Combined Adult Autism & ADHD Assessment
Welcome to Lycali. This guide explains each stage of your combined autism and ADHD assessment, from registration and pre-assessment questionnaires through to informant information, clinical appointments, multidisciplinary review, feedback and recommendations.
Important: Before Your Assessment
All required registration information, consent forms, pre-assessment questionnaires and requested informant documentation must be completed before any assessment session can take place.
Please read your welcome letter, terms and conditions and invoice carefully. Missing mandatory documentation may mean that an appointment needs to be rearranged.
At a Glance
Follow the stages below to understand your combined assessment journey.
Initial Enquiry & Registration
Once you contact Lycali, our team will review your enquiry and provide information about the most appropriate assessment pathway for your needs.
If you decide to proceed, you will be asked to complete Lycali's registration process. This allows us to collect essential details and securely create your clinical record.
- Personal and contact details.
- GP details.
- Relevant background information.
- Communication and accessibility requirements.
- Consent preferences.
Please check that all details are accurate and tell us if any reasonable adjustments would be helpful during assessment.
Your Welcome Letter & Documents
Following registration, Lycali will issue your welcome letter outlining the next steps in your combined assessment pathway.
Your welcome information will include the following important documents.
Terms & Conditions
Information about the service, booking arrangements, payments, cancellations, non-attendance and responsibilities.
Invoice
Confirmation of your agreed assessment fee, payment instructions and any additional charges, if applicable.
Consent to Treatment
A form confirming your informed consent to participate in the agreed assessment.
Please read the documents carefully, complete and return all required forms, including your Consent to Treatment form, and follow the payment instructions in your invoice.
All mandatory forms must be completed before any assessment session is carried out.
Payment & Assessment Booking
Your invoice will set out the agreed fee for your combined autism and ADHD assessment and the relevant payment arrangements.
Once payment has been received and the required documentation completed, Lycali can progress your assessment arrangements.
Our administration team will coordinate the appointments and confirm the dates, times, locations or formats and preparation requirements.
Combined assessments involve several clinical components. We may need to coordinate the availability of more than one clinician, as well as your informant.
Any outstanding questionnaires and consent forms must be completed before the relevant appointments take place.
Pre-Assessment Questionnaires Through WriteUpp
Before your assessment, you will be asked to complete questionnaires that help our team understand your developmental history, communication, attention, executive functioning, sensory experiences and everyday support needs.
All required questionnaires will be issued through WriteUpp, Lycali's clinical management system.
You will receive the appropriate links separately. Please complete the questionnaires as soon as they are issued.
Questionnaires You May Receive
Adult Developmental History Questionnaire
This explores your childhood and developmental history, education, relationships, communication, sensory experiences, attention and daily functioning.
Combined Autism & ADHD Questionnaire
This explores autism- and ADHD-related experiences, including social communication, routines, sensory processing, masking, attention, impulsivity, executive functioning, emotional regulation and everyday life.
Please make sure you have enough uninterrupted time to complete each questionnaire in one sitting.
Questionnaires cannot be saved part-way through and cannot be resubmitted once submitted.
Please review your answers before selecting Submit.
Allow Enough Time
Set aside uninterrupted time and have any relevant background information available.
Cannot Save Progress
Partially completed questionnaires cannot be saved and resumed later.
One Submission Only
Once submitted, the questionnaire cannot be resubmitted using the same form link.
If you would like a copy of your submitted questionnaire responses, please contact Lycali. We can share these with you, subject to appropriate identity and information-sharing checks.
If you notice an error after submitting a form, please contact our administration team.
All required WriteUpp questionnaires, registration information and consent documentation must be completed before any assessment session can proceed.
Providing Informant Information
As part of your combined autism and ADHD assessment, we will ask for information from someone who knows you well. This person is called an informant.
Informant information helps our clinicians understand your developmental history, childhood experiences, communication, attention, organisation, behaviours, interests, sensory differences and daily functioning.
