What mental health services do you offer?

We offer a comprehensive range of mental health services, including diagnosis, treatment, and support for conditions such as ADHD, Autism and addictive behaviour, sleep and stress/burnout.

Do you offer support services for children?

Yes, we provide specialised support services for children, including assessments and interventions tailored to their developmental needs. Our team includes psychiatrists, coaches and therapists experienced in working with young people.

Do you treat/diagnose women differently to men?

Yes, we recognise that mental health conditions can present differently in women and men. Our assessments and treatment plans are tailored to consider these differences, ensuring that each individual receives personalised care based on their unique needs and symptoms. We have a female specific and sensitive approach for autism and ADHD assessment.

Can I have an online appointment?

Yes, we offer online appointments for those who prefer virtual consultations. Our telehealth services allow you to access our mental health professionals from the comfort of your home, ensuring convenience and accessibility.

What should I expect during my first visit?

During your first visit, you will undergo a comprehensive assessment with one of our mental health professionals. This session will involve discussing your symptoms, medical history, and any concerns you may have.

Are your services confidential?

Absolutely. We adhere to strict confidentiality policies to ensure your privacy and the security of your personal information. All sessions and records are kept confidential in accordance with legal and ethical guidelines.

We are based in Wilmslow and Manchester, but we offer services to clients from various locations through our online appointment system. Please visit our contact page for more details and directions to our office.

How quickly will I see results?

The time it takes to see results varies depending on the individual and the nature of their condition. Some people may notice improvements within a weeks, while others may require a longer-term approach. Our team will work with you to develop a treatment plan that aims for the best possible outcomes in a realistic timeframe.

How do I book an appointment?

Appointments can be booked through our website using our online booking system, or by calling our office directly. Our staff is available to assist you with scheduling and answer any questions you may have.

What are your office hours?

Our office hours are 0900 to 1700. We also offer evening and weekend appointments to accommodate different schedules. Please check our contact page for specific hours and availability.

Do you accept insurance?

Yes, we accept a variety of insurance plans. Please contact our office or visit our insurance information page to see if we accept your specific insurance provider.

What age groups do you serve?

We provide services for individuals of all ages, including children, adolescents, adults, and seniors. Our team is trained to address the unique mental health needs of each age group.

Is there parking available at your location?

Yes, we have ample parking available for our clients. Please refer to our contact page for detailed parking instructions and directions.

Do you offer bilingual or multilingual services?

Yes, we have staff members who are fluent in multiple languages. Please let us know if you require services in a specific language, and we will do our best to accommodate your needs.

What if I need to cancel or reschedule my appointment?

We understand that sometimes plans change. Please contact our office in advance to cancel or reschedule your appointment to avoid any cancellation fees.

What follow-up care do you provide?

Follow-up care is an essential part of our treatment process. Depending on your treatment plan, this may include regular reviews, medication management, or periodic assessments to monitor progress and adjust the treatment plan as necessary.

Can family members be involved in the treatment process?

Yes, involving family members can be beneficial, especially for children and adolescents. Family therapy sessions are available, and we encourage family involvement when appropriate to support the treatment process.

Do I have to tell my employer about my condition?

No, you are not legally required to disclose your condition to your employer. However, there are circumstances where sharing this information can be beneficial, such as when you need reasonable accommodations to perform your job effectively. Under the Equality Act 2010, you are entitled to adjustments that can help you work more efficiently. It’s important to weigh the pros and cons and consider your workplace environment before deciding to disclose.

Do I have to tell my GP about my condition?

While you are not required to disclose your condition to your employer or GP, doing so can provide significant benefits in terms of support, accommodations, and comprehensive healthcare. Carefully consider your individual circumstances, and if you decide to disclose, approach the conversation with preparation and confidence. If you need advice on how to proceed, consulting with a mental health professional or legal advisor can be helpful.

Who are Sanctum Healthcare?

