What is ADHD?

 Attention Deficit Hyperactivity Disorder

Understanding ADHD in Adults

The understanding and assessment of ADHD is often based on three key difficulties: inattention, hyperactivity, and impulsivity. These are external traits and behaviours that other people notice. But these external symptoms don’t fully reflect the internal experiences and challenges people with ADHD face.


Beneath the surface, many struggle with things like time blindness, difficulty managing emotions, decision-making paralysis, and the exhaustion of constantly masking symptoms to fit in. Our ‘ADHD Iceberg‘ illustrates this clearly (see below): what see externally is often only the ‘tip of the iceberg’. 

Elly and Fraser understand that ADHD is about more than just what’s visible on the outside. It’s the hidden, internal struggles that can have the biggest impact on daily life. You might feel overwhelmed by time slipping away or find it hard to even make simple decisions. These challenges are real, even if others can’t see them.

Living with undiagnosed ADHD can significantly impact:

  • Mental Health – Strong link to anxiety, depression, and other conditions.

  • Daily Life – Procrastination, forgetfulness, and difficulty managing tasks.

  • Relationships – Emotional struggles, impulsivity, and time management issues.

  • Work/Education – Challenges with focus, organisation, and task completion.


Our assessments  reflect this understanding and explore beyond the standard diagnostic criteria. We focus on helping you understand not just what ADHD looks like on the outside, but how and why it impacts your life in the way it does. By recognising both the visible traits and the internal experiences, we aim to give you the clarity and support you need to manage ADHD and live the life you deserve.

 The ADHD Iceberg

The ADHD iceberg

The ADHD Iceberg illustrates how some of the external symptoms of ADHD (i.e. what others see) are only part of the picture, only the ‘tip of the iceberg’. What we often find is that there are many internal, covert or ‘hidden’ difficulties that can often be missed by others but cause considerable difficulties to our daily lives. 

How does this inform our practice?

We appreciate that the experience and presentation of ADHD can be very different for each individual. We therefore adopt a unique and tailored approach to our assessment and post-diagnostic support. We prioritise quality over quantity, and aim to provide you with a comprehensive understanding and formulation of your difficulties and experiences: above and beyond that recommended by clinical guidelines.

    Get in touch







    We'll try to get back to you in two working days.