Getting assessed for ADHD as an adult
What an adult ADHD assessment involves, who can diagnose and treat it in Australia, and how to start with your GP.
ADHD in adults
Attention deficit hyperactivity disorder (ADHD) is a difference in how the brain manages attention, activity and impulses. It starts in childhood, but many people are not diagnosed until adulthood. In adults it can look like:
- Trouble starting, organising or finishing tasks
- Losing track of time, missing deadlines or appointments
- Restlessness, or a busy mind that is hard to settle
- Acting or speaking before thinking
- Feeling you work much harder than others to keep up
These traits can also come from anxiety, depression, poor sleep, thyroid problems or other conditions. That is why a careful assessment matters.
Who assesses and treats ADHD
Start with your GP. They can check for other causes, talk about your history and refer you on.
- Psychiatry: in most of Australia, a psychiatrist (or paediatrician for children) makes the diagnosis and starts medicine if it is needed.
- Psychology: a psychologist can do detailed testing and offer strategies and therapy, but cannot prescribe.
Rules are changing. Some states and territories now allow GPs with extra training to diagnose ADHD or continue prescribing once treatment is stable. Rules differ by state, so ask your GP what applies where you live.
What the assessment involves
Expect one or more long appointments. The specialist will usually ask about:
- Your symptoms now and when they started
- School reports or memories from childhood
- How things affect work, study and relationships
- Your mental and physical health, sleep, alcohol and other drug use
You may be asked to fill in questionnaires, and someone who knew you as a child may be asked to complete one too. Bring old school reports if you have them. See Getting the most from your specialist appointment for more tips.
After a diagnosis, treatment is planned with you. It may include medicine, regular reviews, therapy and practical changes at home or work. Your GP usually stays involved and keeps in touch with the specialist.
Referral and costs
A referral from your GP is needed for a Medicare rebate when seeing a psychiatrist. Assessment fees vary a lot, so ask for a quote before booking. On Spec Book you can see psychiatrists' earliest openings, and some list ADHD as an area of interest.
If you are feeling hopeless or unsafe, call Lifeline on 13 11 14, or 000 in an emergency.
Common questions
Can my GP diagnose ADHD?
In some states, GPs with additional training can now diagnose or prescribe for ADHD. In other places a psychiatrist is still needed, so ask your GP what applies to you.
Is medicine the only treatment?
No. Treatment can include coaching, therapy, practical strategies and workplace adjustments, with or without medicine.
Can I have ADHD and anxiety at the same time?
Yes. ADHD often occurs with anxiety, depression or other conditions, and a good assessment looks at all of these.
General information only, not medical advice. Everyone's situation is different, so check with your GP or the provider. In an emergency call 000.