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ADHD assessmentfor adults and children.

Wondering whether ADHD explains what you have been dealing with? Here is what ADHD actually is, the signs people most often notice, and what an assessment with us involves.

The things people ask first
Dr Zahraa Hussein is a GPShe is a general practitioner, not a specialist psychiatrist or paediatrician. Some presentations are better assessed by one, and we will tell you if yours is.
More than one appointmentA long first appointment and at least one follow-up, with questionnaires or school information gathered in between.
Adults and childrenBoth are assessed. What we gather differs — school reports matter more for children.
Medicare Bulk Billing PracticeWe are a bulk billing practice — standard GP consultations are bulk billed with a valid Medicare card. ADHD assessment is a privately billed service, and the fee is set out below.

ADHD is a difference in howthe brain manages attention.

ADHD stands for attention deficit hyperactivity disorder. It is a neurodevelopmental condition, which means it is part of how a brain has developed rather than something caused by upbringing, screens, sugar or a lack of effort. It begins in childhood, even when it is not recognised until much later.

Is ADHD a real medical condition?

Yes. It is a recognised neurodevelopmental condition with defined diagnostic criteria, and it is one of the most studied conditions in child and adult mental health. It is not a label for laziness, poor discipline or bad parenting.

Can you develop ADHD as an adult?

No — the criteria require that the difficulties were present in childhood. What often happens is that they were compensated for successfully for years, and only became a problem when the external structure fell away: leaving school, a new job, a promotion, a baby, or a change in shift work.

Is it more common in boys?

It is diagnosed more often in boys, but that gap is thought to reflect how it presents rather than how common it is. Girls and women more often have the inattentive presentation, which is quieter and easier to overlook, so many are not identified until adulthood.

How it shows up

Predominantly inattentive

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How it shows upPredominantly inattentive

The quiet end. Losing track, drifting off, forgetting, disorganisation. No disruption at all — which is exactly why it gets missed, particularly in girls and women.

How it shows up

Predominantly hyperactive-impulsive

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How it shows upPredominantly hyperactive-impulsive

Restlessness, interrupting, acting before thinking. More visible, so more often picked up in childhood. In adults it is often internal rather than obvious.

How it shows up

Combined

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How it shows upCombined

Features of both, and the most common pattern. The balance between them often shifts with age — hyperactivity tends to soften, inattention tends to stay.

Worth knowing

It is not a shortage of attention

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Worth knowingIt is not a shortage of attention

It is difficulty directing it. The same person can lose an afternoon to something absorbing and be unable to start a ten-minute task that does not interest them.

Worth knowing

It begins in childhood

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Worth knowingIt begins in childhood

Even when nobody names it until much later. Many adults were simply managing it — until a new job, a baby or a change in shift work removed the structure that was holding it together.

Worth knowing

It is common, and it runs in families

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Worth knowingIt is common, and it runs in families

Australian estimates suggest around one in twenty people. Plenty of adults start wondering only after a child, sibling or partner is assessed.

Other explanations

Not parenting

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Other explanationsNot parenting

ADHD is neurodevelopmental. It is not created by discipline, routine or anything a parent did or did not do.

Other explanations

Not sugar or screens

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Other explanationsNot sugar or screens

Both get blamed. Neither causes ADHD, though poor sleep — whatever the reason for it — makes every symptom harder to live with.

Other explanations

Not a lack of effort

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Other explanationsNot a lack of effort

Most people with ADHD are working considerably harder than those around them to produce the same result. That effort is invisible, and it is exhausting.

ADHD is diagnosed against defined criteria by looking at the whole picture over time — not from a list like this one.

What people noticein themselves.

Most adults who come to us have not suddenly developed a problem. They have been managing something for a long time, often with a lot of effort, and something has finally tipped it over — a job that got harder to hold together, or a child being assessed and the questionnaire sounding uncomfortably familiar.

