Frequently asked questions

ADHD in Adults

  • Adults with ADHD have significant, ongoing difficulties in areas of either inattentiveness or hyperactivity.
  • For a diagnosis, these difficulties must interfere with or reduce the quality of social, academic, or occupational functioning, and must have been present before age 12.
  • 2-3% of adults are diagnosed with ADHD.
  • Although ADHD begins in childhood and symptoms typically improve as children get older, ADHD symptoms can continue into adulthood.

Co-existing Conditions

  • Co-existing conditions are common in ADHD adults.
  • Examples of these are depression, anxiety, Tourette syndrome and learning disorders
  • Please click here for further information on ADHD comorbidities

Treatment of ADHD in Adults
The ideal treatment for adults with ADHD is multi-modal and treatment varies according to the needs of the person. The best person to talk to about treatment options is your General Practitioner. Some examples of treatment options are outlined below:

  • Medication (Psychiatrist)
  • Individual counselling or psychological therapy
  • Couples or family counselling
  • Education about ADHD
  • ADHD coaching

Read about ADHD WA Neuropsychological Assessments

Read about ADHD Coaching

ADHD in the Workplace

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: Author.
  • Willcutt, E. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: A meta-analytic review. Neurotherapeutics, 9(3), 490-499. doi: http://dx.doi.org/10.1007/s13311-012-0135-8

Frequently Asked Questions

Who can make an ADHD diagnosis?
As per the Australian ADHD Professionals Association (AADPA) Clinical Practice Guideline:
Clinicians conducting ADHD diagnostic assessments should be registered, trained in diagnostic assessment techniques and experienced in ADHD diagnostic assessment specifically. Given that assessments should include an awareness of developmental, mental health and medical history, it is largely the province of paediatricians and psychiatrists, but adequately trained and experienced GPs and clinically experienced psychologists are in a position to make an ADHD diagnosis.
What’s the difference between ADD and ADHD?

Great question — and one we hear a lot! ADD is the old name for the Predominantly Inattentive ADHD presentation. ADD is a term that was removed from the diagnostic manual in 1994, but it is still commonly used. The correct name for the condition is now Attention Deficit Hyperactivity Disorder (ADHD).

I heard that ADHD is a Neurodevelopmental Disorder. What is that?

“Neurodevelopmental Disorder” is an umbrella-term for conditions that affect the growth or development of the brain or central nervous system. A condition like this usually manifests early in a child’s development before the child enters primary school. The disorder is characterised by developmental deficits that produce impairments of personal, social, academic and/ or occupational functioning.

Are there different types or degrees of ADHD?

ADHD may be considered mild, moderate, or severe depending on the number of symptoms and the extent of functional, social, and occupational impairment. Diagnosis will fall into one of three presentations — Primarily Inattentive (PI), Primarily Hyperactive Impulsive (HI) and Combined Presentation (CT).

What are the Inattentive symptoms?

Inattention manifests behaviourally as wandering off task, lacking persistence, having difficulty sustaining focus, or being disorganised.

Other symptoms include:

  • Poor attention to detail, making careless mistakes, and difficulty in sustaining attention in tasks.
  • Not following through on instructions or failing to complete tasks.
  • Losing things necessary for tasks or activities.
  • Avoiding, disliking, or being reluctant to engage in tasks that require sustained mental effort.
  • Being easily distracted by extraneous stimuli.
  • Not listening — or gives the appearance of not listening — even when spoken to directly.
  • Poor organisation skills.
  • Forgetting everyday routines, practices, or items in daily activities.

In recognising this presentation, these characteristics are not due to defiance or lack of comprehension.

What are the Hyperactive Impulsive symptoms?

Hyperactivity refers to excessive motor activity at an inappropriate time, such as excessive fidgeting, tapping, or talkativeness. Impulsivity refers to hasty actions that occur in the moment without forethought and have high potential for harm to the individual.

