Hey there. Went through something similar about five years ago now. For me, the path to testing was through depression and anxiety therapy. Went to sessions for about a year exploring CBT with no success, and I kept mentioning my issues focusing. Eventually my therapist recommended looking into medication, and had added ADHD to my diagnosis. The meds specialist I saw immediately recommended treatment via Vyvanse. I know this isn't a straightforward path and might not work for you, but it got me to the point where there was at least some progress instead of constantly being stonewalled. A heads up, if you're dealing with depression around your exhaustion and focus issues getting treatment for ADHD isn't a cure all. I'm still working on a lot to try to get back to a healthy place. But it definitely makes it easier to work your way forward. Best of luck.

I simply put "I would like an ADHD screening" on the Other Concerns line of the check-in form for a regular doctor visit. So my Primary Care Provider asked me some questions, and gave me a referral for psychiatry.

Have you already talked to your PCP about it? Because if not, a referral might open some doors for coverage for testing.

I went through ADHD Online and got treated through them a while, then I found a psychiatrist who specializes in ADHD/ASD. He said ADHD Online wasn't scientific enough for him and had me do another evaluation which was also online and the 2nd part had to be done by a loved one. I've also heard of people whose doctors did accept the ADHD Online evaluation, so ymmv. ADHD Online was $200 for the evaluation, $200 for the first appointment, and $100 for follow up appointments, so I would recommend them if you're desperate and can afford it.

I got tested after seeing an autism psychologist for evaluation and therapy. At first, she found me as autistic as that's all she was evaluating me for and I was on my best behavior. Once I worked with her for a few months on autism tips, she saw the ADHD clearly, completed a more thorough evaluation for the ADHD, and referred me to a psychiatrist.

I think that if you find a psychologist that can evaluate for autism, they were more likely than not be able to evaluate for ADHD as well as there is considerable comorbidity between that two.

You might not need official testing if your doctor is comfortable prescribing meds without it. talk to your doctor and see what they think. based on a discussion of your experience, they may be willing to prescribe you a minimum dose of an ADHD med to see if it helps. it's not the most scientific way to confirm that you've technically got ADHD, but assuming you're physically healthy, the worst case scenario would be that you have bad side effects, stop taking it, and you'll have wasted some of your time.