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‘Game changer’: Queensland GPs allowed to diagnose and treat ADHD


Jo Roberts


17/11/2025 3:11:18 PM

In an Australian first, the state’s GPs will be able to initiate, adjust and continue prescriptions for adult patients with no extra training.

A woman and two men stand at a press conference.
RACGP Queensland Chair Dr Cath Hester, Queensland Health Minister Tim Nicholls, and RACGP President Dr Michael Wright announcing ADHD reforms at GP25. (Image: Jake Pinskier)

For the first time in Australia, every GP in Queensland will be able to diagnose and treat adults with attention deficit hyperactivity disorder (ADHD) from 1 December.
 
The state’s GPs will not have to undergo any extra training to treat the disorder, in a bid to make better use of what the state’s health minister describes as GPs’ ‘underutilised’ skillsets.
 
Queensland Health Minister Tim Nicholls used the RACGP’s annual conference as the platform for the landmark announcement on Saturday, describing it as a ‘game changer’ and ‘life changer’ for adults with ADHD.
 
Minister Nicholls told attendees at GP25 they had ‘led the charge and told us why the system should change, and the government has listened’.
 
‘Specialist GPs in Queensland will be able to initiate, modify and continue to prescribe psychostimulant medications for the treatments of adults with ADHD,’ he said.
 
‘This role, championed by the profession, recognises the skillsets that you have that have been underutilised.
 
‘You will gain the opportunity to expand your clinical capabilities and play a direct role in the part of the management of a prevalent neurological condition that you already interact with.’
 
In 2017, Queensland became the first jurisdiction to allow all GPs to initiate stimulants for patients aged 4-17 years of age.
 
The latest announcement comes after a flurry of reforms and training programs undertaken in several states and territories to meet soaring demand for ADHD diagnosis and treatment, with an estimated one in 20 people in Australia having the disorder.
 
Most recently, South Australia and Western Australia both announced the progression of their training programs.

Victoria and the Northern Territory remain the only jurisdictions not to announce any reforms.
 
RACGP Queensland Chair Dr Cath Hester told newsGP the announcement is ‘great news for both GPs and their patients across Queensland’.
 
‘We know GPs are ideally placed to manage chronic conditions like ADHD, and we know that having a GP who knows you and knows your health history, but also helps care for other family members, is the ideal medical practitioner to help you out with conditions like ADHD,’ she said.
 
‘It’s absolutely terrific news, and I know it will be met with a lot of relief from patients across Queensland who’ve really struggled to access this vital care.
 
‘We’re really pleased that Queensland is leading the way and we hope other states will follow.’
 
The RACGP advocates for a nationally consistent model for ADHD reform in its position statement, as does every state, territory and federal health minister.
 
Minister Nicholls told the GP25 attendees that ‘GPs are at the heart of our communities’.
 
‘I’m confident we can work together to ensure that these new reforms will deliver outstanding ADHD care across Queensland,’ he said.
 
‘For people with ADHD, this is a game changer. This is a life changer.
 
‘It will mean getting the care they need faster, closer to home and more affordably from someone they already know and trust – their GP.’
 
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Dr Roslyn Davis   18/11/2025 7:03:55 AM

It is good to open this option up to GP’s but NOT without some extra training and assessment of competency.


Dr Mirza Jahangir Alam Beg   18/11/2025 8:08:24 AM

I agree gp to take the responsibility, and opportunity to develop clinical skill to diagnose adult ADHD and treat them


Dr Andrew Carr   18/11/2025 10:49:29 AM

I completely agree with Dr Rosalyn Davis. ADHD is a complex condition which is easy to recognize but difficult to diagnose and manage. I’d like to expand and suggest that without appropriate further training and assessment of competency, ADHD care will become episodic and transactional as there is no incentive for the individual patient to build a relationship with a doctor who knows them and their condition. People with ADHD often struggle with organising interaction with health system and as such, these interactions are likely to be with whichever doctor is available. The patient will know the doctor in front of them can prescribe and there will be undue pressure to do so, without the appropriate safeguards and checks.


Dr Amena Begum   18/11/2025 12:35:56 PM

A training module/ diagnostic strategy would have been nicer for transparency and accuracy. As we see the assessment from a psychologist, we could follow the same protocol to establish the diagnosis without any possible bias. The assessment itself costs 5000 AUD, which is not affordable at all for the family.


