Is ADHD/ASD/AuDHD assessments of psychologists and psychiatrists the same?
Clients often ask a very important question when making decisions about assessments: “Which professional should I consult, a psychologist or a psychiatrist?”
Both psychologists and psychiatrists can become highly skilled in assessing conditions like ADHD, ASD, and AuDHD. Their expertise typically develops through advanced training, underscoring their dedication to their field. I've seen many professionals in these areas pursue further education, demonstrating their commitment to enhancing their skills for the benefit of their clients.
When considering training, it's essential to note that in Australia, psychologists must hold at least a master’s degree, which includes vital components relevant to assessment and treatment. Many even go on to obtain a PhD. Their focus is on cognitive, behavioural, and emotional evaluations, using a variety of treatment models to support their clients.
On the other hand, psychiatrists begin their careers as registered general practitioners before specialising in mental health. Their training equips them to diagnose and treat mental disorders from a medical, biological, and biochemical standpoint. A unique aspect of psychiatry is that these professionals can prescribe medication, which requires thorough assessments of their clients beforehand.
General Practitioners (medical doctors) frequently refer to psychologists to confirm a diagnosis and identify treatment targets. Upon receiving feedback, they would consult a psychiatrist for evaluation and medication recommendations.
Psychologists conduct detailed assessments that incorporate screening tests before proceeding with more complex evaluations. They gather information from credible sources and structured interviews, often contacting family members (with consent) for additional insights. Importantly, their assessments encompass evaluations of executive functioning, ensuring a comprehensive understanding of the individual's needs. If the initial assessments suggest it, further testing may be recommended, especially since clients with ADHD, ASD, or AuDHD often have additional comorbidities that need to be explored.
Conversely, psychiatrists perform medical evaluations based on thorough clinical interviews and the patient's medical history to identify any impairments. They carefully assess current medications to ensure that both selection and dosage are optimal for the patient’s needs, often requiring multiple consultations to fine-tune therapy for optimal outcomes.
It's worth noting that psychologists and psychiatrists frequently collaborate, underscoring the need for both assessment modalities. Each profession brings a unique perspective to ADHD, ASD, and AuDHD, and it’s not unusual for your psychologist or psychiatrist to recommend that you engage with the other professional as well.
In conclusion, the most beneficial approach is to consult both a psychologist and a psychiatrist, as each plays a crucial role in addressing clients' diverse needs. While it’s understood that these assessments can be costly, starting with a psychiatrist may be advantageous, particularly because they can prescribe medications. Together, these professionals can provide a well-rounded understanding and support for your mental health journey.