Sanctum Healthcare is a specialised mental health service provider offering comprehensive assessments, diagnoses, and treatments for various mental health conditions. Our team consists of highly qualified professionals dedicated to providing personalised care to individuals of all ages.

Who does the assessment?

Assessments at Sanctum Healthcare are conducted by experienced specialists, including psychiatrists, psychologists and ADHD specialist clinicians, depending on the age and needs of the individual being assessed.

How soon can I get an appointment?

Appointment availability varies, but we strive to offer timely consultations. Please contact our office directly or check our online booking system for the most current availability.

What if I can’t get collateral information?

While collateral information is helpful, it is not always necessary. Our specialists can still conduct a thorough assessment based on available information and direct observation.

What will happen after the assessment?

After the assessment, our specialists will provide a detailed report with the diagnosis and recommended treatment plan. We will discuss the findings with you and outline the next steps, including any necessary follow-up appointments or referrals.

Can I / How can I contact my consultant outside of appointments?

You can contact your consultant through our office during business hours. For urgent matters, please use the contact information provided at your initial consultation. We strive to provide prompt responses to all queries.

Can I take my letter to my GP, and will they prescribe?

Yes, you can take the assessment report to your GP. We operate under a shared care approach, where your GP can take over prescribing medication after an initial period of monitoring and adjustment by our specialists. This shared care agreement ensures that you continue to receive the medication you need with the convenience of obtaining it through your GP. We have an 85% success rate in establishing shared care agreements with GPs, ensuring continuity of care and convenient access to medications.

I’m not resident in the United Kingdom – can you still see me?

Yes, we offer online consultations for international clients. Please contact our office to discuss how we can accommodate your needs.

Do you offer any discounts or payment plans?

Yes, we offer flexible payment plans and may provide discounts in certain circumstances. Please contact our office for more information on available options.

Will my diagnosis be recognised by schools/GPs?

Yes, our diagnoses are recognised by schools and GPs. We provide detailed reports that can be used to support educational accommodations and medical treatment plans.

Will my child be eligible for extra support at school?

A diagnosis from Sanctum Healthcare can help your child become eligible for extra support at school. This can include Individualised Education Plans or other accommodations to assist with their learning needs.

What if I’m diagnosed with something other than ADHD?

If you are diagnosed with a condition other than ADHD, we will provide a comprehensive treatment plan tailored to your specific diagnosis. Our team is equipped to handle a wide range of mental health conditions.

How does ADHD affect learning and everyday life?

Underachievement: Despite having the intellectual capacity, individuals with ADHD might not reach their full potential in academics or their careers due to the challenges posed by their symptoms. Stressful Success: Even when individuals with ADHD do succeed, the journey can be fraught with stress, overexertion, and burnout due to the constant need to navigate and manage their symptoms. Latent Skills: Skills and talents may remain underdeveloped or unrecognized due to the overshadowing difficulties in attention and organisation.

Isn't ADHD just about naughty boys running around a classroom who can't concentrate?

ADHD affects multiple domains of an individual’s life, including relationships, career, self-esteem, and mental health Beyond academics, ADHD can affect every element of a person’s functioning, including time management, organisation, social interactions, and emotional regulation. Recognising that ADHD is not just about hyperactive behaviour or inattention is crucial for appropriate diagnosis and support. By understanding the diverse ways in which ADHD can manifest, including rejection sensitivity and addictive behaviours, society can better support individuals with ADHD to lead fulfilling lives. Rejection sensitivity is characterised by extreme emotional sensitivity and emotional pain associated with the perception of being rejected or criticised. This is common among individuals with ADHD and can significantly impact their self-esteem and interpersonal relationship. ADHD often co-exists with other conditions such as anxiety, depression, learning disorders, and more, making the diagnosis and management complex.

Do the assessments meet NICE guidance?

