Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition characterised by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning. Under the DSM-5-TR, ADHD is classified into three presentations: predominantly inattentive, predominantly hyperactive/impulsive, and combined presentation.
In adults, ADHD often presents differently to childhood ADHD. Hyperactivity may be less visible, while difficulties with attention, emotional regulation, time management, and impulsivity tend to be more prominent. Without a formal diagnosis, many adults attribute these difficulties to personal failings rather than a neurodevelopmental condition that can be effectively supported.
The assessment report from Dr Melissa Rouel can be shared with a GP or psychiatrist to support consideration of medication management. It can also be used to access workplace adjustments, support applications for NDIS funding, or inform engagement with a psychologist for evidence-based interventions such as cognitive behavioural therapy (CBT) tailored to ADHD.
Where relevant, Dr Melissa Rouel can recommend referral to appropriate allied health professionals or support services in the Western Sydney region.
An adult ADHD assessment may be appropriate for:
A neuropsychological assessment is used to identify ADHD and rule out other conditions that may present similarly, such as anxiety, depression, or sleep disorders. Dr Melissa Rouel conducts comprehensive ADHD assessments for adults. An adult ADHD assessment typically includes:
Following the assessment, a written report is provided. The report outlines the findings, identifies any diagnosis, and includes recommendations for support, intervention, and any relevant workplace or educational adjustments. A feedback appointment will also be scheduled to discuss these results.
Yes. ADHD is frequently identified for the first time in adulthood. A formal neuropsychological assessment with Dr Melissa Rouel can determine whether the difficulties experienced are consistent with a diagnosis of ADHD and outline appropriate recommendations. Evidence from school reports can help to understand the potential presence of attention-related challenges in childhood.
ADHD has three DSM-5 presentations: predominantly inattentive, predominantly hyperactive/impulsive, and combined. The inattentive presentation reflects difficulties focusing and ignoring distractions, whereas the hyperactive/impulsive presentation reflects difficulties staying still and controlling impulses. In adults, the inattentive presentation is common and may not have been identified in childhood because it does not involve disruptive behaviour. A neuropsychological assessment identifies which presentation applies and informs the most appropriate supports.
Yes. Dr Melissa Rouel's assessments consider conditions that can present similarly to ADHD, including anxiety, depression, and specific learning disorders. A thorough assessment ensures the findings are accurate and that any co-occurring conditions are identified.
Yes. A formal neuropsychological assessment report can be provided to an employer or tertiary institution to support access to reasonable adjustments. These may include flexible working arrangements, additional time for tasks, or a quiet working environment. Dr Melissa Rouel serves adults across Castle Hill, Parramatta, Blacktown, Fairfield, and Kellyville.
An adult ADHD assessment with Dr Melissa Rouel typically involves one session of approximately four to five hours. A written report and verbal feedback session are provided following the assessment. To make an enquiry, please visit neuropsy.com.au/contact.
Dr Melissa Rouel provides Adult ADHD Assessment for children, adolescents, and adults. She sees clients from across Western Sydney and the Hills District including: Castle Hill and the Hills District , Parramatta and surrounding suburbs, Blacktown and Mount Druitt areas, Fairfield and South-Western Sydney, Kellyville, Rouse Hill, and Norwest. Telehealth options may be available for some parts of the assessment process. Please contact Dr Melissa Rouel to discuss whether this is suitable for your circumstances.