GPs traditionally couldn't diagnose ADHD due to its complexity, requiring extensive time for comprehensive history, ruling out other conditions (anxiety, learning difficulties), and varied symptoms, often needing specialists like psychiatrists or paediatricians, but recent reforms in places like Australia are training GPs for this role, allowing them to diagnose and manage mild to moderate cases to improve access, while complex situations still need specialists.
GPs and nurse practitioners may also be trained in diagnosis of ADHD. Having referral pathways to these clinicians with expertise in ADHD is important. a medical assessment to exclude other causes of the symptoms and identify any associated disorders that also require investigation, intervention and support.
Indeed, “diagnostic complexity” and “time constraints” were among the reasons cited by general practitioners for their “low level of interest” in ADHD management.
The GP cannot formally diagnose ADHD, but they can discuss your concerns with you and refer you for a specialist assessment, if necessary. Your school may also be able to arrange a specialist referral for your child. When you see a GP, they may ask you: about your symptoms or those of your child.
ADHD during the reproductive perod
The mean age of ADHD diagnosis in women that have not been diagnosed in childhood is 36 to 38 years of age, because of a comorbidity or their children being diagnosed with ADHD (24, 25). Before that, they are usually wrongly diagnosed with mood or anxiety disorder.
The ADHD "30% Rule" is a guideline suggesting that executive functions (like self-regulation, planning, and emotional control) in people with ADHD develop about 30% slower than in neurotypical individuals, meaning a 10-year-old might function more like a 7-year-old in these areas, requiring adjusted expectations for maturity, task management, and behavior. It's a tool for caregivers and adults with ADHD to set realistic goals, not a strict scientific law, helping to reduce frustration by matching demands to the person's actual developmental level (executive age) rather than just their chronological age.
ADHD in Adults: 4 Things to Know
The 20-minute rule for ADHD is a productivity strategy to overcome task paralysis by committing to work on a task for just 20 minutes, leveraging the brain's need for dopamine and short bursts of focus, making it easier to start and build momentum, with the option to stop or continue after the timer goes off, and it's a variation of the Pomodoro Technique, adapted for ADHD's unique challenges like time blindness. It helps by reducing overwhelm, providing a clear starting point, and creating a dopamine-boosting win, even if you only work for that short period.
Dislikes or avoids activities that require paying attention for more than one or two minutes. Loses interest and starts doing something else after engaging in an activity for a few moments. Talks a lot more and makes more noise than other children of the same age. Climbs on things when instructed not to do so.
The "4 Fs of ADHD" refer to common, often subconscious, survival responses triggered by overwhelm or perceived threat in individuals with ADHD: Fight (anger/aggression), Flight (avoidance/withdrawal), Freeze (shutdown/blanking out), and Fawn/Fib (people-pleasing/lying to deflect issues), which stem from the brain's amygdala overreacting in modern contexts, explains ADDitude Magazine and NeuroDirect. These responses, especially Fibbing (lying), help self-preserve when facing difficulties with executive function, emotional regulation, or rejection sensitivity, notes CHADD and Brookhaven Psychotherapy.
The 10-3 rule for ADHD is a productivity strategy involving 10 minutes of focused work followed by a 3-minute break, designed to match the ADHD brain's need for short bursts of effort, making tasks less overwhelming and procrastination easier to manage by building momentum with quick, structured intervals. It helps individuals with ADHD ease into tasks, offering a tangible goal (10 mins) and an immediate reward (3 mins) to keep focus without burnout, often incorporating movement or preferred activities during breaks.
The top 3 core symptoms of ADHD are inattention (difficulty focusing, staying organized), hyperactivity (excess restlessness, excessive movement), and impulsivity (acting without thinking, poor self-control). People with ADHD often experience a combination of these, though some might primarily struggle with inattention (inattentive type) or hyperactivity/impulsivity (hyperactive-impulsive type).
Bill Gates
With an estimated net worth of $92 billion, Gates has admitted to struggling with ADHD, saying he has always had difficulties concentrating and learning things, and he is known as the richest people with ADHD.
The cost of an ADHD assessment in Australia varies significantly, from around $300 for basic screening to over $1800 for comprehensive assessments, with most full diagnostic pathways costing $600 to over $1200, plus potential out-of-pocket expenses after Medicare rebates for psychiatrists. Fees depend on the clinician (psychologist, psychiatrist, paediatrician), session length, and inclusion of detailed reports or testing, with Medicare rebates often available for psychiatrist consultations but limited for direct ADHD assessments.
In the U.S., Medicare coverage for ADHD testing depends on the plan: Original Medicare (Parts A & B) covers diagnostic tests if medically necessary, but usually requires a referral and may have deductibles/copays, while Medicare Advantage plans often include more mental health benefits, potentially covering assessments with in-network providers, but you must check your specific plan details for ADHD assessment coverage, as it varies.
A medical, physical or neurodevelopmental exam identifies if you or your child meets the criteria for ADHD symptoms, including hyperactivity, inattention or impulsivity. Recording symptoms using rating scales and other sources of information ensures you or your child meets standardized criteria.
The ADHD "30% Rule" is a guideline suggesting that executive functions (like self-regulation, planning, and emotional control) in people with ADHD develop about 30% slower than in neurotypical individuals, meaning a 10-year-old might function more like a 7-year-old in these areas, requiring adjusted expectations for maturity, task management, and behavior. It's a tool for caregivers and adults with ADHD to set realistic goals, not a strict scientific law, helping to reduce frustration by matching demands to the person's actual developmental level (executive age) rather than just their chronological age.
Increase stress relief by exercising outdoors—people with ADHD often benefit from sunshine and green surroundings. Try relaxing forms of exercise, such as mindful walking, yoga, or tai chi. In addition to relieving stress, they can teach you to better control your attention and impulses.
For adults, 7-8 hours is recommended. Try to avoid napping during the day. Optimise your sleep environment. Make sure your environment is quiet, calm and comfortable.
The ADHD burnout cycle is a pattern where constant effort to manage ADHD symptoms (like executive dysfunction, overstimulation, and masking) leads to extreme mental/physical exhaustion, a "crash," and a shame spiral, often followed by trying to overcompensate again, repeating the cycle. It involves phases like the initial push/overcompensation, the struggle/stress, the collapse/shutdown, and the guilt-ridden recovery attempt, resulting in fatigue, irritability, procrastination, and disengagement from life.
The 5 C's of ADHD, developed by psychologist Dr. Sharon Saline, is a framework for parents and individuals to manage ADHD challenges, focusing on Self-Control, Compassion, Collaboration, Consistency, and Celebration. This approach builds skills for better emotional regulation (Self-Control), empathy (Compassion), working together (Collaboration), establishing routines (Consistency), and recognizing progress (Celebration) to foster a supportive environment and reduce stress.
ADHD makes it difficult to focus and get things done
There's often a really big struggle in my head. That's the attention deficit, the not being able to concentrate and focus bit.
Boys are more likely to have ADHD of the hyperactive or combined type than girls. Other things that may raise the risk include: Cigarette smoking and alcohol use during pregnancy. Exposure to lead as a young child.