- A parent who remembers your childhood development.
- Both parents together.
- A partner or spouse.
- A sibling or close family member.
- A long-term caregiver.
- A close friend who has known you for many years.
- A combination of suitable informants.
For the autism component, a developmental history interview, such as the ADI-R or equivalent, will usually involve someone who knew you well in childhood, ideally a parent.
A partner or spouse can also contribute useful information about your current experiences.
If no childhood informant is available, please contact Lycali to discuss possible alternative sources of information.
The adult being assessed may also attend the developmental history appointment where appropriate.
Adult Neurodevelopmental Informant Questionnaire
Your chosen informant will be asked to complete a questionnaire providing information relevant to both the autism and ADHD components of the assessment.
Please provide your informant's details to Lycali. We will arrange for the appropriate questionnaire to be issued directly to them.
The questionnaire should be completed by your informant rather than the person being assessed, unless the clinical team has agreed otherwise.
Informants must set aside enough time to complete their questionnaire in one sitting. It cannot be saved part-way through or resubmitted.
All required informant questionnaires must be completed before the relevant assessment appointment takes place.
A copy of submitted responses can be requested from Lycali, subject to appropriate information-sharing checks.
Informant Availability
To arrange your developmental history interview or ADI-R appointment, we need to establish when your informant is available.
Lycali will issue the relevant availability instructions or form separately.
Informant availability should be provided by the informant rather than the adult being assessed.
Our administration team will review the availability provided and coordinate the relevant clinical appointments.
Please let us know promptly if availability changes.
Additional Screening Questionnaires
As part of your combined assessment, additional autism and ADHD screening questionnaires may be requested.
- Adult AQ-50 – Autism Spectrum Quotient.
- Adult ASRS – ADHD Self-Report Scale.
- Adult SDQ – Strengths and Difficulties Questionnaire.
- Wender Utah Rating Scale (WURS).
Any required screening questionnaires will be issued separately through WriteUpp.
If you have already completed relevant pre-screening questionnaires with Lycali, you may not need to repeat them unless requested by a clinician.
Please check your email inbox, junk and spam folders regularly for messages from Lycali or WriteUpp.
If you have not received the expected questionnaires within five working days of booking, please contact Lycali.
These questionnaires must also be completed in one sitting, as they cannot be saved or resubmitted.
Your Combined Assessment Appointments
Combined autism and ADHD assessments involve multiple clinical components, allowing our team to explore both developmental history and current experiences.
The exact appointment structure will depend on clinical requirements and clinician availability.
The DIVA-5 is a structured interview exploring ADHD-related experiences during childhood and adulthood.
It considers inattention, hyperactivity, impulsivity and the impact of difficulties across everyday settings.
Who should attend? The adult being assessed must attend. Informant information may be incorporated where appropriate.
This appointment explores early development, communication, social interaction, childhood experiences, routines, interests, sensory differences and day-to-day functioning.
Who should attend? Ideally, an informant who knew you well during childhood, such as a parent. Alternative arrangements can be discussed with the clinical team.
The adult being assessed may also attend where appropriate.
The ADOS-2 involves direct observation and assessment of communication, interaction and behaviours relevant to autism.
Who should attend? The adult being assessed must attend. An informant or supporter does not usually need to attend unless agreed in advance with the clinician.
Where the assessment is undertaken remotely, the clinician may use an alternative clinically appropriate autism assessment approach rather than administering a standard ADOS-2 remotely.
The DIVA-5 and developmental history components may be arranged together or as separate appointments, depending on clinician availability and clinical requirements.
The autism observation component will be arranged separately where required.
Your appointment confirmation will explain which components are being completed and who needs to attend.
Information from all components, including questionnaires, informants, clinical interviews and observations, will be considered in the overall multidisciplinary assessment.
Multidisciplinary Review, Report & Feedback
Once all required assessment components have been completed, the clinical team will review and analyse the information gathered throughout the process.
