Frequently Asked Questions:
ADHD, Assessments, Treatment, and Care
ABOUT ADHD
What is ADHD, and how does it present in adults?
ADHD is a neurodevelopmental condition that affects attention, organization, planning, memory, and emotional regulation. In adults, it often shows up as overwhelm, distractibility, difficulty starting or finishing tasks, inconsistent focus, and mental fatigue. Many adults with ADHD also experience anxiety or burnout because they’ve spent years masking symptoms.
What’s the difference between inattentive, hyperactive-impulsive, and combined ADHD types?
ADHD has three presentations: inattentive (difficulty focusing, forgetfulness, mental drifting), hyperactive-impulsive (restlessness, fast pace, impulsive actions), and combined (a mix of both). Adults often lean toward inattentive traits, which can be quieter and easier to miss.
Can you have ADHD without being hyperactive?
Yes. Many adults - especially women - have ADHD without noticeable hyperactivity. Their symptoms are more internal, such as losing focus, struggling with motivation, or feeling mentally overloaded. This is one reason inattentive ADHD is underdiagnosed.
How is ADHD different in adults compared to children and teens?
Adults usually don’t show the outward hyperactivity seen in kids. Instead, symptoms appear as executive functioning challenges: difficulty staying organized, managing responsibilities, managing emotions, and maintaining routines. Adult ADHD can affect work, home life, relationships, and wellbeing.
What causes ADHD? Is it genetic?
Research shows ADHD is highly heritable. Genetics play the largest role, though brain development, environment, and early life factors may contribute. ADHD is not caused by poor parenting, lack of discipline, or lifestyle choices.
ADHD DIAGNOSIS & ASSESSMENT
How is ADHD diagnosed in adults?
Diagnosis includes a clinical interview, review of symptoms and history, ADHD-specific assessments, and screening for other conditions. At our clinic, Nurse Practitioners complete a full diagnostic assessment and treatment plan in one appointment.
What does an ADHD assessment include?
Your clinician reviews your medical history, symptoms, early life patterns, strengths, and areas of struggle. They may use standardized rating scales and rule out other causes like anxiety, depression, or trauma. If ADHD is indicated, you’ll leave with a treatment plan tailored to your needs.
Can you diagnose ADHD online or virtually?
Yes. Virtual ADHD assessments are evidence-based and widely used across Canada. Our assessments follow clinical best practices and include thorough evaluation, diagnosis, and treatment planning - all completed from home.
Do I need a referral to book an ADHD assessment?
No referral is needed. You can self-refer and book directly through our website.
How long does an ADHD assessment take?
Our standard ADHD Diagnostic Assessment and Treatment Plan appointment is 45–60 minutes, depending on the clinician. You’ll receive your diagnosis (if indicated) and next steps during the appointment.
What’s the difference between an ADHD screening test and a full assessment?
Screening tests (like the ASRS) help identify whether symptoms look consistent with ADHD, but they cannot diagnose the condition. A full clinical assessment reviews your history, functioning, and symptom patterns to determine whether ADHD is present and what treatment is appropriate.
Can ADHD be misdiagnosed or mistaken for anxiety, trauma, or depression?
Yes. ADHD symptoms overlap with many conditions. That’s why a thorough assessment is essential. Our clinicians assess for co-occurring conditions and look at the full picture to ensure the diagnosis is accurate.
ADHD MEDICATION & TREATMENT
What ADHD medications are available for adults?
Common options include stimulant medications (methylphenidate or amphetamine-based) and non-stimulants. Your clinician will help determine which fits your medical history, needs, and goals. Medication is always optional and only recommended if appropriate.
Is medication always recommended for ADHD?
No. Medication is one treatment option, but not the only one. Many people benefit from therapy, coaching, lifestyle changes, and structured supports. Your treatment plan will reflect your preferences and what feels right for you.
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What are the potential side effects of ADHD medication?
Possible side effects may include appetite changes, headaches, mild anxiety, or difficulty sleeping. Your clinician monitors closely, adjusts doses, and helps you find a balance where benefits outweigh side effects.
How long does it take to find the right medication or dose?
It can take a few follow-up appointments to adjust medication safely. Most people notice improvements quickly, while others may take longer to find the optimal dose. Our follow-up appointments are designed to support this process.
Is ADHD medication safe to take long term?
Yes. ADHD medications have been used safely for decades when prescribed and monitored appropriately. Long-term treatment often leads to better focus, emotional regulation, and overall quality of life.
LIVING WITH ADHD
What non-medication strategies help with ADHD?
Therapy, ADHD coaching, body-doubling, structured routines, task-breaking, sleep optimization, and nervous-system regulation practices can all help. Many adults benefit from combining multiple supports.
How can ADHD affect relationships, work, and daily functioning?
ADHD often impacts communication, follow-through, emotional regulation, time management, and stress tolerance. With support - medication, therapy, coaching, and practical strategies - most people see meaningful improvements in daily life.
Can ADHD symptoms improve with therapy, coaching, or lifestyle changes?
Yes. Therapy helps with emotional regulation and self-understanding. Coaching supports executive functioning and routines. Movement, sleep stability, and nutrition also support ADHD brains. Many clients use a combination of approaches.
ABOUT OUR CLINIC
Do you offer virtual ADHD assessments, and are they available across Ontario?
Yes. All services at our clinic are fully virtual and available to adults across Ontario. You can complete the entire assessment and follow-up process from home.
What does the ADHD Diagnostic Assessment and Treatment Plan include?
You’ll receive a full diagnostic interview, symptom review, medical history review, screening for other conditions, and a treatment plan that includes medication options (if appropriate), therapy recommendations, and next steps.
Are your clinicians qualified to diagnose ADHD and prescribe medication?
Yes. Our assessments are completed by ADHD-specialized Nurse Practitioners who are fully qualified to diagnose ADHD, prescribe medication, and provide ongoing care.
How do follow-up appointments work after my ADHD diagnosis?
Follow-ups are short virtual sessions focused on medication adjustments, symptom review, or ongoing support. You can book them online at any time.
Does insurance or workplace health coverage reimburse ADHD assessments or therapy?
Many extended health plans cover services provided by Nurse Practitioners and therapists. We recommend checking your specific benefits. You’ll receive a receipt after each appointment to submit for reimbursement.