If you’re struggling with focus, impulsivity, restlessness, or persistent disorganisation, you may be wondering whether a psychiatrist is the right professional to help with ADHD. It’s a common question, and the answer isn’t always straightforward. ADHD affects people differently—some individuals manage well with self-help strategies and therapy, while others find that medication significantly improves their quality of life.
In this article, we’ll explore how psychiatry can help with ADHD, whether you should see a general or specialist psychiatrist, and whether medication or therapy (or both) is the best approach for you.
Is ADHD a Psychiatric Disorder?
ADHD is a neurodevelopmental condition that affects attention regulation, impulse control, and executive functioning—the brain’s ability to plan, organise, and manage tasks. While it is commonly diagnosed in childhood, many adults continue to experience symptoms that impact their work, relationships, and overall well-being.
Key Symptoms of ADHD:
- Inattention: Difficulty sustaining focus, forgetfulness, losing track of tasks, and frequent disorganisation.
- Hyperactivity: A constant need for movement, restlessness, or difficulty sitting still (more noticeable in children but still present in adults).
- Impulsivity: Acting without thinking, interrupting conversations, difficulty waiting, or making snap decisions that may later cause regret.
Many adults with ADHD describe feeling like they are always “playing catch-up” in life, struggling to manage daily responsibilities despite their best efforts. If this sounds familiar, seeking professional support could be beneficial.
How Can Psychiatry Help with ADHD?
Psychiatrists are medical doctors who specialise in diagnosing and treating mental health conditions, including ADHD. Their role in ADHD treatment includes:
1. Providing an Accurate Diagnosis
Because ADHD shares symptoms with other conditions—such as anxiety, depression, and even sleep disorders—getting an accurate diagnosis is crucial. A psychiatrist will conduct a thorough assessment, which may include:
- Clinical interviews and questionnaires
- Gathering input from family members (if relevant)
- Ruling out other conditions that might mimic ADHD symptoms
This process ensures that treatment is tailored to your specific needs rather than applying a one-size-fits-all approach. At The Chelsea Psychology Clinic, our psychiatrists take a comprehensive and evidence-based approach to diagnosis, helping patients gain a clearer understanding of their challenges and the best way forward.
2. Prescribing and Managing Medication
Medication is often one of the most effective treatments for ADHD, particularly for managing inattention, hyperactivity, and impulsivity. Psychiatrists are trained to prescribe and monitor ADHD medications, adjusting dosage as needed to minimise side effects while maximising benefits.
The two main types of medication used for ADHD are:
- Stimulants (e.g., methylphenidate, amphetamines): These increase dopamine and norepinephrine levels in the brain, improving focus and impulse control. They are often the first-line treatment for ADHD.
- Non-stimulants (e.g., atomoxetine, guanfacine): These may be recommended for individuals who do not respond well to stimulants or experience side effects.
A psychiatrist will work with you to determine the best medication based on your specific symptoms, medical history, and lifestyle.
3. Addressing Co-Occurring Conditions
ADHD often does not exist in isolation. Many individuals with ADHD also experience anxiety, depression, or sleep disorders. Sleep problems can be common for people with ADHD, and this can make impulsiveness and inattentiveness more present during the day. A psychiatrist can assess for these conditions and provide a treatment plan that considers the full picture of your mental health.
4. Offering Psychoeducation and Support
Beyond medication, psychiatrists provide guidance on ADHD management, including time management, behavioural strategies, and emotional regulation. They help individuals understand their condition and develop coping mechanisms. Effective treatments include cognitive-behavioural therapy (CBT), organisational skills training, and mindfulness. Psychiatrists may also collaborate with therapists and ADHD coaches for a comprehensive approach.
Should You See a General Psychiatrist or an ADHD Specialist?
General Psychiatrist
A general psychiatrist is trained to diagnose and treat a wide range of mental health conditions, including ADHD. If ADHD is suspected but not yet diagnosed, or if you have co-occurring conditions that require medical management, a general psychiatrist may be a good starting point.
ADHD Specialist
Some psychiatrists have additional expertise in neurodevelopmental conditions and focus specifically on ADHD. If you have complex symptoms, treatment-resistant ADHD, or require a highly specialised approach, seeing a psychiatrist with expertise in ADHD may be beneficial.
If you’re unsure, starting with a general psychiatrist and getting a referral to a specialist if needed can be a practical approach.
Is Medication or Therapy Better for ADHD?
One of the most common questions individuals ask when considering ADHD treatment is whether medication or therapy is the better option. The reality is that both can be highly effective, and the best choice depends on the individual’s symptoms, lifestyle, and personal preferences.
Medication: A Scientific Approach to Managing Symptoms
ADHD is linked to differences in brain chemistry, particularly in the regulation of dopamine and norepinephrine. Medication helps correct these imbalances, improving focus, impulse control, and overall cognitive function.
For many individuals, medication provides a significant reduction in symptoms, allowing them to function more effectively in their daily lives. However, medication is not a “cure” and does not teach skills for managing ADHD-related challenges.
Therapy: Learning to Work with ADHD
Therapy, particularly Cognitive Behavioural Therapy (CBT), helps individuals with ADHD develop skills for managing their condition, such as:
- Time management and organisation strategies
- Techniques for reducing procrastination and increasing motivation
- Emotional regulation and stress management
- Improving self-esteem and addressing negative thought patterns
Therapy can be especially beneficial for individuals who struggle with the emotional impact of ADHD, such as feelings of frustration, overwhelm, or self-doubt.
The Best Approach? Often a Combination of Both
Research suggests that the most effective treatment for ADHD often involves a combination of medication and therapy. Medication addresses the neurological aspects of ADHD, while therapy provides practical tools for daily management. A psychiatrist can help determine the right balance for you.
Final Thoughts: Is Seeing a Psychiatrist the Right Choice for You?
If ADHD is significantly impacting your daily life—whether at work, in relationships, or with personal organisation—seeing a psychiatrist could be a valuable step. A psychiatrist can provide a formal diagnosis, discuss treatment options, and guide you toward a plan that helps you manage symptoms effectively.
If you’re unsure whether psychiatry is the right path for you, consider booking an initial consultation. At The Chelsea Psychology Clinic, we specialise in ADHD assessment and treatment, offering expert support to help you take control of your symptoms and improve your quality of life.
You don’t have to navigate ADHD alone—professional support can make all the difference. If you’re ready to explore your options, get in touch with us today.
