ADHD in the UK

Underdiagnosed, Overlooked, and Waiting for Support

Attention Deficit Hyperactivity Disorder (ADHD) affects millions of people in the UK, yet it remains widely underdiagnosed. Many individuals go years without recognition or support, which can have profound consequences for mental health, relationships, education, and work.

Prevalence and Who’s Being Missed

Estimates suggest that around 2.5 million people in England may have ADHD, but only about 800,000 have received a formal diagnosis. This gap highlights how many lives are affected by delayed recognition (The Times, 2025).

Underdiagnosis is particularly pronounced among women and girls, who often present differently from boys, and individuals from Black, Asian, and Minority Ethnic (BAME) communities, who may be overlooked due to cultural or systemic biases in assessment practices.

The Challenge of Waiting Lists

Demand for ADHD assessments has skyrocketed in recent years. As of early 2025, up to 549,000 people were waiting for an assessment in England (NHS Digital, 2025), with many waiting over a year for initial evaluation.

Long waits can exacerbate challenges. Without timely diagnosis and support, individuals are more likely to experience co-occurring conditions such as anxiety, depression, and substance misuse. Academic and career setbacks are common, and daily life can feel overwhelming.

Moving Towards Better Support

The UK urgently needs systemic change in ADHD services. Key steps include:

• Increased funding to expand clinical services and reduce waiting times.

• Enhanced training for clinicians to recognize ADHD across genders and cultural groups.

• Public awareness campaigns to reduce stigma and encourage early assessment.

As a coach specializing in ADHD, neurodivergence, and addiction, I support clients in navigating these challenges. Through tailored coaching, individuals can gain strategies to manage symptoms, improve daily functioning, and build confidence while waiting for formal clinical support.

ADHD is real, common, and manageable. Early recognition, support, and the right strategies can transform lives.