For clinicians
Assess without rebuilding the case from fragments.
Intake, session, scoring and a draft report in one flow, aligned with DSM-5-TR criteria. For ADHD and autism assessment in adults. Built by Mariana Lucas Aguiar, neuropsychologist, from the assessments that most often get overlooked.
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What Lira assesses, and who for
The protocol came out of the assessment that fails most often: ADHD and autism in women, where masking, anxiety and compensatory strategies hide the picture and the diagnosis arrives years late. Capturing these presentations meant adding domains that standard instruments do not cover, while recognising that these domains still provide clinically relevant information for everyone.
So Lira is used for every assessment in your practice.
Conditions
- ADHD and autism spectrum disorder
- Both are covered in the same assessment, because co-occurrence is common and the presentations overlap
Who for
- Adults, any gender
- Less typical presentations are more common in girls and women, and are not exclusive to them
What you get
- Intake and a clinical questionnaire organised by domain
- A dimensional profile, and the answers organised against DSM-5-TR criteria
- A draft report you can edit
Built for the presentations standard tools miss
Standard assessment frameworks were developed using predominantly male samples. Many adults present differently through masking, anxiety, burnout and compensatory strategies, and this is especially marked in women. Lira structures the assessment around these patterns and maps them to DSM-5-TR criteria, so the signals often missed in standard evaluations are surfaced clearly.
How it works
01
Intake
Developmental, school and family history, collected as the assessment goes.
Intake, developmental history
- Schooling and early years
- Complete
- Family history
- Complete
- Current functioning
- 6 of 9
- Menstrual cycle variation
- Optional
02
Assessment sessions
You run the sessions. Lira lays out the domains to cover and keeps the answers in one place.
Session 2, domains covered
- Attention and executive functioning
- Sensory sensitivity
- Social adaptation strategies
- Functional impact in daily life
- Energy and recovery needs
03
Automatic scoring
Lira organises the answers by domain, aligned with DSM-5-TR criteria.
The answers organised by domain
- Social reciprocity15 answers
- Sensory sensitivity8 answers
- Attention15 answers
- Emotional dysregulation4 answers
- Masking8 answers
04
Summary
A written overview that supports documentation, interpretation and referral decisions.
Example draft report, yours to edit
Across the assessment, attention and emotional regulation were the domains the participant reported most consistently, with compensatory strategies described in work and social settings. Onset before age 12 is supported by the developmental history. Presentation across settings remains
Two hours of writing becomes twenty minutes of reviewing.
Mariana spent two to three hours on every report. Lira organises the clinical picture as you go, so the summary is already taking shape by the time you get there. You review it and decide.
Lira supports clinical reasoning. It does not diagnose.
Every output is a summary for you to review. Lira organises what is there and surfaces what is easy to miss. The judgement stays with you.
Clinical authorship and review
Mariana writes the clinical content and decides what Lira is allowed to say.
- Mariana Lucas Aguiar, Clinical Psychology and Neuropsychology (OPP reg. no. 24411)
- Mafalda Esteves, Clinical Psychology (OPP reg. no. 25996)
Data & security
UK-hosted data
London region, eu-west-2
UK GDPR aligned
DPA provided to all clinicians
NHS-aware design
DSPT & Cyber Essentials in progress
Start your first assessment in minutes
Use Lira with a real case and see the full workflow in practice.
Run your first assessment