Focus and Executive Function Support in Marylebone, London
This is not a diagnostic pathway. We do not assess for or diagnose ADHD and we do not prescribe stimulant medication. What we do is measure attention, working memory and response inhibition, and work on those symptoms where the numbers say there is something to work on.
Overview
This is not a diagnostic service
Read this part first. We are not a diagnostic service. Nobody here will tell you whether you have ADHD, and no assessment we run is capable of answering that question. If you think you might, formal diagnosis in the UK sits with a psychiatrist or a specialist ADHD service, reached by referral from your GP on the NHS or privately. NICE guideline NG87 sets out that pathway, and it is the right place to start.
What this page is about is narrower and more measurable: the symptoms. Starting a task being harder than doing it. Attention that holds for minutes rather than hours. Walking into a room and losing the reason. Task switching costing more than it used to.
Those are measurable. A NayaScore assessment tests twelve cognitive domains as percentiles against people of your age and sex, including attention, working memory and response inhibition, alongside grip strength and continuous heart rate variability. It is a measurement tool rather than a diagnostic test, and results are interpreted alongside clinical judgement. It will show you where your attention sits relative to typical. It will not tell you why.
On the evidence, plainly. Magnetic stimulation is not a NICE-recommended treatment for ADHD, and the trial evidence in ADHD specifically is small and mixed. The substantial evidence base sits in treatment-resistant depression. We are not going to move a depression figure across to a focus complaint and hope you do not notice.
There is also a common and boring explanation worth eliminating before anything else. Short sleep, sustained stress, low mood, anxiety, alcohol, thyroid disease and iron deficiency all degrade attention and executive function, and several of them are found with a blood test. If that is what is happening, the honest answer is not a course of stimulation.
Why it happens
What drives focus and executive function symptoms
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Chronic short sleep, which degrades attention and working memory before it changes how alert you feel
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Anxiety and low mood, which compete for the same attentional resources and often present first as poor focus
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A working environment of constant interruption, where the cost is task switching rather than capacity
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Alcohol and cannabis, both of which affect attention and working memory beyond the day of use
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Thyroid disease and iron deficiency, which are found on blood tests and produce exactly this complaint
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An underlying neurodevelopmental difference in prefrontal and striatal signalling, which only a formal diagnostic assessment can identify
Treatment approach
How we work on focus in Marylebone
NayaScore assessment
On enquiryA measurement of where your attention, working memory and response inhibition actually sit, as percentiles for your age and sex, alongside grip strength and continuous heart rate variability. It is a measurement tool rather than a diagnostic test, results are read alongside clinical judgement, and it cannot diagnose ADHD or rule it out.
See treatment detail →Optimise programme
On enquiryOptimise is for people at or above their baseline who want measurable gains in named domains. If your assessment shows attention or response inhibition below where you want them, this is the pathway that fixes the session count, the target domains and the reassessment points before you start.
See treatment detail →Progress tracking
On enquiryFocus varies with sleep, workload and mood, so one bad fortnight is not a finding. Repeating the identical battery is what distinguishes a real change in response inhibition from a week when you slept badly, and it is how we decide whether to carry on.
See treatment detail →Precision rTMS
From £350 a sessionWhere stimulation is appropriate it targets the dorsolateral prefrontal cortex, at a dose set from your own motor threshold. Be clear that magnetic stimulation is not a NICE-recommended treatment for ADHD and the trial evidence in ADHD is small and mixed. Your clinician will state where your own case sits rather than blur the two.
See treatment detail →Integrated therapy
On enquiryExecutive function is partly a skills problem and partly a load problem, and neither is solved by a coil. Psychological work on structure, task initiation and sleep addresses the parts stimulation does not reach, and for many people it is the higher-yield half.
See treatment detail →FAQ
Focus and executive function questions
Can you diagnose my ADHD?
No. We are not a diagnostic service and no assessment here can answer that question. Formal ADHD diagnosis in the UK sits with a psychiatrist or a specialist ADHD service, reached through your GP on the NHS or privately, under NICE guideline NG87. Start there rather than here.
Is rTMS a treatment for ADHD?
Not in any established sense. Magnetic stimulation is not a NICE-recommended treatment for ADHD and the trial evidence in ADHD specifically is small and mixed. The substantial evidence base is in treatment-resistant depression. We will not transfer a figure from one indication to another, and you should be wary of anyone who does.
I already have an ADHD diagnosis. Can I still come?
Yes, and your prescriber stays in charge of your medication. Do not change or stop anything because of something we said. Bring the diagnosis and the current treatment to the consultation, because both change what is sensible to offer and what your baseline numbers actually mean.
What does the assessment tell me about my focus?
Where your attention, working memory and response inhibition sit as percentiles against people of your age and sex, plus grip strength and continuous heart rate variability. It tells you how far from typical you are. It does not tell you why, and it cannot separate one cause from another.
What if my focus problem is just sleep or stress?
Then that is the answer, and it is a good one. Short sleep, sustained stress, low mood, alcohol, thyroid disease and iron deficiency all degrade executive function, and several are found on a blood test. We would tell you plainly and send you to your GP rather than start a programme.
Related What we treat
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Naya • 1 Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks