Ireland

Do you need a GP referral for an adult ADHD assessment in Ireland?

For an assessment through the HSE, yes. For a private assessment, it depends on the provider. Either way, a letter from your GP often makes the process smoother.

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Through the HSE: a GP referral is the first step

The HSE route starts with your GP. Your GP refers you to your local Community Adult Mental Health Team, based on your home address. That team screens for possible ADHD and, if the screen is positive, refers you on to the specialist adult ADHD service.

To be seen, the HSE says you need to be 18 or over, live within the team's catchment area, and have moderate to severe ADHD symptoms that affect at least two areas of life, such as work or study, relationships, or managing money. Adult ADHD teams are still being set up, so not every area has one yet.

Waits can be long. In September 2024 TheJournal.ie reported waits of up to four years in Wicklow and south Dublin, where new GP referrals were paused for a time.

Privately: it depends on the provider

Some ask for a GP letter

One online service we checked asks for a GP referral letter written in the last 12 months, covering your medical and mental health history, before you can book.

Some let you book directly

Others let you book without a referral. Even then, they may ask about your medical history, any medicines you take, and whether you have seen a mental health service before.

Always check the provider's booking page before you pay, because the rule can change.

Why a GP letter can still help

Your GP holds your medical history, including physical health conditions and medicines, which a clinician may need when assessing you. If medication is considered after a diagnosis, your GP may also be involved in ongoing prescriptions and check-ups, so it helps to keep them informed from the start.

What to ask your GP to include

  • Why you are asking for an assessment, in your own words.
  • Your relevant medical history and any current medicines.
  • Any past mental health care or diagnoses.
  • Anything from childhood or school that may be relevant, if you have it.

Does the GP visit cost anything?

Unless you have a medical card or GP visit card, you will usually pay for the GP visit. Fees paid to doctors can usually be claimed under health expenses relief at the standard rate of 20%, through Revenue's myAccount.

For the full picture of waits, costs and what happens after diagnosis, read our guide to adult ADHD assessment in Ireland.

Proco in Ireland

Proco is building a clinician-led adult ADHD assessment service for people in Ireland. It is not open yet, and we will only open once a clinician registered to practise in Ireland is in place.

Join the Ireland waitlist

Sources: HSE National Clinical Programme for ADHD in Adults (referral pathway and eligibility); TheJournal.ie, 26 September 2024; booking requirements published by Irish private providers, checked 29 October 2026; Revenue guidance on health expenses relief. Last reviewed 29 October 2026. This page is general information, not medical advice, and has not yet been reviewed by a clinician.