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Who makes the ADHD diagnosis

An ADHD diagnosis is a medical diagnosis. It cannot be made by a teacher, a psychologist alone or an online test. So which doctors can make it? Here is what you need to know. Knowing who does what helps avoid wasting time along the way.

A medical diagnosis

ADHD is diagnosed by a doctor, based on a full clinical assessment. The doctor reaches the conclusion, taking all the information into account. They consider the child’s history, their current difficulties and how much these affect daily life.

We explain this point in more detail in C’est quoi le TDAH.

The doctors concerned

According to the HAS, the doctors currently able to make the diagnosis in children and to start drug treatment are paediatricians, psychiatrists and neurologists trained in ADHD. This change aims to reduce waiting times for diagnosis.

The HAS calls for this competence to be extended to other doctors, such as GPs who have completed specific training.

This topic is covered in our page Pédopsychiatre et TDAH.

How the assessment takes place

The doctor holds an interview with the child and their parents, examines the child, gathers information from the school and uses questionnaires. At least one in-person consultation is recommended. Teleconsultation can then make follow-up easier.

You will find more details in the article Le bilan du TDAH : comment ça se passe.

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The role of other professionals

The neuropsychologist, the psychologist, the speech and language therapist or the psychomotor therapist provide useful information. Their assessments complement the medical evaluation. They also help identify any associated disorders.

Our article Bilan neuropsychologique et TDAH expands on this advice.

The role of the school

The teacher does not make a diagnosis, but their observations are essential. They often fill in a questionnaire. Their observations help confirm that the difficulties also exist at school.

To find out more, see Parler du TDAH à l’enseignant.

The GP

They identify, refer and provide follow-up. They may renew a treatment started by a specialist, within the framework set by regulations. They remain an essential point of contact throughout the process.

The article TDAH : le rôle du médecin traitant looks at this question in detail.

For adults

In adults, the diagnosis is generally made by a psychiatrist trained in ADHD. Specialist consultations for adults are still rare.

This is explained step by step in Diagnostic du TDAH à l’âge adulte.

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Frequently asked questions

Who can diagnose ADHD ?

A doctor trained in ADHD, such as a paediatrician, a psychiatrist or a neurologist. It is a medical diagnosis.

Can a psychologist make the diagnosis ?

No, but their assessment can complement the evaluation. The HAS wants to widen access.

Can the diagnosis be made by video ?

The HAS recommends at least one in-person consultation. The school provides its observations.

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