ADHD care pathways · NSW
Which ADHD pathway fits where you are now?
Assessment, starting medication, restarting after a break, and continuing a stable plan are different appointments. Choose the statement that matches today.
Please do not book several pathway appointments just in case. Send your records if you are uncertain.
What do you need today?
Choose the sentence that sounds like you.
Each page explains the eligibility, preparation, fee and next action for that stage of care.
“I do not have a formal diagnosis. I want to understand what is going on.”
Adult assessment connects childhood patterns with current functioning, considers other explanations and provides a written outcome.“I have a detailed diagnosis, but I have never started medication.”Send your complete report for review before a 40-minute in-person treatment consultation is offered.
“I was treated before, then stopped. I want to consider restarting.”A fresh in-person review considers why treatment stopped, previous response and what is safe now.
“My treatment is working. I need someone to continue the stable plan.”Choose a trained Specialist GP for ongoing prescribing with current records and appropriate monitoring.
“I am diagnosed and stable, but I cannot get to West Pennant Hills in person.” A Rosedale Specialist GP holds the prescribing role by video telehealth while your usual GP or psychiatrist provides the in-person observations. Also covers co-management with your psychiatrist.
Children and adolescents
ADHD assessment for ages 6 to 17.
$1,476.13
Comprehensive child and adolescent assessment pathwayAssessment with psychologist Niro Wanigatunga
The service includes an in-person assessment in West Pennant Hills, a written report and a follow-up discussion. If ADHD is diagnosed and medication is an appropriate next step, Dr Saini can assist with treatment initiation.
What every pathway has in common
The appointment is a review, not a guarantee.
The purpose is to identify the clinically appropriate next step, not to promise a diagnosis, medicine or prescription.
Evidence first
Existing diagnoses, treatment records and supporting reports need enough information to be relied on safely.
Current health matters
Observations, medical history, mental health, sleep, substance use and cardiovascular factors may affect the plan.
Sometimes another step is safer
Further records, investigations, reassessment or specialist involvement may be recommended before prescribing.
Appointment format
Most pathways begin in person.
Adult assessment Visit 1, initiation, restart and a new patient's first continuation consultation are completed at West Pennant Hills.
Assessment
The first adult assessment appointment is in person. The later feedback appointment may be offered by telehealth where appropriate.
Initiation and restart
These consultations are in person because current observations, examination and safety review are required.
Continuation
New patients establish care in person. Some eligible adults can use video telehealth for later care.
Still not sure?
Send the documents you already have.
Reception can help identify the likely starting point, but clinical suitability is confirmed only after the relevant material is reviewed.
Include with your email
- Full name and date of birth
- Phone number and NSW address
- Diagnostic reports and clinical letters
- Current or previous medicine and dose
- A short note about what you need now
A useful subject line
“Help choosing an ADHD pathway”
For a child or adolescent, include their age and whether a formal diagnosis or previous treatment already exists.
Common pathway questions
Before you choose.
I have a psychologist's report. Which pathway should I choose?
If medication has never been taken, start with initiation and send the full report for review. A comprehensive report may be accepted, but this is decided case by case.
I was diagnosed overseas. Can I use initiation or continuation?
Send the complete diagnostic and treatment records before booking. Further Australian assessment or specialist confirmation may be required.
My dose is still changing. Is that continuation?
Continuation is designed for established, stable treatment. Continue with the current prescriber until stability is confirmed, or contact reception.
I stopped only recently. Is that continuation or restart?
Restart is generally the safer starting point when you are no longer taking the medicine as prescribed.
Does choosing a pathway guarantee medication?
No. Treatment depends on clinical suitability, evidence, current health, monitoring needs and NSW prescribing requirements.
Not sure which box to tick? Do not guess.
Send your reports and a short treatment history. Rosedale can guide you to the likely starting point before you pay for an appointment.