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ADHD in the UK: The State of Play in 2025 – Diagnosis In 2025, ADHD is receiving more attention in the UK than ever before, with referrals and diagnoses rising sharply over the past decade. By June 2025, there were 668,370 open referrals for a possible ADHD diagnosis across mental health and community services in England. Within that same month, more than 18,000 new referrals were made, reflecting the scale of demand. Despite this surge, experts agree that the actual prevalence of ADHD has not increased—what has changed is recognition, awareness, and access to diagnosis. Several factors explain this rise in demand. Social media platforms like TikTok have amplified discussions of neurodivergence, encouraging people to recognise traits in themselves and seek help. Adults, especially women whose symptoms often went unrecognised in childhood, are increasingly receiving first-time diagnoses. Better training for healthcare professionals and broader assessment criteria have also helped capture cases that would have previously gone unnoticed. The validation provided by a diagnosis has been life-changing for many adults who have been struggling with feelings of inadequacy brought on by not realising their own neurodiversity. How many people in the UK have been diagnosed with ADHD? There are a significant number of people with ADHD in Britain. As of May 2025, it is thought that an estimated 2.5 million people have ADHD, including both those with and without a formal diagnosis. A UCL study found that between 2000 and 2018, diagnoses increased twentyfold, with the relative rise being highest among adults. Adult diagnosis reflects a cultural shift in how ADHD is understood; no longer viewed solely as a childhood condition, it is now accepted as a lifelong difference affecting people across all ages. The challenges for services like the NHS However, the growing recognition of ADHD brings serious challenges. NHS services are not set up to meet this new level of demand, with around 549,000 people waiting for an adult ADHD assessment in March 2025. Many wait years for a diagnosis, leading to frustration and misery by leaving people without the support or treatment they need. The situation was further compounded by the COVID-19 pandemic, which has disrupted services and exacerbated symptoms for many. The popularity of ADHD content online has brought greater acceptance and reduced stigma, but it has also led to some misunderstandings about symptoms and treatment. Generally speaking, the rise in awareness of ADHD is positive; however, there is still much to do to get help to the people who most need it. Some of the options available for diagnosis and treatment The Right to Choose scheme has sought to address some of the rising demand for ADHD diagnoses by allowing people to get NHS funding to register with a private provider. However, over the past five years, this system has also struggled to keep pace with the rise in referrals, exacerbated in part by medication shortages, which have created bottlenecks in moving people onto prescriptions. Although there are medication options available for some, other options such as talking therapies (Cognitive Behavioural Therapy), programmes helpful for ADHD like those for Sleep, Rumination, or Mindfulness are only available through the NHS in certain areas, and are woefully underfunded, only reaching a minute proportion of those who would benefit every year. There are, however, some other positives. The field of ADHD coaching has grown immensely in the past 10 or 15 years, with many more well-trained coaches offering a variety of ADHD coaching, support, and education specialisms for both children and adults. These can form a vital part of a multi–modal intervention plan, both at home and in workplaces or educational settings. Towards the future There is hope that AI tools will lead to faster and cheaper diagnoses, and some tests have already been trialled nationally and approved for use by the NHS, such as the QbTest, which aims to speed up diagnosis for children. There is, as yet, nothing similar for adults, although various hybrid models that use AI for clinical support appear promising. Ultimately, the surge in demand highlights the urgent need for expanded specialist services to ensure timely, accurate, and supportive care for those with ADHD in the UK. I’d love to know what your own experiences have been with either NHS or private services: please get in touch with me at Further reading: |
Author: Coach Anna
Time Blindness in ADHD: Simple Strategies to Implement Straight Away.

Time Blindness in ADHD: Simple Strategies to Implement Straight Away.
Time blindness is a very familiar phenomenon for my clients with ADHD, and it may be for you, too. Broadly speaking, time blindness is a difference in the perception and awareness of time passing.
It can affect people in various ways, for example:
A) being unable to estimate the time it may take to do a task,
B) having no sense of time passing while engaged in something,
C) struggling to sense future events coming up and act accordingly.
Let’s look at the above three aspects of time perception and consider some possible strategies for each of them in turn.
A. Difficulty in estimating time accurately.
This difficulty can take the form of both under and over-estimating the time it takes to complete something.
Time underestimation.
The result of underestimating time can often have dire consequences in the workplace.
