While the ADHD assessment process is mostly quite similar for children and adults, there are some differences. For a formal diagnosis, it is important to be able to demonstrate that a person’s ADHD features have been present since childhood. For an adult assessment, this requires some provision of historic evidence, such as school reports or other historic input. This can be tricky for some people, though there are usually pathways to achieve this.
In the case of children, a key benefit of an ADHD assessment is the provision of a detailed and tailored report, as this can be highly beneficial to guide and inform parents and educators around how best to understand a child’s learning patterns, how to work to their strengths and how to best understand and support their challenges.
In the case of adult ADHD assessment, the while a report may be less relevant for schooling purposes, it may still be highly useful within the context of adult education, or for navigating vocational pathways or even challenges in the workplace. Similar to children, a detailed report can often provide very useful insights around how to structure working habits and environments in order to leverage strengths and scaffold challenges.
It is important to be aware that for people seeking medical intervention for ADHD (i.e. stimulant therapy), they will ultimately need to consult with a psychiatrist who will then determine the appropriateness of medication. This process is done by psychiatrist, and not psychologists. While some psychiatrists may be receptive to usage of a psychology based assessment, they are ordinarily more likely to perform their own style of assessment. In turn, if your primary goal is to access stimulant therapy, it is best to explore your options with a psychiatrist initially. A psychology assessment is still likely to be highly useful, however it is unlikely to be the basis upon which a psychiatrist will prescribe stimulant therapy.
Costs, Rebates & Medicare Eligibility
The financial costs of an ADHD assessment are significant. Assessment are costed at our standard hourly rates, so the high cost is in turn reflective of the time and effort that goes into performing the assessments, analysing the data, and then preparing a tailored report. While there is ordinarly a standard set of assessment tools that are utilised, there can be some tailoring to this based on each individuals needs. Consequently, costs can vary slightly depending on the testing process that is used. As a general rule, the complete process is likely to cost approximately $2000 – $2300
It is important to be aware that Medicare does not provide rebates for ADHD assessments. When a person chooses to engage in therapy / counselling with a psychologist, in most cases, if they chose to come with a referral from a General Practitioner, under a ‘Mental Health Care Plan’, this will enable them to claim back a rebate from Medicare, which reduces the out of pocket costs to the client. This typically covers a client for up to ten rebatable sessions per calendar year. It is important to note that this process does not exist for assessments such as ADHD assessments.
Common Comorbidities (e.g., Anxiety, ASD)
For many people with ADHD, they may also be experiencing other conditions such as anxiety, autism spectrum disorder (ASD), or learning difficulties. This is not uncommon or unusual. When this occurs, it is important that it is identified in the assessment process, as co-occurring conditions can influence how ADHD symptoms present
At Laburnum Psychology, our clients will often express confusion to their psychologist, such as “Do I have ADHD, or am I just experiencing anxiety? Could it be both? If it’s ADHD, is that what is making me anxious? Sometimes I think it may be autism? Is it that, or even both?”
These are the reasons why its important for our assessment process to be thorough and fulsome, in order to get a clear and accurate picture of what is happening for any given person. In the end, we are trying to generate a clear and thorough understanding of each person’s experience. This in turn enables us to tailor strategies that hit the mark – for example, combining strategies for both attention and anxiety if needed, or understanding the way in which the experience of ADHD may itself have been anxiety provoking.
How Results Are Delivered & Next Steps
After completing an ADHD assessment, we take the time to explain the results in a clear and supportive way. This take place in a dedicated feedback session, where we are able to explain and interpret the findings, answer any questions you may have, and discuss strategies and recommendations that are tailored to you or your child’s needs.
For example, a parent may come in unsure about what an ADHD diagnosis means for their child’s future. In our feedback sessions we will talk through what the results show, how they relate to everyday functioning, and what supports might be helpful. These discussions might focus on school or learning based adjustments, strategies for home, ways of understanding your child’s patterns, how to work to their strengths, and how to support any challenges. We also provide a detailed written report which explains and summarises findings and recommendations. This is a useful reference to return to and to share with other key personnel such as teachers, doctors, or other health practitioners.
We work to ensure that there is a clear path mapped out, in terms of strategies to optimise coping. This might include school or home based adjustments, counselling, behavioural support, parent coaching, ADHD coaching, potentially liaison with schools. If other issues are identified, such as anxiety or learning concerns, we will also include recommendations for how to address these as well.
Our aim is to ensure that every client leaves with clarity, direction, and a sense of being supported. We are committed to supporting our clients to know themselves more fully, including anchoring to strengths as well as scaffolding for challenges.
Online vs In-Person Assessments
At Laburnum Psychology, we offer both in-person and online ADHD assessments. Some people express a preference for an online assessment, perhaps because they live regionally, have health or mobility considerations, or because they prefer the comfort of completing the assessment from home. We will work to accommodate this where feasible though it is not always clinically appropriate to conduct an online assessment. We recommend that you raise this query with one of our assessment specialists to see if it is right for your situation.
Where possible and feasible, online assessments are conducted via secure video platforms and follow the same structured process as our in-clinic assessments, though there are usually some modifications to suit a remote format.
While many components of an ADHD assessment can be completed online, not all assessments are suitable for a fully remote process. For example, some cognitive tests or observational assessments require in-person administration to ensure accuracy and reliability. We will always work to accommodate an online assessment preference where possible, as this can be
Clients often ask, “Is an online assessment just as valid?” This ultimatley depends on the nature of the concerns being assessed. Our primarily concern is to undertake the assessment in a manner that will enable for robust and reliable results, and we will be clear if an online assessment is not possible due to reliability limitations. Once again, we recommend discussing your specific needs with one of our assessment specialists, who can help determine whether an online, in-person, or blended approach is most suitable.
Our top priority is to ensure every assessment is thorough, evidence based, and tailored to the individual, regardless of how it’s delivered.
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