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Adult ADHD

Do I have ADHD, or have I just wrecked my attention span?

It's one of the most common questions we hear in the consult room. Phones make almost everyone feel scattered. ADHD is something different. Here's how to tell them apart, and when it's worth getting checked.

Dr Jaspreet Saini talking with a patient about ADHD in a consult room at Rosedale Medical Practice, West Pennant Hills
The short answer It could be either, and it's often both. Heavy phone use can leave anyone feeling distracted, but it doesn't cause ADHD. ADHD starts in childhood and affects many parts of life, whether your phone is in your hand or in a drawer. If your focus problems go back to your school years and cause real trouble at work, at home or in relationships, a proper assessment is worth it.

What's the difference between ADHD and a worn-out attention span?

ADHD (attention deficit hyperactivity disorder) is a neurodevelopmental condition. It's how your brain has been wired since childhood. It affects attention, impulse control, organisation and sometimes restlessness, and it shows up in more than one area of life.

A worn-out attention span is usually a habit problem. Constant notifications and endless scrolling train your brain to expect something new every few seconds. Reading a book or sitting through a meeting starts to feel hard. The good news is that habits can be changed.

The clearest way to separate them is to look at when it started, where it shows up, and what happens when the phone goes away.

More likely ADHDMore likely phone habits
When it startedChildhood, usually before age 12, even if nobody noticed at the timeRecently, often in step with more screen time
Where it shows upEverywhere: work, home, money, driving, relationshipsMostly around screens and dull tasks
Phone away for two weeksCore difficulties stayFocus noticeably comes back
On holidaysStill there, just in a different settingOften eases off
Other signsLosing things, late bills, running late, blurting out, starting many things and finishing few, strong emotional swingsMainly boredom and reaching for the phone
FamilyOften runs in familiesNo particular pattern

Signs it might be more than your phone

None of these on their own means you have ADHD. A pattern of several, going back years, is worth talking to a GP about.

  • Teachers said you were bright but "not trying", "away with the fairies" or "chatty in class".
  • You lose keys, wallets and phones often, and have for as long as you can remember.
  • You pay bills late, miss appointments or leave forms unfinished, even when you care about them.
  • You can focus for hours on something that interests you, but can't start boring tasks no matter how important they are.
  • You regularly underestimate how long things take, and people describe you as "always late".
  • You interrupt, make quick decisions you later regret, or feel restless when sitting still.
  • You've built workarounds (lists, alarms, a patient partner) and you're tired of how much effort it takes to keep up.
  • A child, sibling or parent has been diagnosed with ADHD.

Try a two-week phone reset first

This won't diagnose anything, but it gives you useful information before you see a doctor. Run it for 14 days.

  1. Charge your phone outside the bedroom. Use a cheap alarm clock instead.
  2. Turn off every notification except calls and messages from real people.
  3. Log out of your two most-scrolled apps. The extra friction is the point.
  4. Work in 25-minute blocks with the phone in another room.
  5. Score your focus each night from 1 to 10 and jot down one line about your day.
Good to know

If your focus clearly lifts, habits are probably a big part of the picture. If you did the reset properly and very little changed, or you couldn't stick to it at all, that's worth mentioning to your GP. Bring your notes. They help.

Why it's often both

People with ADHD tend to be drawn to fast, frequent rewards, which is exactly what a phone delivers. So adults with undiagnosed ADHD often find themselves using their phone more, and then blame the phone for problems that were there long before it.

Poor focus can also come from things that have nothing to do with ADHD or screens:

  • Poor sleep or sleep apnoea
  • Anxiety, low mood, stress or burnout
  • Perimenopause and menopause, which can affect concentration and memory
  • Thyroid problems or low iron
  • Alcohol, cannabis or some medicines

A good assessment looks at all of these, not just ADHD. That's why an online quiz can't give you an answer.

What an adult ADHD assessment at Rosedale looks like

Adult ADHD assessments at our West Pennant Hills practice are done by Dr Jaspreet Saini, a GP endorsed in NSW to assess, diagnose and start ADHD treatment. It happens over two visits.

  1. Visit 1, one hour, in person. We talk through your history from childhood to now, how things affect your life, and anything else that could explain it.
  2. Questionnaires at home. Standard ADHD rating scales, done between visits.
  3. Visit 2, in person or by telehealth. You get a written outcome and a management plan either way.

You don't need old school reports. If blood tests or an ECG are needed, we can usually do them on site on the day.

What this costs
$1,202.45The adult ADHD assessment, including the $2.45 HotDoc platform fee. It covers both visits.

Your card is pre-authorised when you book and charged after Visit 1.

Common questions

Can too much phone use cause ADHD?

No. ADHD is a neurodevelopmental condition that begins in childhood. Heavy phone use can cause ADHD-like distraction and can make existing ADHD harder to manage, but it doesn't create the condition.

Can you be diagnosed with ADHD as an adult?

Yes. Many adults are diagnosed for the first time in their 30s, 40s or later, often after a child is diagnosed or when life gets busier and old coping strategies stop working. The symptoms need to have been present since childhood, even if nobody recognised them.

Is an online ADHD test enough?

No. Online quizzes can be a useful prompt, but they can't rule out sleep problems, anxiety, low mood, hormonal changes or medical causes. A diagnosis needs a clinical assessment.

Do I need my old school reports?

Not for an assessment at Rosedale. If you have them, bring them, but they aren't required.

Can the whole assessment be done by telehealth?

The first visit is in person at West Pennant Hills. The second can be in person or by telehealth.

What if it turns out not to be ADHD?

That's still a useful answer. We'll talk through what else could be affecting your focus, such as sleep, mood, stress or hormones, and what to do next.

This article is general information and isn't a substitute for advice about your own health. If you're worried about your attention, focus or mood, talk to your GP.

Wondering if it's ADHD? Let's find out properly.

Book an adult ADHD assessment at our West Pennant Hills practice, or call reception and we'll talk you through it.

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