For example, when we believe that each job will take less time than it actually does, projects and assignments start to build up as we find they take longer, thereby pushing other tasks further into the future. At some point, the accumulated backlog of tasks becomes overwhelming, and we feel we cannot cope at work.
Another example would be a person who needs to leave the house by a particular time and reckons it won’t take them long to get ready. However, in reality, they are inevitably late leaving the house every day.
I have worked through this challenge with various clients over the years, and usually, the primary reason comes down to underestimating time in some way or another. Once we have established this, it’s relatively straightforward to work through each part of getting ready and develop a more realistic estimate to enable them to leave the house in time. For more on that topic, go here
Time overestimation.
Overestimating time is often associated with some of the less pleasant activities or those tasks which don’t hold so much interest for us. This can stop us dead in our tracks, as really, who’d want to start washing up believing it’s going to take 45 minutes or start writing an email, suspecting it will take at least half an hour – maybe more?
Strategies for time estimation
So, what’s the solution for these internal time warps?
Well, one of the most effective ways is actually to time yourself to begin with. YES, with a stopwatch if necessary. This enables you to accurately identify how long something takes to complete.
I have created a simple tool you can use to help you do this. It’s called the Time Estimation Tool, or TET for short, and you can download your copy here.
The TET enables you to keep testing out your “guesstimates” and then adjusting your techniques based on the real-life results you get. Mostly, when people have done this exercise, they are surprised to discover the actual amount of time things take. With practice, and applying it to various different life situations, this can revolutionise people’s time management skills in all kinds of positive ways.
TIP: Using clocks and watches, various timepieces and reminders and alarms on our phones or smart watches can help familiarise us with common time periods in our individual circumstances.
Find out what works for you, either audio or visual ways of seeing the passage of time or a combination, until you know for sure how long these things take you.
The effect of having small chunks of certainty in an often windswept existence is strangely comforting and provides a firm foundation to build on.
B) Having little sense of time passing when we are engaged in something.
It is hard enough to get going on something and feel we can sustain focus on something without interrupting ourselves to look at the clock. That is what many of my coaching clients have told me over the years. We are usually talking about hyperfocus.
For those not in the know – you could liken hyperfocus to very heavy sleep where nothing gets through; even a loud bang next door or a car alarm going off is not enough to wake you. On the other hand, the kind of sustained focus with awareness is more like a light sleeper, one who is sleeping, but noises like thunder or a ring on the doorbell would waken them sufficiently to notice what’s happening around them.
One is so intensely focused on the matter at hand that there is no awareness of anything else. The other is still focused, yet with the possibility of dipping in and out of focus on the task to notice, for instance, hunger, noises, other people, and, of course, what time it is, as well as the significance of that information.
Strategies for noticing time passing while engrossed in something.
- Again, you can use anything that gets your attention, like a noise, a timer, or a message; some people even ask someone to come and tell them it’s time to eat, stop, or whatever else needs to be done.
- Another effective strategy is to set yourself up with an intention beforehand. For example, I will work for 20 minutes on X, then stand up and walk to fetch water and stretch for 5 minutes.
In this way, you are priming yourself to bear time in mind when you first set out to do something.
3. You can also make a pact to check in with yourself at intervals throughout the day, say mid-morning, lunchtime, mid-afternoon, and (at a time which can be particularly tricky for many with ADHD) at the close of the working day. Yes, you may well need a check-in at 5 pm to tell you to wrap up and literally get ready to go home. Many people overwork and extend their working hours more by accident than design, simply due to not noticing time going by.
You can build this up in small increments until you have more awareness of time passing throughout the day.
C) Not sensing future events coming up and acting accordingly.
Time blindness results in perceiving events as literally less “real” the further away they are in the future. This lack of awareness of the distance of future dates and events causes ADHD-ers to be chronically underprepared when the time inevitably does come. Life will be full of unpleasant surprises as a result, leaving you feeling demoralised and often at a disadvantage.
Examples:
- Lack of awareness of how close or far away events are in time leads to leaving things to the last minute – e.g. Not realising the due date for a bill until you get a final notice or a court summons.
Not seeing your holiday dates coming up might lead to you not packing the suitcase until the last minute or realising your passport is out of date when it’s too late to do anything about it.
