Pierre Février-Vincent

FSP Psychologist · Geneva

Adult ADHD Assessment · Geneva · English

Adult ADHD Assessment
in Geneva

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.

Adults · English & French
FSP-registered psychologist
Rue De-Candolle 20, Geneva

Why consult?

When daily effort becomes disproportionate

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.

Attention & concentration difficulties

Losing track of conversations, missing details, struggling to sustain focus on low-interest tasks despite genuine effort.

Disorganisation & procrastination

Difficulty prioritising, starting tasks, managing deadlines or maintaining a consistent level of output.

Mental overload & exhaustion

A constant sense of running behind, compensating through hypercontrol or perfectionism — at a high mental cost.

Professional or relational impact

Underperforming relative to perceived abilities, tension with colleagues, difficulty meeting expectations in complex environments.

Clinical approach

Measure. Understand. Orient.

Measure

Structured diagnostic interviews and validated self- and observer-rated questionnaires to document attentional and executive manifestations across life contexts.

Understand

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.

Orient

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

What the assessment can bring you

Put words to long-standing difficulties

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.

Identify compensation strategies

Hypercontrol, perfectionism, urgency — the assessment reveals the cognitive resources mobilised over time and those that are disproportionately taxed.

Rule out other explanations

Anxiety, burnout, sleep difficulties or a heterogeneous cognitive profile can produce similar presentations. The assessment distinguishes these hypotheses rather than concluding too quickly.

Prepare a medical pathway

The clinical report documents the ADHD hypothesis in a structured way for a physician or psychiatrist, and supports the medical decision that follows.

Get concrete recommendations

Not just a report. Actionable guidance: workplace adjustments, organisation strategies, referral to medical or therapeutic follow-up if indicated.

Assessment in English

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

The assessment in 5 steps

01

Orientation session

We clarify the referral question, current difficulties, history and expectations. This first session determines whether a full assessment is indicated.

02

Developmental anamnesis

A structured exploration of childhood history, academic and professional trajectory, compensation strategies and current impact on daily life.

03

Questionnaires & interviews

Structured diagnostic interview (DIVA-5), validated rating scales (CAARS-2, BRIEF-A) and observer-rated questionnaires where relevant.

04

Cognitive testing (if indicated)

Targeted assessment of attention, executive functions, working memory or intellectual profile using validated tools.

05

Restitution & report

A restitution session presents results, clinical hypotheses and actionable recommendations. A written report is provided on request.

Structured evaluation

An assessment adapted to the clinical question

Always present

  • In-depth analysis of the referral question and context
  • Developmental and biographical anamnesis
  • Exploration of daily-life impact (professional, relational, personal)
  • Search for alternative or associated hypotheses
  • Clear clinical restitution with concrete guidance

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

Attentional difficulties do not always mean ADHD

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.

Anxiety, depression, burnout or chronic stress
Sleep disorders or persistent fatigue
Very heterogeneous cognitive profile or giftedness
Significant life event or professional overload
Autism spectrum without intellectual disability
Other associated neurodevelopmental hypotheses

Practical information

Before we start

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

Adult ADHD Assessment in Geneva

What does an ADHD assessment involve?

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.

Can a psychologist diagnose ADHD?

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.

Is the assessment conducted in English?

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.

How many sessions are required?

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.

Are sessions reimbursed?

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.

I am not sure I have ADHD — can I still book?

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

Start with a first clarification session

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.