Date: Thursday, 22 October 2026
Time: 6:00pm AEDT | 5:00pm AEST | 3:00pm AWST | 8:00pm NZ
Panel: Dr Matthew Boulton and Dr Reetika Dhir
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In children and young people, ADHD can sit behind anxiety, low mood or substance use, and knowing when to look further matters.
When a child or young person presents with anxiety, low mood or risky behaviour, it makes sense to address what’s most visible first. But when progress stalls, or some symptoms persist despite good support, clinicians may need to step back and ask whether ADHD is part of the picture. Assessment becomes more complex again when substance use, emotional dysregulation and emerging mood symptoms overlap, and when the order and safety of treatment carry real weight.
In this ADHD Case Rounds session, Consultant Psychiatrist Dr Matthew Boulton and Developmental and Behavioural Paediatrician Dr Reetika Dhir come together for a multidisciplinary discussion of two real-world clinical cases. One is a primary school-aged child whose anxiety has improved but whose hyperactivity hasn’t. The other is an adolescent whose substance use complicates both diagnosis and treatment.
Together, Drs Boulton and Dhir will unpack the signs that call for a referral, how to tell overlapping presentations apart, and what to put in place before and during treatment.
Dr Matthew Boulton
Dr Boulton is a Consultant Psychiatrist with expertise in ADHD, anxiety disorders (including obsessive compulsive disorder and body dysmorphic disorder), mood disorders and psychotic disorders. He has a particular interest in how personality factors shape life satisfaction. Rather than focusing solely on diagnosis, Matt works with patients to develop a shared formulation that guides treatment. He combines psychological and biological approaches, drawing on CBT, psychodynamic therapy and EMDR alongside medication and lifestyle strategies where appropriate.
Dr Reetika Dhir
Dr Dhir is a Developmental and Behavioural Paediatrician with more than 15 years’ experience. Her expertise spans ADHD, learning difficulties, behaviour and school functioning, and she has also supported children with eating disorders and chronic fatigue. Reetika trained in general paediatrics and neonatology before specialising in developmental-behavioural paediatrics, with further training in child and adolescent psychiatry. Her research in neonatal health earned her a Young Investigator Award from the US Perinatal Research Society. She takes a holistic, family-centred approach, working closely with parents and carers.
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