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Conditions we see

Adult ADHD and anxiety, assessed together.

ADHD and anxiety often turn up together in adults, and they can look alike. Our adult ADHD assessment checks for anxiety and other explanations as part of the process, so the outcome and the plan take both into account.

In plain words

How ADHD and anxiety overlap

ADHD (attention deficit hyperactivity disorder) affects attention, activity levels and impulse control. In adults it is diagnosed through clinical interviews and assessment, and the symptoms need to have started in childhood.

It is common for adults with ADHD to have anxiety as well. The two can be hard to tell apart, because restlessness, poor concentration and trouble sleeping can come from either one, or from both.

This is general information, not a diagnosis. Source: Healthdirect: Attention deficit hyperactivity disorder (ADHD).

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When to ask

When to have both looked at together

If you are wondering about ADHD and you also live with anxiety, it helps to have both assessed at the same time, because each can change how the other shows up. That is worth raising with your GP when one of these fits.

  • You have been treated for anxiety for a while, and problems with focus, organisation or restlessness have stayed.
  • You suspect ADHD, but you and your GP are not sure how much of it is anxiety.
  • You already have an ADHD diagnosis and anxiety has become harder to manage.
  • You want one assessment that covers both, and a plan your GP can follow.

What we add

Telling ADHD and anxiety apart

The hard part is working out which symptoms belong to which condition, because poor focus, restlessness and broken sleep can come from either one.

  • A history that goes back to childhood, since ADHD symptoms start early while anxiety often begins later or comes and goes.
  • Questions that help separate the two, such as whether your attention drifts when you are calm as well as when you are worried.
  • An assessment of the anxiety in its own right, so it has a diagnosis and a plan whether or not ADHD is confirmed.
  • A written report and treatment plan, with a letter to your GP.
  • If medication is appropriate, advice that weighs both conditions, with your GP taking over prescribing once you are stable.

Your first appointment

What to bring to the assessment

We send screening forms before the assessment, and filling them in ahead of time makes the appointments go further. Because ADHD starts in childhood, school reports or notes from teachers are useful if you still have them, and if a parent, sibling or someone who knew you well as a child can answer a few questions, that helps too.

For the anxiety side, jot down when the worry started, whether it comes in waves or is always there, and anything you have already tried for it. Bring a list of your current medicines as well.

Referral and scope

Getting referred

For an ADHD assessment, your GP needs to include current investigations (bloods, an ECG and a urine drug screen) with the referral and let us know whether they will continue prescribing once you are stable.

We only assess adults aged 17 and over, and we don’t take NDIS-related referrals. Everything we see and don't see is listed on our page for referrers.

Outcome Health Psychiatry & Mental Health Services is a private service and is not a crisis service. If you need help now, call 000 or Lifeline on 13 11 14.

Fees

What it's likely to cost

The full ADHD assessment is charged across multiple appointments and includes a medication review before handover to your GP. If your GP mainly wants a specialist view on anxiety alone, our anxiety page sets out the one-off assessment.

Item Service Duration Fee Out of pocket
A5
ADHD full assessment
Multiple appointments
$1,750
~$1,025–$1,313
A6
Mental Health Nurse Practitioner appointment
40–60+ mins
$250
~$122–$133

Medicare rebates are estimates only and depend on referral type, eligibility, consultation duration, the item actually billed and the psychiatrist’s clinical judgement. The Medicare Safety Net, DVA arrangements, third-party funding, payment processing fees and cancellation fees are not included in the gap estimates.

Payment is required in advance for all appointments. The full schedule, including every item, is on our fees and FAQ page.

Questions

Common questions about ADHD and anxiety

Can anxiety look like ADHD?

Yes, it can. Anxiety can affect concentration, sleep and restlessness, which overlap with ADHD. That is why the assessment looks at your history back to childhood and checks for anxiety, mood, trauma and other explanations.

Which one gets treated first?

It depends on you. The psychiatrist looks at how each condition is affecting you and sets out the order and the plan in writing, and your GP receives a copy.

What if abnormal results come back?

If anything in your bloods, ECG or urine drug screen is abnormal, your GP manages that first, before the assessment.

How much does the assessment cost?

A full adult ADHD assessment (item A5) is $1,750 across multiple appointments. With a current referral, the estimated out-of-pocket cost is $1,025–$1,313 after Medicare rebates. Rebates are estimates and payment is required in advance.

Call (03) 8822 8444 Information for GPs