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Comprehensive, evidence-based ADHD assessments for adults and older adolescents (16+), offering a clear and clinically grounded understanding of longstanding patterns related to attention, organisation, emotional regulation, and executive functioning.

At Spencer Psychology in Nedlands, ADHD assessment is approached as a careful and thoughtful process rather than a checklist or a quick pathway to diagnosis. The focus is on understanding how these patterns have developed over time, how they are currently showing up in your day-to-day life, and what might be maintaining them.

If you have been trying to make sense of ongoing difficulties with attention, organisation, or managing day-to-day demands, this process offers a structured way of understanding those experiences in context.

People often seek an ADHD assessment in Perth after noticing these patterns for some time, sometimes without a clear explanation. They are often longstanding, and may become more difficult to manage as life becomes more complex or demanding.

An assessment provides an opportunity to step back and develop a clearer understanding of these patterns, and to consider whether they are consistent with ADHD or better explained by other factors.

Assessments are conducted by Dr Jacqueline Spencer, Clinical Psychologist, and are grounded in evidence-based practice and careful psychological formulation.

You Might Be Noticing Patterns Like

  • finding it difficult to stay with tasks, even when you are trying to focus
  • feeling disorganised or overwhelmed by competing demands
  • losing track of tasks or struggling to follow things through
  • difficulty managing time or getting started on tasks
  • feeling mentally restless or unable to slow down
  • reacting quickly or strongly in situations, and reflecting on it afterwards
  • a sense of working harder than others to keep up
  • wondering whether ADHD may help explain patterns that have been difficult to make sense of over time

Understanding ADHD

ADHD is a neurodevelopmental condition involving differences in attention, motivation, and self-regulation. These patterns are typically present from early in life, although they may not be recognised until adolescence or adulthood.

In adults, ADHD often presents less as visible hyperactivity and more as restlessness, overthinking, inconsistency, and difficulty managing competing demands. These patterns do not reflect a lack of ability or effort, but a different way of processing and regulating attention.

ADHD assessment in Perth requires careful differentiation from other factors such as anxiety, trauma, stress, and burnout, as these can present with similar patterns.

A comprehensive ADHD assessment helps clarify whether these experiences are consistent with ADHD, or whether other factors may better explain what is happening.

ADHD Assessment Process

Assessments are conducted in line with National Health and Medical Research Council (NHMRC) guidelines, which emphasise a thorough, multi-method evaluation rather than reliance on any single measure.

The process is structured, but also reflective, with an emphasis on understanding rather than simply assigning a diagnosis.

Clinical Interview

A detailed clinical interview explores your developmental history, current concerns, and patterns of attention, behaviour, and functioning across different areas of life.

Assessment Measures

Standardised psychometric self-report questionnaires are completed as part of the assessment process to support an evidence-based understanding of ADHD traits and executive functioning.

Observer Input

Observer input is obtained in every assessment. This usually involves a partner, family member, or close other completing a questionnaire, providing an additional perspective on how these patterns show up in everyday life

Background Factors

Relevant factors are considered, including medical history, sleep, history of head injury, substance use, and other influences on attention and functioning.

Comprehensive Report

A detailed written report integrates all aspects of the assessment, including clinical interview, psychometric measures, observer input, and DSM-5 criteria, to provide a clear and clinically grounded formulation.

What the Assessment Provides

A comprehensive ADHD assessment provides:

A Clear Diagnostic Outcome
A structured, evidence-based determination of whether ADHD criteria are met.

A Coherent Understanding of Your Profile
An integrated understanding of how attention, emotional regulation, personality, and life experiences fit together. This includes consideration of personality style and longstanding patterns of responding.

Differential Consideration
Careful distinction between ADHD and other contributing factors such as anxiety, trauma, or stress.

Individualised Recommendations
Tailored guidance for next steps, which may include medical review, workplace or university adjustments, or other supports.

For many people, this process reduces self-criticism and provides a clearer understanding of both their difficulties and their strengths.

After the Assessment

Following the assessment, you will receive a comprehensive written report outlining:

  • diagnostic findings
  • how your patterns of attention, organisation, and regulation are understood clinically
  • how these patterns are impacting your day-to-day functioning
  • how other relevant factors (such as stress, anxiety, personality, and life circumstances) are influencing your functioning, and how these fit together
  • recommendations for next steps

The report is formulation-based, bringing together developmental history, personality factors, and current demands to provide a more integrated understanding of your experience.

Where appropriate, this may include:

  • guidance on referral to a psychiatrist for medication assessment (a GP referral is required)
  • recommendations for psychological support
  • workplace or university adjustments
  • practical strategies for managing attention and workload

The focus is on supporting a clearer understanding of yourself, alongside practical and appropriate next steps.

Take the Next Step

If you are considering an ADHD assessment in Perth, you are welcome to get in touch to discuss whether this process is appropriate for you.

Submit Your Enquiry