The Sanctum ADHD/Autism Assessment pathway is a comprehensive process which collates multiple sources of evidence, objective testing, a data driven approach, completed by a multidisciplinary team. We are proud to say our assessments for ADHD and ASD surpass the NICE guidance. The assessment and treatment protocol at Sanctum not only aligns with, but surpasses the NICE guidelines. Our assessment and treatment plans are held to the highest standards of professionalism and care, where all regulated activity is carried out by a specialist healthcare professional and overseen by a specialist GMC-registered consultant clinician within our CQC-registered facility.

Will the NHS accept this diagnosis?

We have a very high success rate in achieving shared care agreements with primary care.In some circumstances, it is pertinent for us to understand why the GP is reluctant to take on shared care. If they have no previous experience of working with an established provider like Sanctum, they may have concerns about quality of care or our approach. We are happy to provide any reassurance in this domain. It is important that media reports about private providers had painted a negative portrayal of the services available and this may be impacting the GP’s consideration towards agreeing SCA. Not all providers are the same and all sectors of healthcare have good and poorly performing providers. Any concerns or queries we can address on request. The GP may not have a good knowledge or experience of how debilitating ADHD is and how treatment is fundamental to good quality of life. We are happy to provide education to any primary care provider to address knowledge gaps, at no cost.

Will the NHS accept this diagnosis?

We have a very high success rate in achieving shared care agreements with primary care. In some circumstances, it is pertinent for us to understand why the GP is reluctant to take on shared care. If they have no previous experience of working with an established provider like Sanctum, they may have concerns about quality of care or our approach. We are happy to provide any reassurance in this domain. It is important that media reports about private providers had painted a negative portrayal of the services available and this may be impacting the GP’s consideration towards agreeing SCA. Not all providers are the same and all sectors of healthcare have good and poorly performing providers. Any concerns or queries we can address on request. The GP may not have a good knowledge or experience of how debilitating ADHD is and how treatment is fundamental to good quality of life. We are happy to provide education to any primary care provider to address knowledge gaps, at no cost.

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Better ASSESSMENT PROCESS IS KEY

ADHD Overdiagnosis

Overdiagnosed or Overlooked- we need to rethink the approach!

ADHD Is Not Overdiagnosed. It Has Been Overlooked: Why the UK Must Rethink Its Approach

For decades, ADHD has been misunderstood as a narrow behavioural issue affecting children. Yet NHS data, international research, and lived experience all show something very different: ADHD is a brain–body condition with far-reaching impacts on health, education, employment, family life, public safety and the wider economy.

As Wes Streeting launches a national review into ADHD, autism and mental health services, it is essential that the conversation is grounded in evidence, not outdated assumptions.

Below is a full exploration of why better ADHD diagnosis and management is a national priority, with internal and external links to support clinical understanding, public education and policy reform.

ADHD Has Not Suddenly Become More Common, Diagnosis Is Finally Catching Up

Many claim that ADHD is being overdiagnosed. NHS data show the opposite.

ADHD affects 3–5% of children and 2–3% of adults, but adult diagnosis rates remain below 1%.
Women and girls are especially under-recognised due to masking, hormonal influence and non-stereotypical presentations.
More than 500,000 people are currently waiting for ADHD or autism assessment in England.

See our overview of current pathways:
Understanding ADHD Assessment in the UK

External sources confirming underdiagnosis:

Rising diagnosis does not mean overdiagnosis. It means the system is finally recognising people it previously ignored.

ADHD Is a Brain–Body Dysregulation Condition, Not a Behaviour Problem

ADHD affects the nervous system, endocrine system, autonomic function, sleep architecture, emotional regulation and metabolic health. It overlaps with:

Sleep disorders and insomnia
Hormonal problems, especially in women (PMDD, perimenopause, menopause)
Chronic pain, migraine and hypermobility
Gut problems and inflammatory disorders
Burnout, trauma and heightened stress sensitivity
Addictive behaviours and dysregulated reward pathways

Learn more about specific areas:
ADHD, Insomnia and Sleep Dysregulation
Female Brain Health and ADHD

Relevant external research:

ADHD cannot be treated as a standalone mental-health label. It is a multi-system health condition that requires integrated care.