The multidisciplinary review considers findings relevant to both autism and ADHD and supports the diagnostic decision-making process.
- Relevant developmental and personal history.
- Informant information.
- Autism and ADHD assessment findings.
- Clinical observations and structured interview findings.
- Clinical formulation and diagnostic conclusions.
- Your individual strengths and areas of need.
- Sensory and communication considerations.
- Executive functioning and attention-related needs.
- Practical recommendations and reasonable adjustments.
- Recommendations for further support.
You will receive a comprehensive written report and feedback in accordance with the assessment arrangements agreed.
A diagnosis of autism or ADHD is not guaranteed. It is possible for the clinical findings to support one diagnosis, both diagnoses or neither diagnosis.
The aim is to provide a meaningful understanding of your strengths, experiences and support needs, regardless of diagnostic outcome.
What Happens After Your Assessment?
Following your assessment, you may wish to explore further support to help you understand your neurodevelopmental profile and develop practical strategies for everyday life.
- Post-diagnostic psychoeducation.
- Lycali's Navigate Pathway.
- Neurodivergent-informed coaching.
- Psychological therapies where appropriate.
- Communication and sensory strategies.
- Emotional regulation and executive functioning support.
- Education and workplace adjustments.
- Needs-led planning and goal setting.
- Consideration of ADHD medication referral pathways.
Lycali's Navigate Pathway is designed to provide structured psychoeducation, individual goal setting and practical strategies following a neurodevelopmental diagnosis.
ADHD medication assessment and prescribing are not automatically included within the combined diagnostic assessment.
If you wish to explore medication, the relevant referral and prescribing arrangements will need to be discussed separately.
Assessment Fees & Additional Charges (If They Apply)
Your combined adult autism and ADHD assessment fee will be confirmed before booking and outlined in your invoice.
For information about current assessment fees and payment options, please visit our published fees page.
Some appointments may involve additional travel or external clinic hire costs. These charges do not apply to every assessment or appointment.
They may be relevant if a clinician is required to travel or where an alternative clinic location needs to be hired away from Lycali's main Broadstairs base.
If any additional charges apply, these will be confirmed before booking and clearly outlined in your invoice.
No such additional charges will be added without being communicated before booking.
Cancellation & Non-Attendance Policy
Lycali operates a 24-hour cancellation policy for assessment appointments.
Please inform us as early as possible if you or your informant cannot attend a scheduled appointment.
At Least 24 Hours' Notice
Please provide at least 24 hours' notice if you need to cancel or rearrange an appointment.
The full late-cancellation charge will not apply where sufficient notice is provided.
Less Than 24 Hours' Notice
Appointments cancelled with less than 24 hours' notice are chargeable at the full session rate.
This is because clinical time has been reserved for you.
Did Not Attend (DNA)
If you do not attend a scheduled assessment session and have not cancelled, this is recorded as a DNA.
DNA appointments are charged at the full session rate.
How to Cancel
Please notify Lycali's administration team as soon as you know that an appointment cannot go ahead.
Email: info@lycali.co.uk
These arrangements apply to booked assessment sessions. Please refer to your welcome letter and terms and conditions for full details, including any applicable statutory rights.
Useful Links & Information
Find out more about Lycali's assessment services, clinicians, appointment locations and fees.
Need Support?
If you have questions about registration, your welcome documents, questionnaires, informant arrangements, assessment appointments or payments, please contact Lycali.
If you have difficulty accessing a questionnaire issued through WriteUpp, need assistance completing documentation, or would like a copy of submitted responses, please get in touch.
Email: info@lycali.co.uk
Website: www.lycali.co.uk
All required registration, consent, pre-assessment and informant forms must be completed before the relevant assessment sessions can take place.
All questionnaires will be issued through WriteUpp. Please set aside enough uninterrupted time to complete them, as progress cannot be saved and questionnaires cannot be resubmitted after submission.
Please also check your appointment confirmation, invoice, any additional charges (if they apply) and the cancellation policy before attending.