The ADHD Foundation welcomes national discussion following last night’s Four Corners program on ADHD. Many Australians living with or impacted by ADHD find the current public debate unsettling. Behind the data and commentary are real people: parents trying to help their child stay engaged at school, adults who have spent years wondering why things feel harder than they should, and families navigating a system that is often complex, expensive and unclear.
The ABC Four Corners program highlighted what thousands of Australians already experience every day. Navigating ADHD care is confusing, often costly and overwhelming.
Lack of sufficient practitioners has led to long wait lists and the emergence of commercialised clinic models, some of which charge exorbitant amounts to test and diagnose patients. This disjointed dynamic creates significant pressure on families.
Speaking to the ABC Four Corners report, the quoted variation in diagnosis rates across Australia reflects a fragmented system rather than inappropriate diagnosis. It is therefore essential that public reporting includes context. Increases in ADHD prescriptions in areas such as Fremantle and Joondalup reflect population growth, improved PBS access and significant national medication shortages. From 2021 to 2026, Australia experienced repeated shortages of Methylphenidate, Dexamfetamine, Atomoxetine and Guanfacine. During these periods, Vyvanse was often the only consistently available choice, and its recent inclusion into the PBS for Adults in 2021 provided affordable access for adults.
Despite the complexity of the system, correct ADHD diagnosis in Australia performed by qualified practitioners remains rigorous and multistage. The process involves clinical interviews, developmental history, validated tools, collateral information and consideration of mitigating factors including comorbidities. This is consistent with diagnostic standards for all medical conditions.
For the ADHD community many of whom are overwhelmed and confused, this is not about an abstract policy debate. It is about knowing where to start, accessing a thorough and trusted assessment and getting the right support to function day to day. Every day, the ADHD Foundation hears from people who are not seeking a label, they are seeking clarity.
The ADHD Foundation is Australia’s independent, non-commercial, non-profit organisation providing evidence-based information, national advocacy and the country’s only free ADHD Helpline. We support thousands of Australians each year who cannot navigate or afford the current system. Independent, evidence informed guidance reduces misinformation, improves safety and supports equitable access. The ADHD Foundation has participated in multiple Government enquiries and panels and is a trusted representative of the ADHD community at grass roots level.
The ADHD Foundation is calling for practical system improvements including consistent national standards in diagnosis and treatment, greater access to trained practitioners, strengthening access to affordable assessment pathways, improving medication supply resilience and transparency, supporting independent community-based organisations and ensuring public reporting includes population and supply chain context to avoid misinterpretation.
A spokesperson for the ADHD Foundation said the national conversation must remain focused on people. “This is not about trends. It is about a community of Australians asking for help and ensuring society responds accordingly.”
If you are feeling overwhelmed or unsure where to start, the ADHD Foundation’s free national ADHD Helpline is available to provide clear, evidence informed guidance and practical next steps.
Media Contact
Christopher Ouizeman
ADHD Foundation
www.adhdfoundation.org.au