Adult ADHD & Autism Assessments in Washington & Oregon (Telehealth)

Yes. I specialize exclusively in assessment for adults. I do not provide child, adolescent, or school-based evaluations.

Yes. Evaluations are typically conducted virtually, which works well for most adults. In-person evaluations may be considered when clinically appropriate or requested and are available only to clients located in Washington State, as in-person sessions are held in Tacoma or Seattle, WA.

Most clients spend 3–6 hours total in live sessions, depending on evaluation type and add-ons.

No. Your involvement focuses mainly on interviews, questionnaires, and feedback. Cognitive testing and other additional performance based measures are added as needed or if requested, and will be discussed ahead of time in the initial intake process.

Timelines vary based on the type of evaluation and overall scope. We’ll review expected timing during intake so you know what to expect before moving forward.

• Focused ADHD or Autism Evaluations:
  Feedback sessions are typically scheduled within 3–4 weeks after all assessment components and questionnaires are completed.

• Comprehensive ADHD or Autism Evaluations:
  Because these evaluations involve additional assessment, integration, and report writing, feedback is typically scheduled within 6–8 weeks after all components are completed.

These timelines reflect the time needed for careful scoring, differential diagnosis, and thoughtful synthesis — not just administration of measures. In some cases, timelines may vary slightly depending on scheduling, record review, or the complexity of the evaluation.

If you have a specific deadline (e.g., for medication access or accommodations), please let me know during intake so we can discuss feasibility.

Not necessarily. An evaluation is a clinical process, not a guarantee of a specific diagnosis. Some individuals meet full criteria for ADHD or autism, while others may have overlapping traits, subthreshold presentations, or patterns better explained by other factors.

Regardless of outcome, the goal is to provide a clear, thoughtful understanding of what is (and is not) driving your experiences, along with practical recommendations for next steps.

Many clients come in with a prior ADHD or autism diagnosis and are seeking confirmation, clarification, or a more nuanced understanding — especially if earlier evaluations felt incomplete, outdated, or not well explained.

During intake, we’ll talk through your goals and determine whether a focused or comprehensive evaluation is the best fit based on what information you already have and what would be most useful moving forward.

Many adults seeking evaluation have complex histories that include trauma, anxiety, depression, burnout, or chronic stress. Part of the evaluation process involves carefully considering how these factors interact with, or differ from, neurodevelopmental patterns.

When presentations are more complex or overlapping, a comprehensive evaluation is often recommended to allow for accurate differential diagnosis and integrative understanding.

No. Evaluations are not intended to replace ongoing therapy or other treatment. Many clients continue working with their existing therapist, prescriber, or care team after the evaluation.

The goal is to provide clarity and a shared framework that can support and deepen ongoing work with your current providers and treatment plan.

Yes. Evaluations can support access to medication, workplace or academic accommodations, and other forms of documentation when clinically appropriate. Reports are written with clarity and care so they are useful to prescribing providers, employers, schools, or other systems when needed.

Documentation needs are discussed during intake so expectations are clear from the start.

You don’t need to determine this yourself. During intake, we’ll talk through your history and goals together and recommend an evaluation scope that fits your needs. The comprehensive evaluation fee is capped at $4,800, so there are no financial surprises.

Yes. After the intake session, once we’ve clarified the appropriate evaluation type and scope, you’ll receive a more precise cost estimate and a Good Faith Estimate before any testing or assessment begins.

Payment is structured in stages to allow clarity and transparency before moving forward.

After the initial intake session — where we discuss your history, goals, and determine the most appropriate evaluation type — a $500 deposit is required to proceed with scheduling testing and assessment components. This deposit is applied toward the total evaluation fee.

The remaining balance is due prior to the feedback session and release of results. Reports, diagnostic conclusions, and formal feedback are not provided until payment is completed in full.

If you have questions about payment timing or options, including CareCredit, we’ll review those during intake so expectations are clear from the beginning.

Evaluation services are offered on a private-pay basis. I do not accept insurance for psychological evaluations.

Some clients choose to seek partial reimbursement through out-of-network benefits, and I’m happy to provide documentation upon request, though reimbursement is not guaranteed.

For clients for whom paying the full fee upfront would be a financial barrier, I also offer CareCredit, a healthcare financing program that allows eligible clients to pay over time. You can learn more at: https://www.carecredit.com

No. Observer input from a parent, partner, or other trusted person can be helpful in some cases, but it is not required.

Many adults pursuing evaluation do not have access to childhood informants, and evaluations can be completed using interviews, self-report measures, and other clinical information. Optional observer input is discussed during intake when it may add value.