like anxiety disorders, thyroid dysfunction or sleep apnea. A baseline physical exam—blood pressure, heart rate and, in some cases, an ECG—is recommended before starting stimulants to flag any cardiac risks.

Certain “red flags” may steer you toward non-stimulant options: uncontrolled hypertension, recent substance-use disorder, active psychosis or a history of severe mood swings. In these situations, atomoxetine or guanfacine can be safer first-line therapies, often paired with behavioural strategies.

When stimulants are appropriate, titration begins at low doses with close follow-up—typically a check-in at 1 month, then every 3–6 months—to monitor efficacy, side effects and any emerging concerns. Alternative support, such as CBT-based coaching, sleep hygiene advice and digital focus tools, can further enhance outcomes whether or not medication is prescribed.

Tips to manage side effects:

• Dose timing. Take stimulants early in the day to minimise insomnia.


• Start low, go slow. Begin at the lowest effective dose and increase in small increments.


• Hydration & nutrition. Stay well-hydrated and plan balanced meals—even small snacks—to counter appetite dips.


• Routine review. Keep a simple side-effect diary to share with your psychiatrist at follow-up.

When to seek help:
Stop medication and contact your doctor if you experience chest pain, significant increases in heart rate or blood pressure, severe mood changes (depression, aggression) or any new, persistent tics.

Safety monitoring involves checking blood pressure, heart rate and weight at baseline, then repeating at one month and every 3–6 months thereafter. If regular stimulants aren’t an option, non-stimulants like atomoxetine or guanfacine offer alternatives with different safety profiles.

Medication (methylphenidate or lisdexamfetamine) runs €20–€120 per month at retail prices, varying by pharmacy and formulation.

• Report delivery: Within 24 hours of your second session, you’ll receive a detailed DSM-5 diagnostic report and treatment recommendations.


• E-prescription: If medication is indicated, the e-prescription is available immediately after your second session and is valid for 30 days in most EU countries (or 10 days in Spain).

European guidelines require a follow-up 1 month after starting stimulants, then every 3–6 months to review progress, adjust doses, and ensure ongoing safety. You can schedule these follow-up appointments through your Oladoctor account.