- Another common circumstance of time blindness comes when preparing for well-known future events – knowing there is a deadline for handing in a piece of work, for example, but being very hazy about when that is. In coaching sessions, many people have told me,” Oh, it’s in a couple of months, I think.” When I asked them the exact date to put in their calendar or planner, they had to go and look it up and were, in many cases, surprised to find it was rather sooner than they thought.
Once these clients firm up their knowledge around due dates and record them where they can easily refer to them, they find it much easier to make a realistic plan to get the work done in time.
- Not doing things for our future selves is another result of time blindness. Often, because of impulsivity added to time blindness, we enjoy ourselves so much in the moment that we forget the needs of our future self. This can lead to burnout, energy crashes, or just plain overwhelm, as our self-care needs continually get put on the back burner.
Strategies for dealing effectively with future events.
- Make time visual and external to your brain whenever you can, using calendars, wall charts, and diaries. If you are OK with checking digital devices, then use those too.
- Identify precise dates and times when events are happening to be sure to set reminders and timers for them. You may want to remind yourself a few times they are coming up soon, as well.
- Practise asking yourself, “What would future me thank me for doing right now?” That extra glass of water, healthy option, or money in the bank can very likely help “future you” maintain your equilibrium.
Fortunately, there are many strategies that you can employ to combat time blindness.
- Using methods which make time more “real” for you,
- Experimenting to find out which of them works for you, and
- Implementing one or more of the above strategies, you will be able to bring more awareness and skilfulness into your dealings with this elusive construct we call time, and live your life more smoothly and enjoyably as a result.
Anna Schlapp B.A., ACC, ACCG, is a certified ADHD coach, coaching people to understand and manage their unique time perception more productively. If you would like to explore this or any other of your ADHD traits with a highly experienced coach of more than ten years, you can contact Coach Anna here.
Get More Done With 3 Easy Ways to Boost Hyperfocus

Get More Done With 3 Easy Ways to Boost Hyperfocus
Hyperfocus is an extreme form of focus. It has a range of effects and uses, from the awful to the awesome. My coaching clients often ask me if there’s a way to switch hyperfocus on or boost hyperfocus. They would like to take advantage of the lift it gives their productivity. Their desire is to get hyperfocus more under their control. Many times, it just seems to “happen,” and not necessarily when they want it to. Getting into hyperfocus is not so much about flipping a switch as creating the ideal environments where hyperfocus can flourish.
To get yourself into a state of hyperfocus:
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Clear the decks
- Carving out or defining some time for the project or task you wish to hyperfocus on is an excellent first step. Dedicating thought to when, and for how long, can help clarify further.
- You may need to clear your space; this could be the physical space you want to work in or your virtual space. Getting clutter out of the way will give a boost to your ability to focus efficiently.
- Get any outstanding items off your to-do list that might surface while you are busy, and off your mind. The last thing you want is having your focus broken into by thoughts of urgent emails you need to write or payments that will incur a penalty if you miss the deadline.
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Remove potential distractions
- Dealing with distractions before they happen is a sure way to promote hyperfocus. For example, you may decide to work on your project at night or early in the morning when no-one is around. Or choose a weekend when everyone is away to focus better on one thing.
- Alternatively, consider temporarily moving yourself to an undisturbed location, if it’s busy where you live or work. Try also using ear defenders to block out external audible distractions.
- Some people find the opposite works best for them – they need something to concentrate against to focus well. Many use music, white noise, or other sounds as a background, or go to busy cafes to get things done.
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Make it easy by being prepared
- Get yourself ready to hyperfocus: for many, physical exercise or movement of some kind before settling to something is a must for being able to focus. Make a point of having food and drink to keep you well-fed and watered while you work. This will optimize the brain energy you need in order to hyperfocus and increase your productivity.
- Make the project or task you want to hyperfocus on seem as appealing as possible. Use that fantastic creativity of yours to find new ways to look at or approach the task.
- Save time and frustration by optimising your environment and gathering materials and equipment for your project together beforehand.
- According to Shawn Achor, in his book “The Happiness Advantage,” people find it much easier to manage their attention when they’re happy. Part of your preparation can involve using your knowledge about what makes you happy. The neurochemicals involved in happiness can put you in a good place for being able to direct your attention exactly where you want it to go. Experiment with listening to music, spending time with people you love, and playfulness, for example, to discover what works best for you and when.
In summary:
- Step one
Remove obstructions; carve out time, clear physical space, and empty or defer to-do list items, and you’re one step closer to bringing on hyperfocus.
