Late diagnosis, finally
Adults who have spent decades wondering why life felt harder than it should. An ADHD or autism assessment in your thirties, forties or fifties is a reframe of an entire life. We treat it with the weight it deserves.
Diagnosis, NDIS evidence and therapy across the lifespan.
Daily living, regulation, independence and reporting.
Language, AAC, literacy and adult dysphagia.
Trauma-informed, neuro-affirming. Every age.
From age 2. The language of early development.
Practical, dignified support for behaviours of concern.
Nutrition support for disability, aged care and complex needs.
Movement, strength and independence across the lifespan.
Funding-ready clinical evidence.
Adult life rarely goes wrong in tidy categories. Work, mental health, NDIS, communication after a stroke, parenting, identity: they bleed into each other. Our adult clinicians work across psychology, OT, speech and counselling, and we coordinate behind the scenes so you don't have to manage a team of strangers who don't know each other's names.
Adult clients usually arrive after years of getting by. They're not looking to be rescued. They're looking for a clinician who'll take the question seriously, do the work properly, and write a report that reflects their actual life. This is the work we're built for.
Adults who have spent decades wondering why life felt harder than it should. An ADHD or autism assessment in your thirties, forties or fifties is a reframe of an entire life. We treat it with the weight it deserves.
Too many functional reports read like a template. The participant deserves a document that captures what the morning routine actually involves, what the supermarket actually costs in energy, what the day's third Zoom call actually does to the nervous system. That's the standard we write to.
After surgery, injury, burnout or a mental health episode. We do graduated return planning that respects the body and the brain as they are now, not as they were before, and we negotiate with employers and insurers in plain language.
Word-finding that comes back. Reading the newspaper again. Phone calls with grandkids. Justin and the speech team do this work with adults whose communication has changed, and it changes the rest of life with it.
Whether it's autism, ADHD, dyslexia or a mood disorder that was missed for years, the moment a competent clinician hands over a report that names what's been going on is a turning point. We protect that moment.
Plenty of adults come to us self-funded, self-referred, with their own theory about what's going on. Sometimes they're right, sometimes the picture is more complex. Either way, the adult assessing themselves seriously is the client. We don't talk down.
Adult work usually starts with one of a handful of clear questions: do I qualify for NDIS, am I neurodivergent, can I get back to work, why is my communication different now. Here's how we tend to move through it.
Our OTs do FCAs in the home wherever possible, because that's where function is actually measured. We write reports the NDIA, insurers and DVA can act on, with recommendations mapped to plan categories. Turnaround is agreed up front. Most FCAs land within four to six weeks of the assessment.
Kristie and our clinical psychology team do adult diagnostic assessments using a neuro-affirming framework. The report focuses on functional impact and useful recommendations (for work, study, NDIS and self-understanding) not just a label.
Telehealth, before-work clinic slots in Gympie and Hawthorn, mobile sessions at home, and the option to mix modes from week to week. We don't expect adult clients to rearrange their lives around our calendar.
Many of our adult speech and OT clients are living with conditions where things are changing: MS, motor neurone disease, Parkinson's, post-stroke recovery. We work out what matters to the person and build communication and mealtime plans that hold up as needs shift.
Plan reviews are where careful clinical work either pays off or quietly falls apart. We coordinate FCAs, psychology assessments and discipline-specific reports so the evidence package lands together, in the language the NDIA reads.
Adult life shifts shape across the decades, and the reasons people come to us shift with it. Here's the broad shape of what we work on at each stage.
Young adults moving onto their own NDIS plan, navigating uni or first work, working out independent living and managing mental health for the first time without parents in the room. Often the bridge from our teen-and-young-people work into adult services.
Career-building, partnering, parenting, late diagnosis of ADHD or autism, and the load of running a life. NDIS participants in this band often have plans that don't reflect how they actually live. We write the reports that fix that.
Return-to-work after injury, surgery or burnout. Mid-life reassessment of mental health. Caring for ageing parents while also raising kids. We do graduated return planning, FCA reviews and ongoing psychology that fits a full working week.
The decade before formal aged care, where conditions accumulate and funding pathways start to shift. We do complex assessments that reflect the whole picture, and help with the move from NDIS to aged-care frameworks where it's relevant.
Access requests, psychosocial disability evidence, or a first plan that didn't reflect how things actually are. Functional Capacity Assessments and Clinical Psychology Assessments written so the NDIA can act on them.
Changing support needs, new goals, or a plan that's not stretching far enough. FCA and discipline-specific reports, coordinated where helpful.
