Leading ADHD Clinic in NSWProviding the most comprehensive assessment, diagnostic and therapy services for both children and adults across NSW & Australia.
Far from our Centre?Now offering Skype therapy for our out of area patients
Using the latest scientifically validated tests and treatment protocols
This Clinic was created due to the high demand for a specialist clinic that specialises not only in children but also adults, not just medicating our patients but providing a wide range of therapies which aim to improve long term outcomes. At our clinic we have a unique mix of ADHD specialists that each work within different areas. We have specialist neuropsychologists conducting in-depth comprehensive assessments of neurocognitive functioning. We also have clinical psychologists who can treat the common social and emotional issues associated with ADHD. Most importantly we have specialists trained in cognitive remediation, to help improve the core cognitive weaknesses found in ADHD. We aim to provide a very comprehensive and wholistic assessment & treatment service, to help maximise functioning in all areas of life.
This clinic aims to fill the large gap that often occurs when medical doctors assess and treat ADHD. Medical doctors cannot conduct psychometric attention testing, having to rely upon checklists and clinical interviewing. This can often result in a diagnosis being made without an understanding of the core processing issue creating the functional attention weaknesses. As these doctors typically can only offer medication as a short-term solution, this results in the symptoms being masked in the short-term rather than being directly worked upon and improved. Medication also only helps a small percentage of the symptoms, leaving many issues untreated, reducing functional outcomes and quality of life. We will conduct a thorough neuropsychological assessment to pinpoint the deficits, and we will then design a unique and individualised therapy program to help the patient in all areas of their life. Look at our assessment and treatment pages to see the much more comprehensive assessment and therapy solutions we offer.
Our reluctance to use medication as a first stage treatment
The latest scientific research is supporting evidence that attention skills can actually be weaker after stopping medication than before it was commenced and that medication does not create the improvements in academic functioning that would be predicted. We believe that this is likely to be due to children with these weaknesses not learning strategies to compensate for their issues, and the fact that not all weak attention skills will be improved by medication. In fact, one of the most common skills, auditory attention span, has shown few improvements on medication and it is this skill which is most highly associated with academic achievement. Likewise executive skills (planning & organisation) are rarely improved on medication, hence a patient is still likely to underperform at school/work on medication if they do not have their executive skills treated concurrently.
Whilst we are not against medication at our clinic, and do think it can be valuable for very young children with learning delays (who are too young for cognitive training), or older children engaging in risky behaviours at risk for expulsion, typically we encourage patients aged 7+ to actually learn lifelong strategies to minimise the invasiveness of their issues and build their core cognitive skills so their skills are maximised for life (not just the 4-10 hours medication can offer). In adulthood we support medication being used intermittently for important projects or events, however as specialists in this area we have seen the damage that medication can create socially and in relationships and do not encourage regular use. For many adults the medication can create two different personalities that partners cannot understand or cope well with; when the medication wears off they don’t understand why their partner is more chaotic and difficult to deal with, creating relationship issues.
ADHD 7-Step Program
|Step One: Accurate Diagnosis||Comprehensive standardised neuropsychological assessment of cognitive processing skills in order to determine whether the core processing issue creating the functional attention weaknesses is attention based or non-attention based. This is the crucial first step as all the following stages of intervention will be based on the precise findings of this stage.|
|Steph Two: Cognitive Remediation Intervention||Depending upon the nature of the core cognitive issues found in Step 1, we will then formulate a personalised program in order to remediate the precise cognitive issues found (eg. visual sustained attention, auditory sustained attention, working memory, attention pan, switching attention, divided attention, planning, organisation, cognitive flexibility etc.). This program may actually treat any core neurophysiological dysregulation via neurofeedback. It may also include a cognitive training program individually designed to enhance skills in any of the above noted areas.|
|Step Three: Parent, relationship &/or family management||ADHD does not only affect the individual but can have a negative impact upon relationships and family life. Where required, we can do family/relationship therapy to help improve relationships and happiness at home. For children living at home this step will involve training on how to parent a child with ADHD.|
|Step Four: Educational or vocational interventions||ADHD can have negative affects on schooling or career of individuals. This step will involve examining these issues and addressing them so that any impact is minimised or even removed.|
|Step Five: Social Skills Training||Peer relationships are an important factor in treatment people with ADHD. Often inappropriate behaviours or poor organisation can affect peer relationships and create some level of social isolation. Social skill training (with an ADHD based twist) can be helpful in improving the ability both to make and maintain friendships.|
|Step Six: Emotional management & resilience training||Often self-esteem can be reduced in individuals with ADHD, along with high levels of frustration, anxiety and even depression. Treating these issues can be very important in helping improve quality of life.|
|Step Seven: Medication assessment & monitoring||Whilst medication is not our first line of treatment, often people come to us on medication and are not sure if the medication is working. We can assess both on and off medication, determine the core processing weakness, and then objectively assess the exact benefits of the medication and determine whether the medication is optimal, whether a change is required, or whether supplementary treatment is needed (ie. medication is not helping all cognitive weaknesses).|
Dr Shelley Hyman
Senior Clinical Neuropsychologist, Director of Clinic
Areas of expertise: Children & adults. Assessment & therapy.
Masters in Clinical Neuropsychology
Areas of expertise: Assessment of children & adults with ADHD
Masters in Clinical Neuropsychology
Areas of expertise: Assessment of children & adults with ADHD, QEEG acquisition & analysis, cognitive training.
Areas of expertise: Psychological therapy, social skills training: Children & adults with ADHD
Masters in Clinical Neuropsychology
Areas of expertise: Cognitive training
Bachelor of Science (Psychology)
Areas of expertise: Head neurotechnician, neurofeedback practitioner.
Masters of Orthoptics
Areas of expertise: Visual assessment & visual orthoptic training.