This is not a self-testLists like this are a starting point for a conversation, not a diagnosis. Several other things produce exactly the same difficulties — poor sleep, thyroid problems, low iron, anxiety, depression, alcohol, and the effects of shift work. An assessment exists to tell those apart.
Attention and focus

Starting tasks is harder than doing them. Losing the thread mid-conversation or mid-page. Reading something three times without it going in. Losing hours to something interesting while the urgent thing sits untouched.

Organisation and time

Underestimating how long things take. Deadlines that arrive suddenly. Paperwork, bills and renewals that pile up. A house or car that swings between chaos and a burst of total reorganisation.

Memory and follow-through

Walking into rooms and forgetting why. Losing phones, keys and wallets often. Intending to reply to a message and realising a fortnight has passed.

Focus

Starting is harder than doing

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FocusStarting is harder than doing

The task is not difficult, but beginning it feels impossible — until a deadline makes it urgent, and then it gets done in one burst.

Focus

Reading the same line three times

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FocusReading the same line three times

Words go in and straight back out. It happens most with things you have to read rather than want to read.

Focus

Losing hours to the interesting thing

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FocusLosing hours to the interesting thing

Deep, effortless focus on something absorbing, while the urgent thing sits untouched. This is part of the pattern, not evidence against it.

Focus

Drifting mid-conversation

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FocusDrifting mid-conversation

You realise you have missed the last thirty seconds, and have to reconstruct it from context.

Organisation

Time works differently

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OrganisationTime works differently

Everything takes longer than you estimated. Deadlines seem far away and then arrive all at once.

Organisation

Paperwork piles up

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OrganisationPaperwork piles up

Bills, renewals, forms and appointments accumulate — not because you do not care, but because opening them is the hard part.

Organisation

Chaos, then a total reorganisation

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OrganisationChaos, then a total reorganisation

Long stretches of mess punctuated by a burst of reorganising everything at once, usually at an odd hour.

Organisation

Losing things constantly

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OrganisationLosing things constantly

Keys, phone, wallet, glasses. Often several times a day, and often somewhere you have already looked.

Memory

Walking in and forgetting why

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MemoryWalking in and forgetting why

The thought was there on the way, and gone at the door.

Memory

Meaning to reply, and not

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MemoryMeaning to reply, and not

You read the message, compose the answer in your head, and a fortnight passes.

Memory

Remembering the wrong things

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MemoryRemembering the wrong things

Vivid recall for detail nobody else retained, alongside no memory of an appointment made yesterday.

Restlessness

Driven, even when tired

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RestlessnessDriven, even when tired

Difficulty doing nothing. Sitting through a film or a long meal takes real effort.

Restlessness

Speaking before you have decided to

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RestlessnessSpeaking before you have decided to

Interrupting, finishing sentences, or saying the thing and hearing it at the same time as everyone else.

Restlessness

Deciding fast, regretting later

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RestlessnessDeciding fast, regretting later

Purchases, plans and commitments made quickly. The appeal is real in the moment and gone by morning.

Emotions

Frustration that arrives and passes fast

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EmotionsFrustration that arrives and passes fast

Out of proportion for a few minutes, then genuinely over — while everyone else is still upset.

Emotions

Criticism lands hard

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EmotionsCriticism lands hard

A small correction can flatten the day. Many people describe this as the most wearing part.

Emotions

Working harder than everyone else to keep up

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EmotionsWorking harder than everyone else to keep up

Managing it is possible, but it costs more effort than it seems to cost other people — and that is exhausting.

No single item here means much on its own — everyone loses their keys. What matters is the pattern: how far back it goes, whether it shows up in more than one part of your life, and whether it is genuinely costing you something.

What parents and teacherstend to see first.

In children the difficulties usually show up at school before anyone puts a name to them — not because school causes it, but because school asks for sustained attention, sitting still and following multi-step instructions all day.

Being able to focus on the fun thing is not evidence against itA child who will play a game or build something for three hours can still have ADHD. Attention that is hard to direct — rather than absent — is part of the pattern, and it is the single most common reason parents talk themselves out of asking.
At school

Losing track of instructions. Work started but not finished. Careless errors in work the child clearly understands. Fidgeting, calling out, leaving their seat. Reports that repeatedly say “capable, but needs to apply themselves”.

