By Dr Jaspreet Saini. Published . Updated .
Last reviewed 2026-10-18
For years, adults in NSW were told only a psychiatrist could diagnose ADHD. The rules have changed, and many people are unsure what a GP can now do.
The short answer
Yes. In NSW, GPs who have completed endorsement training can assess and diagnose ADHD, start medication and adjust it. Diagnostic assessment and prescribing authority are separate. GPs who are not endorsed may still be able to provide a diagnostic assessment for ADHD. However, they cannot initiate ADHD medication. To continue medication started by a specialist, they must be ADHD Continuation Prescribers.
What we know
Endorsement involves additional training. Psychiatrists and paediatricians remain involved for complex presentations, diagnostic uncertainty and people who do not respond as expected.
ADHD stimulant medicines are Schedule 8 medicines, so prescribing remains closely regulated.
What we don't know
Rules differ between states and territories. A NSW endorsement does not describe what a GP can do elsewhere in Australia.
What else matters
Not every GP is endorsed. It is reasonable to ask a practice directly whether its GP can assess, diagnose and start treatment.
What you can do next
If you live in NSW, ask your GP about their ADHD credentials. If you live elsewhere, check your state health department's current guidance.
Sources
This article is general information, not personal medical advice. Speak with your own doctor about your situation.