Anxiety, depression, trauma, burnout, adjustment after a diagnosis or loss. Counselling for ongoing support, psychology where assessment and Medicare-rebated therapy fit.
Late realisations of autism or ADHD, identity work, and the relief and grief that often comes with both. We work in a neuro-affirming way and can do formal assessment where it helps.
Return-to-work after surgery, injury or a mental health episode. OT-led capacity assessment, graduated return plans, and ongoing support through the return.
Routines slipping, meds being missed, the household running on fumes, or sensory overload making basic tasks impossible. OT for the practical side, counselling for the rest.
After a stroke, brain injury, or with a neurological condition. Speech pathology for word-finding, communication partner coaching, and a plan that's tied to real life.
Choking episodes, coughing at meals, fatigue around food, or a recent dysphagia diagnosis. Speech pathology assessments and management plans the whole household can follow.
Diagnosis, NDIS evidence and therapy across the lifespan.
Trauma-informed, neuro-affirming. Every age.
Daily living, regulation, independence and reporting.
Language, AAC, literacy and adult dysphagia.
Funding-ready clinical evidence.
Hand-picked clinicians from across our QLD, VIC and NSW team for adults.
Adults see us through NDIS, DVA (White, Gold and Orange card holders), a Medicare Mental Health Care Plan with a clinical psychologist, or privately. We bill at the published NDIS and DVA rates, and we'll quote private work in writing before we start. If you're between funding pathways (pre-access, mid-review or after a plan has run out) our admin team will help you work out where you stand.
Plan-managed, self-managed and agency-managed. Capacity Building, Improved Daily Living and Core supports.
Veteran allied health under valid DVA referrals. Bulk-billed where eligible.
Mental Health Care Plans and Chronic Disease Management Plans where the service qualifies.
Pay privately for therapy or assessments without a referral. Clear, upfront fee schedule.
"Constellation gave us a report we could actually use with the NDIA, and a psychologist our daughter trusts. That combination is rare."
A Functional Capacity Assessment is an OT-led report that documents how you manage everyday activities: self-care, household tasks, community access, work and study. For NDIS access requests, the NDIA uses it as functional evidence alongside diagnostic reports. You don't need a GP referral. You can book directly through our intake, and we'll quote scope, timeframe and fee in writing before we start.
Yes. Our clinical psychologists do diagnostic assessments for autism and ADHD in adults. We use a neuro-affirming framework, which means we treat the result as identity rather than pathology, and we focus the report on functional impact and useful recommendations. We'll talk timeframes and fees in writing before booking.
Yes, with a clinical psychologist. You'll need a Mental Health Care Plan from your GP. Medicare rebates apply to a set number of sessions per calendar year and we can talk you through the current entitlements at intake. Counselling on its own isn't Medicare-rebated.
Both, depending on what you're working on. Most adult mental health work runs comfortably via telehealth or in clinic. For OT, especially functional capacity, daily living and home modifications, working in your actual home is usually the better fit. Mobile sessions are available across greater Melbourne, Sydney, Perth, Adelaide, Darwin and SE Queensland.
Yes. We work with White, Gold and Orange card holders under DVA fee schedules across psychology, OT, speech and counselling. There's no out-of-pocket cost for approved sessions. We're happy to talk to your DVA case manager or LMO directly if that helps.
Yes. Support coordinators and plan managers book a lot of our adult work. We treat them as a partner in the care, not a gatekeeper. The client is always the client. Our admin team can quote scope, talk through which clinician fits, and coordinate timing.
Most of our adult clients do, at some point. We coordinate internally so you don't have to brief three people from scratch. With your permission, your clinicians talk to each other and write joint recommendations where it makes sense.
From parents, NDIS participants, aged care families and the support coordinators who trust us with their people. Shared with permission; full names withheld on request.
"Our 14yo finally felt heard. Her counsellor was the first who actually got her, and now we have language we use as a family."
"The FCA report was the first time someone wrote about my life and it actually felt like me. My new plan reflects what I actually need."
"Reports land on time, every time. Recommendations are practical and NDIS aligned. I send participants here when I want it done right."
"The OT came to the nursing home and sat with us through the swallow plan. We didn't have to chase, explain, or repeat ourselves once."
"Play therapy at age 3 felt like a long shot. Six months in, we finally feel like we know our son better. The clinician partnered with us the whole way."
"Kristie's assessment finally gave me language for what I'd been experiencing. The report was clear and the recommendations were practical."
Whether you're a parent looking for support, an adult navigating NDIS, an aged-care family, or a support coordinator with a referral, we'll meet you where you are.