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Recording of the fifth webinar session in this Learning Series on Thursday 20 March 2025, delivered by Lisa Murphy, Chartered Forensic Psychologist and Emma Telling, Assistant Psychologist from Change Grow Live (CGL). The presentation helps to explore some of the psychological processes and barriers which may be evident for service users with severe and multiple disadvantage (SMD) undertaking diagnostic ADHD assessment. Consideration is given as to how recognising and formulating service users’ experiences within a trauma-informed lens, can help to maximise engagement and associated clinical benefit within assessment. The presentation outlines the development of the Change Grow live (CGL) Nottinghamshire ADHD Assessment Pathway as an extended psychotherapeutic assessment process for service users with more intensive psychological needs. It refers to the trauma-informed concepts of safety and stabilisation as potential anchors in the framework for diagnostic assessment. A brief overview of ADHD and diagnostic requirements is shared for anyone who is unfamiliar with this area. The presentation also outlines some practical strategies and clinical techniques for practitioners; and shares relevant knowledge for anyone with an interest in neurodiversity.