An evidence-based overview of ADHD treatment: medication, therapy, coaching, and combined approaches. What the AADPA guideline recommends and what's available.
The AADPA Clinical Practice Guideline recommends a multimodal approach to ADHD treatment — combining medication, psychological support, and practical strategies rather than relying on any single intervention.
Evidence shows that the best outcomes come from combining medication (which addresses core neurological symptoms) with therapy and coaching (which builds coping strategies and addresses coexisting issues like anxiety, low self-esteem, and relationship difficulties).
A 2025 systematic review and meta-analysis published in The Lancet Psychiatry (Ostinelli et al.) confirmed that stimulant medications are the most effective pharmacological treatment for adult ADHD, while psychological interventions provide important complementary benefits that medication alone doesn't fully address.
ADHD medications are the most evidence-supported treatment. Stimulants are effective in 70-80% of adults with ADHD. When two different stimulant classes are tried sequentially, response rates reach 80-90%.
Stimulant medications (first-line):
| Medication | Type | Duration | Brand Names | PBS Subsidised |
|---|---|---|---|---|
| Methylphenidate IR | Short-acting | 3-4 hours | Ritalin 10 | Yes |
| Methylphenidate ER | Long-acting | 8-12 hours | Ritalin LA, Concerta | Yes (restricted) |
| Dexamfetamine | Short-acting | 3-5 hours | Generic | Yes |
| Lisdexamfetamine | Long-acting (prodrug) | 10-14 hours | Vyvanse | Yes (restricted) |
Non-stimulant medications (second-line):
| Medication | Type | Duration | Brand | PBS Subsidised |
|---|---|---|---|---|
| Atomoxetine | SNRI | 24 hours | Strattera | Yes (restricted) |
| Guanfacine ER | Alpha-2 agonist | 24 hours | Intuniv | Yes (restricted) |
Third-line options (if stimulants and non-stimulants are ineffective or contraindicated): bupropion, clonidine, modafinil, reboxetine, venlafaxine. These are off-label for ADHD in Australia.
Stimulants are Schedule 8 controlled substances requiring authority prescriptions from a psychiatrist, paediatrician, or (in QLD/SA) a trained GP.
This is why the AADPA guideline recommends multimodal treatment rather than medication alone. Medication creates a window of improved executive function that makes therapy, coaching, and self-management strategies more effective.
Psychological therapies adapted for ADHD can help with the consequences of living with ADHD that medication alone doesn't fully address:
Medicare coverage: Up to 10 psychology sessions per year are subsidised through the Better Access initiative with a GP Mental Health Treatment Plan.
ADHD coaching focuses on practical life management — organisation, time management, goal setting, and accountability. Unlike therapy, coaching is forward-looking and action-oriented rather than exploring past patterns.
Browse our directory to find ADHD coaches near you.
Coaching is not covered by Medicare but may be covered by some private health insurance extras plans. It's often used as a complement to medication and/or therapy — medication helps you focus, therapy addresses emotional patterns, and coaching builds practical systems.
Who benefits most from coaching: People who know what they should do but struggle with consistent execution. If your challenge is more "I can't get started" than "I don't know what to do," coaching may be particularly helpful.
The best treatment depends on your individual situation:
Starting point: Most treatment pathways begin with a specialist assessment, followed by medication (if appropriate), with therapy and coaching added based on individual needs and preferences.
Browse ADHD providers to find providers who offer the treatment approaches you're interested in. Filter by provider type, telehealth availability, and location. Online providers are available if you prefer telehealth.
Disclaimer
This guide is for information only. It is not medical advice. Always consult a qualified healthcare professional for personal medical decisions. Information was accurate at the time of publication but may change.
Australian Evidence-Based Clinical Practice Guideline for ADHD
AADPA (endorsed by NHMRC, RACGP, RANZCP, APS, RACP)
adhdguideline.aadpa.com.au/Accessed: 2026-02
PBS listings for ADHD medications
Pharmaceutical Benefits Scheme (Australian Government)
www.pbs.gov.au/browse/body-system?bodySystem=5Accessed: 2026-02
ADHD — Information for patients and carers
Royal Australian and New Zealand College of Psychiatrists
www.ranzcp.org/mental-health-advice/adhdAccessed: 2026-02
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