Attention & concentration difficulties
Losing track of conversations, missing details, struggling to sustain focus on low-interest tasks despite genuine effort.
Adult ADHD Assessment · Geneva · English
A structured evaluation to understand difficulties with attention, organisation, impulsivity, procrastination or mental overload in adults — and document a clinical hypothesis useful for the next step.
Why consult?
Adult ADHD is often diagnosed late — sometimes after decades of unexplained difficulties. The person has frequently developed compensation strategies: hypercontrol, perfectionism, urgency. These strategies work, but at a high mental cost.
The assessment does not start from the assumption that the person has ADHD. It seeks to understand how they function: what is costly, what helps, what hinders — and whether a clinical hypothesis can be documented.
Geneva's international community — UN agencies, CERN, multinationals — often includes adults who have never had their cognitive profile formally assessed, sometimes because they functioned well enough in structured environments. That changes with complexity, responsibility or life transitions.
Losing track of conversations, missing details, struggling to sustain focus on low-interest tasks despite genuine effort.
Difficulty prioritising, starting tasks, managing deadlines or maintaining a consistent level of output.
A constant sense of running behind, compensating through hypercontrol or perfectionism — at a high mental cost.
Underperforming relative to perceived abilities, tension with colleagues, difficulty meeting expectations in complex environments.
Clinical approach
Structured diagnostic interviews and validated self- and observer-rated questionnaires to document attentional and executive manifestations across life contexts.
When clinically relevant, targeted cognitive tests objectify attentional, executive, memory or intellectual functioning. The goal is to understand the profile, not reduce the person to a score.
A restitution session presents findings, clinical hypotheses, and concrete recommendations: workplace adjustments, medical referral, therapeutic follow-up if indicated.
As an FSP-registered psychologist, I can thoroughly document the ADHD clinical hypothesis. Medical diagnosis, prescribing decisions and pharmacological follow-up rest with the physician or psychiatrist.
Concrete benefits
Many adults with ADHD have spent years searching for an explanation. The assessment provides a precise, clinical reading — without reducing the person to a label.
Hypercontrol, perfectionism, urgency — the assessment reveals the cognitive resources mobilised over time and those that are disproportionately taxed.
Anxiety, burnout, sleep difficulties or a heterogeneous cognitive profile can produce similar presentations. The assessment distinguishes these hypotheses rather than concluding too quickly.
The clinical report documents the ADHD hypothesis in a structured way for a physician or psychiatrist, and supports the medical decision that follows.
Not just a report. Actionable guidance: workplace adjustments, organisation strategies, referral to medical or therapeutic follow-up if indicated.
Linguistic precision is critical in neuropsychological evaluation. Assessments are conducted in the language in which you are most at ease, using UK/US-normed tool versions where available.
Process
01
We clarify the referral question, current difficulties, history and expectations. This first session determines whether a full assessment is indicated.
02
A structured exploration of childhood history, academic and professional trajectory, compensation strategies and current impact on daily life.
03
Structured diagnostic interview (DIVA-5), validated rating scales (CAARS-2, BRIEF-A) and observer-rated questionnaires where relevant.
04
Targeted assessment of attention, executive functions, working memory or intellectual profile using validated tools.
05
A restitution session presents results, clinical hypotheses and actionable recommendations. A written report is provided on request.
Structured evaluation
Always present
Added according to the situation
An adult ADHD assessment should not rely on a single tool. Depending on the referral question, it may integrate structured interviews, standardised self- and observer-rated questionnaires, cognitive tests and attentional measures.
The choice of tools always depends on the question posed, the personal history, the daily-life impact and the differential hypotheses to explore. The aim is not to accumulate tests, but to build a rigorous and useful understanding.
Examples of tools that may be used
Tools such as the DIVA-5, CAARS-2, BRIEF-A, WAIS-IV, TAP, Stroop, WCST or memory measures may be mobilised when clinically relevant.
These tools are cited as examples. They do not constitute a fixed battery applied systematically. The protocol is defined on a case-by-case basis after the first session.
Differential diagnosis
Attention difficulties can also appear in the context of anxiety, depression, burnout, sleep disorders, professional overload or a very heterogeneous cognitive profile. The assessment integrates developmental history, multi-context presentation and associated factors to distinguish between competing hypotheses.
In adults with giftedness or a very heterogeneous cognitive profile, attentional difficulties can be long masked by reasoning abilities, hypercontrol or costly compensation strategies.
Practical information
Location
Rue De-Candolle 20, 1205 Geneva
Language
English and French
For adults
18 years and above
First session
Orientation meeting to clarify the referral question
Reimbursement
Not covered by LAMal. Some supplementary policies may contribute.
Report
Provided on request. Usable for medical, therapeutic or occupational follow-up.
FAQ
A comprehensive ADHD assessment combines structured diagnostic interviews (DIVA-5), validated self- and observer-rated questionnaires (CAARS-2, BRIEF-A) and, where clinically relevant, targeted cognitive tests. The process typically spans 4 to 5 sessions and concludes with a restitution session and written report.
As an FSP-registered psychologist, I can thoroughly document the ADHD clinical hypothesis through anamnesis, structured interviews and validated tools. Medical diagnosis and any prescribing decision rest with a physician or psychiatrist, to whom I can provide a detailed report.
Yes. All sessions — interviews, debriefs, report writing — are conducted in your preferred language. Where available, UK/US-normed versions of assessment tools are used to ensure test validity.
Typically 4 to 5 sessions for a complete ADHD assessment, spread over 4 to 6 weeks. The first session is an orientation meeting to clarify the referral question and decide on the appropriate protocol.
Sessions are generally not covered by compulsory Swiss health insurance (LAMal). Some supplementary insurance policies may reimburse part of the cost — please check with your insurer. I provide a detailed invoice for reimbursement claims.
Yes. The first session is specifically designed to clarify the referral question. You do not need a pre-formed hypothesis. The goal is to understand the situation and determine whether an assessment is useful and what form it should take.
Book an appointment
The first session allows us to understand your situation, determine whether an assessment is indicated and propose a protocol adapted to your profile and referral question.