At home

Homework that should take twenty minutes taking two hours and ending in tears. Needing to be asked many times. Getting distracted halfway through getting dressed. Big emotional reactions that pass quickly.

With friends

Interrupting games or changing the rules. Difficulty waiting for a turn. Falling out with friends easily, then not being sure why.

At school

Instructions go missing

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At schoolInstructions go missing

A three-step instruction arrives and only the first step survives. Not defiance — the rest did not stay.

At school

Work started, not finished

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At schoolWork started, not finished

Books full of half-completed tasks, often on topics the child clearly understands.

At school

Careless errors in easy work

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At schoolCareless errors in easy work

Mistakes in things they can plainly do, usually because attention moved before the task ended.

At school

“Capable, but needs to apply themselves”

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At school“Capable, but needs to apply themselves”

The same comment on reports year after year is worth taking seriously rather than accepting.

At school

Out of the seat

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At schoolOut of the seat

Fidgeting, calling out, wandering. More visible in boys, which is part of why girls are diagnosed later.

At home

Homework takes hours

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At homeHomework takes hours

Twenty minutes of work stretching into two hours and ending in tears, several nights a week.

At home

Asked many times

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At homeAsked many times

Getting dressed stalls halfway. It reads as ignoring you, and it usually is not.

At home

Mornings are a battle

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At homeMornings are a battle

The same sequence every day, and every day it needs the same amount of supervision.

At home

Big reactions that pass quickly

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At homeBig reactions that pass quickly

Intense frustration or upset that resolves faster than anyone expects.

With friends

Waiting for a turn is hard

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With friendsWaiting for a turn is hard

Interrupting games, changing rules, or dominating play without meaning to.

With friends

Friendships that fray

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With friendsFriendships that fray

Easy to make, harder to keep, and the child often cannot explain what went wrong.

With friends

Misses the social cue

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With friendsMisses the social cue

Reads the room a beat late, then over-corrects.

Easily missed

The quiet daydreamer

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Easily missedThe quiet daydreamer

No disruption at all — just somewhere else. Inattentive presentation is the one that gets overlooked, particularly in girls.

Easily missed

Anxious, tired, or “lazy”

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Easily missedAnxious, tired, or “lazy”

Effort that goes unseen often gets relabelled. Many adults were called one of these three as children.

Easily missed

Holds it together at school, falls apart at home

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Easily missedHolds it together at school, falls apart at home

A child who masks all day may release it the moment they are somewhere safe.

The criteria require difficulties in more than one setting — which is why we ask for school reports and a teacher's observations alongside what you see at home.

Assessment is a conversation, not a questionnaire.Built across appointments, with school information and the everyday detail that shows the pattern over time.

Built across appointments,not filled in on a form.

There is no blood test and no scan for ADHD. It is diagnosed by building a picture over time: how the difficulties show up now, how far back they go, whether they appear in more than one setting, and what else could explain them.

What to bringSchool reports if you or a parent still have them — the comments matter more than the grades. Any previous assessment or report. A list of your current medicines. Specific examples rather than general descriptions. And, if you would like them there, someone who has known you a long time.
What happens in the first appointment?

A long conversation. How things are now, what school was like, what you have already tried, and what it is costing you. There is no test to pass and nothing to prepare beyond the things listed above.

What else gets considered?

Sleep and sleep apnoea, thyroid, iron, anxiety, depression, chronic pain, alcohol and other drugs, and the effects of shift work. Several of these are common around here and several are treatable in their own right.

Will I definitely get a diagnosis?

No, and that is the point of assessing rather than assuming. An assessment can conclude that the criteria are met, that they are not, that something else explains the difficulties, or that a specialist opinion is needed. All four are real results.