- Step two
The key with distractions is to get to know your particular triggers. Finding ways to mitigate them upfront will help you get into hyperfocus and stay there.
- Step three
Get prepared before you start; use a personalized selection of methods. Things like movement, creative approaches, optimising your environment, gathering materials and tools, and sparking beneficial neurochemicals will help you slip effortlessly into a deeper level of concentration.
Follow these tips, and you’ll be able to create the ideal conditions for whenever you want that extra boost of hyperfocus power.
If you’re curious about any of the tips mentioned above and you’d like to explore further how to work with your unique brain to harness hyperfocus, get in touch with me here to book an initial conversation to discuss your needs and discover how ADHD coaching can benefit you.
Anna Schlapp, B.A., ACC, ACCG has been coaching people with ADHD since 2015, and has thousands of hours of experience in helping her talented and creative clients get more out of life.
Review of A Pocket Guide to Neurodiversity by Daniel Aherne

Review of A Pocket Guide to Neurodiversity by Daniel Aherne
Overview
This book is as described in the title – a pocket guide to Neurodiversity. It is a compact and readable book on the subject.
Authors
The author of this book, Daniel Aherne, runs a company that provides training and consultancy to global businesses to help them better understand neurodivergent employees. They cover things like the recruitment process to make it as inclusive as possible and management training so managers can better support and retain neurodivergent employees. Adjustservices.co.uk/about
Tim Stringer is the illustrator, who provides touches of humour and insight in his visually appealing illustrations.
Author background
As a teenager, the author Daniel Aherne started volunteering with an autistic boy, which led him to develop a passion for helping those with autism. He then worked at NAS (National Autistic Society), assisting autistic adults to access employment and volunteering opportunities.
Daniel Aherne was diagnosed with ADHD as an adult.(He states in his introduction that the idea for the book came from a talk on neurodiversity that he gave to Jessica Kingsley Publishers.)
Audience
According to one review, this book is “addressed primarily to people in managerial positions. In a broader sense, it should appeal to all staff members who would like to understand their neurodivergent colleagues and support them by adapting the work environment to their needs.” – review on www.consilium.europa.eu/en/documents-publications/library/library-blog/posts/the-pocket-guide-to-neurodiversity-by-daniel-aherne-and-tim-stringer/
This book is for anyone wanting to understand neurodiversity and support neurodivergent people. It is aimed mainly at the workplace, and includes schools and communities. The author sets out to help us celebrate neurodivergence and foster more inclusive communities. Parents, teachers, school teaching assistants, neurotypical workplace colleagues, people running youth groups, social workers would gain a good grounding from reading this book.
Subject and Structure of the Book
This book gives an introduction to neurodiversity and the four most commonly diagnosed neurodivergent identities: autism, ADHD, dyslexia and dyspraxia.
The book’s chapters cover Neurodiversity, Neurotypes, Processing, Working Memory, Communication, Unwritten rules, Emotions and Problem-solving.
There are summarized Key Takeaways and Reflection Points. Some chapters also have a Helpful Adaptations section. There are lots of tips and reflection points to get the reader engaging with the material.
What are my favourite parts of the book?
I liked the chapters on communication and unwritten rules. These are topics that often come up in the course of my coaching neurodiverse people with Autism, AuDHD, or ADHD.
There were some helpful pointers for people who aren’t at all familiar with what neurodivergence means. Giving examples of how it can show up in different individuals is useful, for instance. The book indicates how to expect/allow for differences. It mentions differences in eye contact, processing speed, small talk versus more meaningful topics of conversation, and unwritten social rules for example.
This book proposes that adjustments for neurodivergence can actually be helpful for everyone. This is not a new proposition, however in my opinion it bears being repeated as many times as necessary to bring about the change needed to bring this into reality. For example, being more direct to make your meaning more straightforward and less ambiguous is a minor adjustment that can make a big difference in many settings.
Sense of Humour
I’m always delighted when an author shows me they have a sense of humour. Laughing at something gives me various things: good feelings, the perception that I can relax, an insight gained into something, or a new perspective or way of looking at something.
I am also more likely to pay better attention to what comes afterwards as if my brain hopes there will be more moments of interesting stimulation/good feelings.
I found some of the illustrations amusing because they give well observed examples of true to life behaviour.
Final thoughts
In conclusion, I felt the approach taken in explaining neurodivergence was helpful, kind, and inclusive.
