Can an OT diagnose ADHD?

If you're concerned your child has ADHD, start with your GP or paediatrician, who can refer your child to a psychologist or psychiatrist for formal diagnostic assessment. This process typically involves detailed developmental history, behavioural observations, and standardised rating scales.

Occupational therapists play an important supporting role after diagnosis. They assess how ADHD affects your child's ability to concentrate, organise themselves, manage transitions, and process sensory information. OTs then develop strategies and environmental modifications to help your child function better at home, school, and in the community. For example, an OT might suggest fidget tools, structured routines, or workspace adjustments to support focus and executive function.

In Australia, you can access occupational therapy through several pathways:

**Medicare**: Your GP can refer you to an OT through the Enhanced Primary Care (EPC) scheme for up to 5 sessions per calendar year (rebates vary, typically $50–$80 per session).

**NDIS**: If your child is NDIS-eligible, occupational therapy is often funded as a support. The 2025–26 NDIS Pricing Arrangements set the standard rate for OT services at around $150–$200 per hour, depending on your location and the OT's experience.

**Private**: You can also pay privately; costs range from $120–$250+ per session.

Occupational therapists are registered with AHPRA and must hold relevant qualifications. When seeking an OT, check they're AHPRA-registered and have experience working with children with neurodevelopmental conditions.

Common questions: Can an OT diagnose sensory processing disorder? No—OTs assess sensory function but cannot diagnose sensory processing disorder. Can an OT refer for ADHD assessment? OTs can recommend your child be assessed by a psychologist or psychiatrist, but your GP or paediatrician typically initiates formal referrals. Should my child see an OT before ADHD diagnosis? Yes—OTs can help identify functional difficulties while you're pursuing diagnosis, and their observations may support the diagnostic process.