Dr Javier Armando Campuzano Ortiz   18/11/2025 12:40:56 PM

I don't want this. I disagree with the over diagnosis and the over medication of ADHD specially in fully functional and competent adults. This has become a bit of a trend now. I really don't think this is a good idea.


Dr Javier Armando Campuzano Ortiz   18/11/2025 5:35:26 PM

This is going to be just like medical cannabis, just wait and you will see.


A.Prof Christopher David Hogan   18/11/2025 6:17:52 PM

There is a spectrum of ADHD & not all people need medication all the time but all need advice , a compassionate ear & a GP who knows about their condition.
It is not compulsory to treat them but to deny that their condition exists is unkind.


Dr Javier Armando Campuzano Ortiz   19/11/2025 11:18:51 AM

I agree, the condition exists but the threshold for diagnosis and treatment is too low now. It is also naïve to believe that everyone is genuine and that there are not people "wanting to have ADHD" to gain access to psychostimulant prescriptions because they just "want to try and see how is like taking stimulants". This medication is not to be played with and I have seen some disasters with it already. What is kind is to try to protect people sometimes from themselves because they don't know better, but we are suppose to know better even if it does not make you popular, or is not the popular opinion that gets you validation. For some people medication can be life changing for the better, but they are far less than the total of the population with a diagnosis and taking stimulants. We have an ethical obligation here.


Dr Javier Armando Campuzano Ortiz   19/11/2025 1:19:42 PM

I agree, the condition exists but the threshold for diagnosis and treatment is too low now. It is also naïve to believe that everyone is genuine and that there are not people "wanting to have ADHD" to gain access to psychostimulant prescriptions because they just "want to try and see how is like taking stimulants". This medication is not to be played with and I have seen some disasters with it already. What is kind is to try to protect people sometimes from themselves because they don't know better, but we are suppose to know better even if it does not make you popular, or is not the popular opinion that gets you validation. For some people medication can be life changing for the better, but they are far less than the total of the population with a diagnosis and taking stimulants. We have an ethical obligation here.


Dr Prem Anand Mathiazhagan   19/11/2025 5:13:09 PM

Is it purely times of desperation?
Pharmacist can prescribe issue medications for certain conditions and issue some repeat medications, give injections
Nurse can prescribe S8 medications
Now overnight decision- GP can diagnose and commence ADHD medications. I do not believe there has been any additional training added as part of medical student or GP training to safely allow this to happen.
I do not believe there is any special MBS codes to claim for these consultations either( no dangling carrot but only culpable to risk if something should go wrong)
Perhaps it would be useful to have consulted with APHRA before these decisions are rolled out.


Dr Javier Armando Campuzano Ortiz   19/11/2025 5:18:57 PM

I agree, the condition exists but the threshold for diagnosis and treatment is too low now. It is also naïve to believe that everyone is genuine and that there are not people "wanting to have ADHD" to gain access to psychostimulant prescriptions because they just "want to try and see how is like taking stimulants". This medication is not to be played with and I have seen some disasters with it already. What is kind is to try to protect people sometimes from themselves because they don't know better, but we are suppose to know better even if it does not make you popular, or is not the popular opinion that gets you validation. For some people medication can be life changing for the better, but they are far less than the total of the population with a diagnosis and taking stimulants. We have an ethical obligation here.


Dr Ian Robert Cheong   20/11/2025 7:44:44 AM

Accessibility for adults is near impossible with psychiatrists refusing new patients or declining to treat ADHD. I am bothered that there is no research I have been able to find comparing normal subjects with ADHD subjects and stimulant treatment. I don't think a standard placebo controlled RCT is enough. OTOH, we have a problem with illegal amphetamines in the community. Who mightn't feel better and be more functional taking stimulants? Of interest I note recent case studies showing significant improvements for patients with trauma/dissociation given stimulants for ADHD.

I can't find the Qld legislation has been enacted yet but expect something to appear in the regulations under division 5 https://www.legislation.qld.gov.au/view/whole/html/inforce/current/sl-2021-0140

For patients who already have a diagnosis and just need ongoing monitoring, light regulation seems perfectly appropriate.


Dr David John Lund   20/11/2025 9:08:07 AM

Why are we not more concerned by the “soaring demand for ADHD diagnosis and management”?
I think there is a broader issue here than just access to diagnosis, and what is almost invariable pharmacologic intervention.
I am concerned that there is an ever increasing number of children and adults requiring an ever increasing range of psychoactive medications to function.
I am also concerned that as a GP, I am required to be increasingly complicit in this increasing demand.
There is a major problem here.