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RMC views Adult ADHD as a disorder of executive functioning and self regulation.

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition characterised by persistent, developmentally inappropriate patterns of inattention and/or hyperactivity and/or impulsivity that cause functional impairment across settings. These symptoms are commonly associated with difficulties in executive functioning and self-regulation.

RMC understands this presentation as adults experiencing difficulties with  managing concentration and sustained attention, inhibiting verbal, cognitive and behavioural responses. We understand Executive Functioning challenges to include difficulty organising, planning and prioritising tasks and activities,  and awareness of time. This extends to situation specific deficits with self motivation of initiating, sustaining and completing tasks.

Our clinicians have a deep appreciation of how rejection and injustice sensitivity and difficulty with self regulation of emotions are a core aspect of ADHD as a disorder of self regulation. 

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RMC has a deep understanding of how ADHD may present in women and how their experiences may differ from those of men. Our clinicians recognise the impact that the late luteal phase of the menstrual cycle, perimenopause and menopause can have on ADHD symptoms.

We consider how rejection sensitivity, sensitivity to perceived injustice, emotional regulation difficulties, perfectionism, masking, anxiety and burnout may be associated with previously undiagnosed ADHD. Our prescribing clinicians have experience initiating and optimising ADHD stimulant medication, including reviewing treatment needs across the menstrual cycle and during perimenopause.

RMC screens for possible autism but does not provide autism diagnoses. Our team also recognises the ways co-occurring autism and ADHD (AuDHD) may present, including burnout.

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RMC clinicians understand that ADHD may present differently in late adolescence, early adulthood and midlife males. They also recognise that years of living with unrecognised or untreated ADHD may contribute to depression, low self-esteem and coping behaviours that are no longer helpful in men. 

Difficulties regulating emotions and managing frustration can affect intimate relationships, family life, study and employment. These difficulties may include irritability, rapid frustration or anger, emotional fluctuations, and heightened sensitivity to criticism or perceived failure. Some people may also find it difficult to tolerate delays, boredom or waiting, cope with stress, or sustain motivation. Periods of low mood may occur alongside these challenges.

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AuDHD refers to the co-occurrence of Autism and ADHD. AuDHD is not currently established as a separate diagnostic disorder or a single, biologically distinct neurotype. Current evidence indicates that the two conditions have partially overlapping genetic and neurodevelopmental foundations while retaining distinct features. When they co-occur, executive, sensory, attentional, emotional and social-regulatory difficulties may combine or interact, sometimes producing greater functional impairment or apparently competing needs. These measures or strategies people may use to hide, compensate for, or adapt autistic traits in social situations across three areas: Compensation, Masking  and Assimilation.

Many autistic adults, particularly those identified later in life, describe learning ways to navigate social situations that make their autistic traits less visible to other people.

You may appear socially capable while internally working very hard to understand what is expected, monitor your behaviour, or fit in.
RMC does screen for Autism traits, however we do not offer full diagnostic Autism Spectrum Disorder assessments. RMC has developed relationships with Psychologists who are highly skilled in the field of Neurodiversity.

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Extensive psychiatric knowledge, over 20 years each of both Doctors, of the diagnosis and long term medication management of the different presentations. The prescribing team are highly experienced in how this presentation can co-occur with ADHD and complexity of combination medication prescribing. 

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RMC is a specialist clinic for a Schedule 8 medication that is delivered either through intranasal or injectable methods specifically for use in Treatment Resistant Depression (TRD).This medication is delivered in our clinic under strictly controlled conditions, and is approved by the TGA in Australia for use in TRD.
Referrals are only accepted through a GP. 

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Our clinical team have an extensive experience in diagnosing PTSD and Complex PTSD in different adult population groups including Defence personnel. Psychiatric care for PTSD and complex PTSD involves

an individualised treatment plan, in combination with trauma-focused psychological therapy, and 

management of associated difficulties. RMC has collaborative relationships with 

Clinical Psychologists offering trauma focused interventions in ACT, NSW, QND and Victoria.

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RMC offers specialist Psychiatric medication reviews for chronic OCD and Anxiety Disorders where there is insufficient response. Psychiatric consultations explore medical history, interactions and tolerability, second line treatments and augmentation. GP’s are skilled in prescribing for early onset disorders. A stepped care approach is essential incorporating CBT evidence based interventions, which are routinely offered by Psychologists.