Untreated ADHD Amplifies Risk Across Multiple Systems

Education

Students with ADHD face:

Lower GCSE attainment (around one grade per subject)
Two to three times higher risk of exclusion
Higher school absenteeism
NEET status at age 25: two to three times higher than peers

Employment and Productivity

Adults with untreated ADHD have:

10–14% lower employment rates
33% lower average income
Estimated workplace productivity losses of around £11 billion per year

For a deeper dive into how better management helps:
Why Shared Care Prescribing Improves Long-Term Outcomes

Family and Relationships

Parental depression three to five times higher
Around 80% of families reporting chronic stress
Divorce rates up to three times higher
Seventy per cent of adults with ADHD report significant relationship strain

Criminal Justice and Public Safety

ADHD prevalence in prisons: around 25% of adults and 30% of young offenders
Inmates with ADHD are eight times more likely to be involved in violent or disruptive incidents
Medication is associated with a 32% reduction in criminality in men and 41% in women (Swedish registry data)

External reference: ADHD, impulsivity and criminogenic risk

Physical Health and Mortality

Untreated ADHD is associated with:

Reduced life expectancy of four to nine years
Two to three times higher all-cause mortality
Three times higher suicide attempt rate
Twice the risk of type 2 diabetes
Fifty to sixty per cent higher obesity prevalence
High rates of sleep disorders and psychiatric comorbidity

External reference: UCL life expectancy study in adult ADHD

The Economic Case: ADHD Is One of the Most Costly Undiagnosed Conditions

Annual UK cost lines influenced by ADHD-related dysregulation (approximate figures):

Area	Annual Cost
Sleep disorders	£34–40 billion
Work-related stress	£51 billion
Mental illness (NHS / societal)	£60 billion / ~£300 billion
Musculoskeletal pain	£5 billion
Type 2 diabetes	£10–14 billion
Obesity	£6.5–9.7 billion
Migraine and headache	£1 billion NHS, up to £9.7 billion total
Alcohol harm	£27 billion
Drug misuse	£20 billion
Family breakdown	£51 billion
School exclusion	£2.1 billion

When ADHD is diagnosed and properly managed:

Estimated realistic yearly saving: around £1.8 billion
Theoretical maximum saving: up to £6.3 billion per year

Learn more about our integrated approach:
About Sanctum’s Integrated Brain Health Model

Why This Matters for Wes Streeting’s Review

The review must recognise that:

ADHD is underdiagnosed, not overdiagnosed. Long waits and limited capacity inflate crisis demand.
ADHD management is preventative medicine. It reduces risk in mental health, substance misuse, justice involvement, metabolic disease, accidents and family stress.
Shared care is essential for continuity of treatment. Restricting shared-care prescribing would increase A&E attendance, worsen adherence and deepen inequality.
ADHD requires integrated, multidisciplinary pathways rather than medication-only models.
Diagnosis is not costly – untreated ADHD is.

Internal resource:
Why Shared Care Must Be Protected

External guideline:
NICE NG87 – ADHD: Diagnosis and Management

What Policymakers Must Do Next

To reduce avoidable harm and cost, ADHD needs to be addressed as a cross-cutting public health condition. Key actions for the review include:

Create a National ADHD Shared-Care Standard for GPs and ICBs.
Expand assessment capacity for adults, women and marginalised groups.
Embed sleep, stress, metabolic and hormonal screening in ADHD pathways.
Fund post-diagnostic support, not medication-only care.
Recognise ADHD as a public health determinant that drives demand across education, health, justice and social care.

