OT vs psychologist for ADHD children: who helps more?

Understanding the difference helps you access the right support at the right time.

Psychologists and OTs address different aspects of ADHD, so the question isn't really "which one helps more?" but rather "which one does my child need right now?"

**What psychologists do for ADHD:** Psychologists conduct formal ADHD assessments and provide a diagnosis—something only they (along with psychiatrists and paediatricians) can do. They use standardised tests, questionnaires, and observations to confirm ADHD. They also deliver evidence-based behavioural therapies like cognitive-behavioural therapy (CBT) and parent coaching to manage challenging behaviours, emotional regulation difficulties, and co-occurring anxiety or depression. A comprehensive psychological assessment in Australia typically costs $800–$2,500 privately, or you can access subsidised services through your GP via a Mental Health Treatment Plan (up to 10 sessions per year covered by Medicare at the patient's gap cost).

**What occupational therapists do for ADHD:** OTs focus on helping children function better in daily life. They assess sensory sensitivities (many children with ADHD struggle with sensory input), develop routines and organisational systems, teach executive function strategies (planning, time management, task breakdown), and recommend classroom adjustments like fidget tools, movement breaks, or seating changes. They work on self-care skills, handwriting, and social participation. OT sessions are typically $80–$150 per hour privately, or covered under NDIS plans (2025–26 rates: $180–$220 per hour depending on your child's plan and location).

**Why both matter:** A child might see a psychologist first for diagnosis and behavioural support, then an OT to help them actually implement strategies at school and home. For example: the psychologist helps manage emotional outbursts; the OT sets up a visual timetable and movement breaks to prevent them. They work best when communicating with each other and your child's school.

**Next steps:** 1. Start with your GP or paediatrician if you suspect ADHD—they'll refer you to a psychologist for assessment. 2. Once diagnosed, ask your psychologist or paediatrician whether an OT referral would help your child. 3. If your child has an NDIS plan, OT is typically funded; check your plan documents. 4. Request that professionals share reports with your child's school to ensure consistent strategies across settings.

Both professionals are registered with AHPRA (Australian Health Practitioner Regulation Agency), so check their credentials before booking.