I am in the US and my therapist didn't offer any screening but gave a referral, which basically amounted to a doctor coming in and asking why I thought I had ADHD (to which I answered several reasons including scattered thoughts) to which the response was: "you think you have ADHD because you're forgetful?" And that tbh made me feel pretty defeated. They offered a prescription and I said no and that was that :/

I have actually had medication once without any medical guidance when I was a kid in middle school (maybe 7 or 8 years prior to therapy when I found a loose concerta pill) and I did all my homework that day. I remember being blown away by how I was able to focus, and the problems seemed so much more satisfying to do. Medication probably would help me a lot but I was raised by psychiatrist parents who distrust psychiatric medication and kind of brainwashed us to not get any diagnoses or medication so it's kind of hard to get over the fear that they've instilled in us even though I've already tried it and nothing bad happened. I definitely resent them for that

I spent 2k on a test for my daughter and they just simply said "nope, she's fine. But she might need some counseling on how to get work done more efficiently." I'm old school ADD diagnosed and I can absolutely tell she has it.