References

1. Epidemiology, Prevalence and Life Course Outcomes

Stergiakouli, E., Martin, J., Hamshere, M. et al. (2017). Association between polygenic risk scores for ADHD and educational and cognitive outcomes. International Journal of Epidemiology, 46(2), 421–428.
National Institute for Health and Care Excellence (2018, updated 2019). Attention Deficit Hyperactivity Disorder: Diagnosis and Management (NICE NG87).
Ronald, A. et al. (2021). How the ADHD polygenic score affects outcomes across the life course: A systematic review. JAACAP, 60(7), 852–876.

2. Social and Economic Impact (Education, Employment, Productivity)

Vibert, S. & Wybron, I. (2018). Your Attention Please: The Social and Economic Impact of ADHD. Demos.
NBER Working Paper 21680 – Employment and income effects of ADHD.
NBER Publication 38036902 – Adult ADHD and reduced earnings estimates.
IPPR (2017). Making the Difference: Breaking the Link Between School Exclusion and Social Exclusion.

3. ADHD, Obesity and Metabolic Health

Cortese, S. et al. (2016). ADHD and obesity: A systematic review and meta-analysis. American Journal of Psychiatry, 173(1), 34–43.
Cortese, S. (2019). Updated evidence on ADHD and obesity. Brain Sciences, 9(10), 256.
Garcia-Argibay, M. et al. (2023). ADHD and type 2 diabetes: Meta-analysis and sibling study. Neuroscience & Biobehavioral Reviews, 144, 104993.
ADHD Evidence Project (2023). Updated interpretation of ADHD–diabetes risk.

4. Criminality, Justice and Public Safety

Lichtenstein, P. et al. (2012). Medication for ADHD and criminality. New England Journal of Medicine, 367, 2006–2014.
NEJM Journal Watch (2012). Summary of criminality reduction effects of ADHD medication.

5. Education, Exclusion and NEET

Department for Education (2016–2022). National exclusion statistics.
ADDISS & UK ADHD Partnership (2017–2022). Reports on ADHD and exclusion.
PubMed Research (PMID 26908602). ADHD and increased NEET risk.
PMC2697063. Absenteeism and ADHD.

6. Sleep, Circadian Rhythm and ADHD

Wajszilber, D., Santiseban, J.A., Gruber, R. (2018). Sleep disorders in ADHD: Impact and management challenges. Nature and Science of Sleep, 10, 453–480.
Wynchank, D. et al. (2016–2018). Circadian preference and ADHD in adults.
NICE NG87 – Sleep assessment within ADHD pathways.

7. Life Expectancy, Mortality and Long-Term Risks

Dalsgaard, S. et al. (2015–2020). ADHD and all-cause mortality. Lancet Psychiatry.
UCL (2025). Adult ADHD and reduced life expectancy in UK primary care (press release & study).

8. Economic Costs of ADHD and Related Conditions

Demos (2018). Your Attention Please – UK ADHD costings.
Centre for Mental Health (2020–2023). Annual mental health cost estimates.
Deloitte UK (2022/23). Employer cost of poor mental health (~£51bn).
DHSC Obesity Strategy. NHS obesity cost ~£6.5bn.
NHS England Diabetes Programme. NHS diabetes cost ~£10bn (~10% of budget).
Versus Arthritis (2020). MSK burden (~£5bn).
RightCare & Work Foundation. Migraine NHS cost (£1bn) and economic cost (~£9.7bn).
Institute of Alcohol Studies. Alcohol harm (~£27bn).
Home Office / NAO Drug Strategy. Drug misuse cost (~£20bn).
OHID (2023). Gambling harm (~£1.05–1.77bn).
IPPR (2017). Cost of exclusion (~£2.1bn).
Relationships Foundation (annual). Cost of family breakdown (~£51bn).

9. Additional Advocacy and Policy Sources

ADHDadult.uk (2024). Response to LMC recommendations on shared-care cessation.
Scottish ADHD Coalition (2018). Commentary on Demos ADHD report.
Demos Daily Blog (2018). Follow-up analyses on ADHD socioeconomic impact.

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