Other symptoms include:

  • Fidgeting with hands, tapping hands or feet, or squirming in seat.
  • Leaving a seated position in situations where remaining in seat is expected.
  • In children, running or climbing in situations where it is inappropriate. For adolescents and adults, this presents as restlessness.
  • Being unable to play or engage in leisure activities quietly.
  • Excessive talking, such as blurting out answers before a question has been completed, or interrupting others in conversation.
  • Difficulty waiting a turn.

In recognising this presentation, these characteristics are not due to a desire to be intentionally rude, defiant, or disruptive.

Is ADHD a learning disorder?

The short answer is, “no”. However, ADHD includes impairment in one or more processes related to perceiving, thinking, remembering, or learning, so it may be more useful to view ADHD as a learning disorder. In doing so, it is important to acknowledge that it differs from currently recognised reading or non-verbal learning disorders.

Is everybody with ADHD hyperactive?

No, there is more than one presentation of ADHD. Those diagnosed with Predominantly Inattentive Presentation have no symptoms of hyperactivity.

Where does ADHD come from?

Research shows that ADHD tends to run in families, so there are likely to be genetic influences. Children who have ADHD usually have at least one close relative who has ADHD. Even more convincing of a possible genetic link is that when one twin of an identical twin pair has the disorder, the other is likely to have it too.

Is it possible to “grow out” of ADHD?

ADHD symptoms evolve over time (for example, hyperactivity and fidgeting commonly decrease with age), but the condition is rarely outgrown. In fact, many people are not diagnosed until adulthood. However, in many cases, with support, treatment, and management strategies, ADHD can be effectively navigated to the point where the condition appears to be outgrown.

What is involved in the diagnosis of ADHD?

There is no simple “test” for ADHD. The diagnosis of ADHD is a clinical diagnosis made using well-tested diagnostic interview methods. Diagnosis is based on history, the description of symptoms, observable behaviours in at least two separate settings (school, work, and home), and the exclusion of other conditions that may resemble ADHD.

Diagnosis should include input from parents, teachers, and others who are interacting with the child or adult. The process will also consider conditions which can accompany ADHD, and the additional impacts this will have on the person. For example, depression, anxiety, trauma, learning difficulties, developmental status, oppositional defiant disorder, and conduct disorder.

Is ADHD caused by too much sugar or food colouring?

While it is common for children to display hyperactive tendencies following the consumption of high volumes of sugar, this is often fleeting, and different to ADHD. The current weight of evidence indicates that ADHD is not caused by too much sugar or food colourings in the diet.

What about general diet? Does that play a role in ADHD?

Although a small body of research suggests some children may benefit from nutritional interventions, delaying the implementation of well-established, effective interventions to engage in unproven methods is likely to be harmful for children.

There are no well-established nutritional interventions proven to be effective for assisting the majority of children with ADHD, especially in the long-term. In other words, it is thought that diet does not play a role in the cause or management of ADHD.

There is no doubt that some foods affect behaviour, but food allergens or intolerances are not ADHD. ADHD and food chemical intolerance may co-exist as two separate conditions, just as ADHD and Asthma may co-exist, and ADHD symptoms may be worsened by the other condition and vice versa.

Can ADHD WA prescribe medication to treat ADHD?

No. The prescribing of stimulant medicines is restricted to medical practitioners who are:

  • Authorised in writing by the Department of Health;
  • In a category of approved specialist medical practitioner; and
  • Treating approved indications.

Medical practitioners approved to prescribe stimulant medication to treat ADHD include:

  • Paediatrician
  • Child and adolescent psychiatrist
  • Psychiatrist
  • Neurologist
  • Paediatric neurologist

With a shortage of ADHD treating specialists across WA, once you have booked your assessment with us, we recommend booking visiting your GP for a referral to an approved medical practitioner for 6-8 weeks after your assessment date. This allows time for you to receive your report and will help reduce a wait time to see a specialist once you receive the results of your neuropsychological assessment, should your assessment indicate ADHD.  Be sure to research and find an available specialist before visiting your GP for the referral.