Assessment, not labelling — what we're really doing
A formal assessment for ADHD or Autism Spectrum Disorder is more than a question of "do they have it or not?" The process is about understanding how someone's mind works — strengths, challenges, the specific pattern of attention, sensory experience, social communication and behaviour — and then translating that into practical support.
ADHD and ASD — distinct, but often overlapping
ADHD (Attention Deficit Hyperactivity Disorder) and ASD (Autism Spectrum Disorder) are different conditions with different diagnostic criteria, but they often co-occur. Research suggests a substantial portion of people with one also meet criteria for the other, or have features of both. A good assessment looks at both possibilities — not just whichever was the presenting concern.
What a thorough assessment includes
- Clinical interview — detailed conversation about current concerns, developmental history, schooling/work, family and lifestyle
- Standardised tools — validated rating scales and (where indicated) structured observation
- Collateral information — input from parents, teachers, partners or others who know the person well
- Cognitive assessment — where useful for understanding strengths, learning patterns and any co-occurring difficulties
- Differential consideration — accounting for anxiety, mood, sleep, sensory factors and other contributors
- Feedback and report — clear findings, written report, and practical recommendations
Who conducts assessments
In Australia, ADHD and ASD assessments may involve psychologists, psychiatrists, paediatricians and (for autism in children) sometimes a multidisciplinary team including speech and occupational therapy. Our psychology team conducts thorough psychological assessment that may be the standalone outcome or may sit alongside medical input.
For children
Assessment in children draws on parent, teacher and (where appropriate) child self-report, plus clinical observation. The picture builds across settings — what happens at home, at school, in different social contexts — because both ADHD and ASD are defined by patterns present across environments, not just in one place.
For adults
Adult assessment focuses on the current pattern plus developmental history. For ADHD, by definition, symptoms must have been present in childhood — even if they weren't formally recognised at the time. For ASD, the same is true. Many adults seek assessment after recognising the pattern in themselves or in a family member.
Funding and access
Costs and rebates for assessment vary. Pathways include private payment, Medicare Better Access (where mental health treatment plan applies), NDIS (for participants where assessment is part of an approved plan), and private health extras in some cases. The right pathway depends on your situation, and we can talk you through it.
What an assessment is — and isn't
An assessment is a structured process to inform understanding and decision-making. It isn't a quick yes/no test. It also isn't a value judgment — neurodevelopmental differences exist on a spectrum, and assessment is one tool that helps frame what's useful next. Outcomes and recommendations vary between individuals.
After the assessment
The written report typically includes:
- The findings and rationale
- Practical recommendations — strategies, supports, lifestyle considerations
- Suggested referrals where appropriate (medical input, OT, speech, school supports)
- Notes for the family or workplace, where appropriate
Local context
Our psychology team sees ADHD and ASD assessment enquiries from across Melbourne's west — Melton, Hoppers Crossing, Sunbury and surrounding areas. Suitability depends on your individual situation; the best first step is a phone enquiry so we can talk through whether our service is the right fit.
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