In short: In South Africa, adults are assessed by a psychiatrist or clinical psychologist, and children by a paediatrician, child psychiatrist or educational/clinical psychologist. Expect to pay privately for most assessments.
Educational content only. auDHD.co.za is written by members of the neurodivergent community, not medical professionals. We are not registered with the HPCSA. Nothing here is a diagnosis or medical advice — please speak to a registered psychologist, psychiatrist or doctor. Full disclaimer.
Who can diagnose ADHD and autism in South Africa?
| Professional | Adults | Children | Can prescribe? |
|---|---|---|---|
| Psychiatrist | ADHD, autism | Child psychiatrists | Yes |
| Clinical / counselling psychologist | ADHD, autism | Yes | No |
| Educational psychologist | Learning-focused | Psycho-educational assessments | No |
| Paediatrician / developmental paediatrician | — | ADHD, autism | Yes |
| GP | Screening and referral | Screening and referral | Some |
Check any practitioner on the HPCSA register.
Step by step
- Screen yourself: the ASRS ADHD self-screen and autism screeners.
- Write things down: examples from childhood, school reports, work, relationships. Ask a family member what you were like as a child.
- Find a professional who assesses adults (or children) and, ideally, both autism and ADHD — see the directory.
- The assessment: usually interviews, questionnaires (for you and someone who knows you), and sometimes cognitive testing, over one or more sessions.
- Feedback and report: you receive a written report with diagnosis and recommendations.
- Treatment: a psychiatrist can discuss medication; psychologists and OTs offer therapy and strategies.
How much does an ADHD or autism assessment cost?
Costs vary widely by practitioner and city. Psychologist sessions in Johannesburg typically cost R1,100–R1,500 per hour, and a full assessment often takes several sessions plus a report. Ask for a written quote. Medical aid rarely covers full diagnostic or psycho-educational assessments.
Public healthcare options
Public hospitals with psychiatry departments and some university clinics offer assessments at lower cost, but waiting lists can be long. Ask your local clinic for a referral.
Adult autism assessments
Fewer clinicians specialise in adult autism, especially in people who mask. Ask directly about their experience with adults and with women.
Sources & further reading
- HPCSA — Check a practitioner’s registration
- TherapyRoute — ADHD psychologists and fee guide, Johannesburg
- NICE CG142 — Autism in adults
- NICE NG87 — ADHD
Last checked: 31 October 2026. If you spot something out of date, tell us.