1Book a long appointmentTell reception it is about ADHD so enough time is set aside. Nothing to prepare beyond your questions.Standard consult
2The first appointmentA long conversation about how things are now, what school was like, and what it is costing you. No test to pass.Allow extra time
3Gathering the pictureQuestionnaires, school reports, previous letters, or input from someone who knows you well. We tell you exactly what to bring.Between visits
4Coming back togetherWe go through what the information shows, what fits, what does not, and what happens next — whatever the answer is.Follow-up
Who does the assessmentDr Zahraa HusseinGeneral Practitioner · ADHD assessment

Assessments here are carried out by your own GP, in the practice you already attend, with your history already on file. That continuity is the difference between an assessment that ends with a letter and one that ends with a plan.

Privately billed,and quoted before you start.

Why is it not bulk billed?

Because it is a substantially longer process than a standard consultation — multiple long appointments, questionnaires, information gathered from elsewhere and correspondence — and the Medicare rebates for general practice do not cover that time.

Is there any Medicare rebate?

A rebate may apply to part of it depending on what is billed. Reception will explain what applies before you begin.

What if I cannot afford it?

Say so. There may be a public referral pathway that suits your situation better, and it is a reasonable thing to ask about without embarrassment.

No surprises about cost.

Standard GP consultations here are bulk billed for everyone with a valid Medicare card. ADHD assessment is the one exception — it takes several long appointments, so it is privately billed. We would rather you knew that now than found out later.

Ring reception and ask for the fee before you book. They will tell you plainly.
Ask what it covers and roughly how many appointments yours is likely to need.
A Medicare rebate may apply to part of it.
If the cost is a barrier, say so — there may be a public pathway that suits you better.
Appointments after the assessment go back to being bulk billed as usual.
Ask us anything about cost

No obligation, and no need to book first. Reception can talk you through the fee, what is included and how the appointments usually run.

ADHD assessment for adults

ADHD assessment for children

Inattentive, hyperactive and combined presentations

Other causes considered first

A structured, multi-appointment process

With Dr Zahraa Hussein

Privately billed — fee quoted before you begin

Referral where a specialist opinion is needed

ADHD assessment for adults

ADHD assessment for children

Inattentive, hyperactive and combined presentations

Other causes considered first

A structured, multi-appointment process

With Dr Zahraa Hussein

Privately billed — fee quoted before you begin

Referral where a specialist opinion is needed

ADHD assessment for adults

ADHD assessment for children

Inattentive, hyperactive and combined presentations

Other causes considered first

A structured, multi-appointment process

With Dr Zahraa Hussein

Privately billed — fee quoted before you begin

Referral where a specialist opinion is needed

ADHDquestions, answered.

How do I know if I should be assessed?

If the pattern has been there since childhood, shows up in more than one part of your life, and is genuinely costing you something — at work, at school, with money, or in relationships — it is worth asking. A standard appointment is a fine place to start that conversation.

Who does ADHD assessment here?

Dr Zahraa Hussein. She is a general practitioner, not a specialist psychiatrist or paediatrician. Ask for her when you book and say what the appointment is about so enough time is allowed.

Is it bulk billed?

No. ADHD assessment is privately billed. Standard GP consultations at this practice remain bulk billed with a valid Medicare card.

Do you assess adults as well as children?

Yes, both. What we gather differs — school reports and a teacher's observations carry particular weight for children.

Can I get a prescription at the first appointment?

No. Assessment comes first, and it takes more than one appointment. Anyone offering a diagnosis and a prescription in a single short visit is moving faster than the evidence allows.

What if the assessment says it is not ADHD?

Then it should say what is going on instead, or what to look at next. That is a genuine and useful outcome, and often the more helpful one.

Will this be on my record?

Your assessment and any diagnosis form part of your confidential medical record, like anything else. Reports go to you and to anyone you ask us to send them to, and to nobody else.

How long does the whole process take?

It varies. Expect a long first appointment and at least one follow-up, with information gathered in between. Assessments that need sleep, mood or another condition sorted out first take longer.

General information onlyThis page is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call (02) 6530 7404. In an emergency, call 000.

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