ADHD & Autism Evaluations for Adults
Virtual and in-person ADHD and Autism Evaluations for Adults throughout Washington, Oregon and Utah
Clear answers—and an explanation that actually fits.
Many adults seeking an evaluation have spent years trying to figure out why things have felt harder than they “should.”
You may function well on the outside—working, managing responsibilities, keeping things together—while privately struggling with focus, follow-through, burnout, or a constant sense that things take more effort than they should.
My evaluations go beyond quick screenings, helping you understand the patterns underneath these experiences and whether ADHD or autism may be part of the picture—so you can move forward with clarity, not guesswork.
A More Complete Picture
Some evaluations focus primarily on confirming whether ADHD or autism criteria are met.
This process also looks carefully at what else could be contributing to your experience—such as trauma, anxiety, OCD, or chronic stress—so that the final conclusions feel accurate, not just plausible.
The goal isn’t just to reach a diagnosis, but to arrive at an understanding you can actually trust.
If You’re Looking for Real Clarity
Some people are looking for a brief diagnosis for medication or documentation—and there are faster, lower-cost ways to do that.
This process is designed for those who want a more thorough, nuanced understanding, especially when things haven’t fully added up…
…and you’re looking for an explanation that finally fits.
What to Expect from the ADHD & Autism Evaluation Process
A clear, supportive process that helps you make sense of your experience—beyond just a diagnosis.
Step 1: Initial Consultation
We begin with a brief consultation to get a sense of what you’re looking for and help you choose the best next step.
This is a space to ask questions, talk through what’s been bringing you in, and decide whether to move forward with a full evaluation or start with a focused diagnostic clarity session.
If you’re exploring ADHD, autism, or wondering how the two may overlap, it’s completely okay to feel unsure about what type of evaluation, if any, makes the most sense. Many people come in trying to sort through years of questions, self-reflection, conflicting information, or experiences that never felt fully explained.
The Diagnostic Clarity Session is designed specifically for this stage of the process. It offers a lower-commitment space to explore your concerns, better understand whether ADHD or autism may fit, and clarify whether a full evaluation would actually be useful moving forward.
It can also help you get a sense of how I work — how I ask questions, think through patterns, and approach assessment — before deciding whether you’d like to move into a more comprehensive evaluation process.
If you already feel ready for a full evaluation, you’re welcome to move directly into the options below.
Not sure where to start?
Diagnostic Clarity Session (60-75 min)
Fee: $250
A focused, one-time session to help you understand whether ADHD or autism is likely part of your experience—and what next steps make sense.
Understand whether your experiences are consistent with ADHD and/or autism
Identify other contributing factors (stress, trauma, burnout, chronic pain)
Receive a clear clinical impression
Get guidance on whether a full evaluation would be helpful
This session provides clinical guidance, but does not include formal diagnostic documentation or testing. If you choose to move forward with a full evaluation, this session is applied toward the total cost.
Step 2: In-Depth Evaluation
This is the core of the process, where we take the time to understand your experience from multiple angles—not just confirm a diagnosis.
Rather than focusing on a single area, we look at how different aspects of your experience connect and influence one another.
01 Developmental and Life History
We look at patterns over time—how things showed up earlier in life, how they’ve evolved, and how they’re currently impacting your day-to-day functioning.
02 Attention, Executive Functioning, and Cognitive Patterns
This includes how you manage focus, organization, time, and follow-through, as well as the strategies you’ve developed to compensate.
03 Sensory, Social, and Communication Differences
For those exploring autism, we look at how you experience and navigate sensory input, relationships, and communication across contexts.
04 Emotional Patterns and Regulation
We explore how emotions are processed and managed—especially in the context of stress, overwhelm, or burnout.
05 Assessment Tools and Questionnaires
Standardized measures are used to help identify patterns in attention, executive functioning, and emotional regulation.
These are one part of the process, not the whole picture—and are always interpreted in context, especially for adults who have learned to mask or compensate in ways that aren’t captured by testing alone.
06 Overlapping and Contributing Factors
We carefully consider other factors that may overlap with or influence your experience, such as trauma, anxiety, OCD, or chronic stress.
07 Bringing It All Together
We step back and look at everything as a whole, so the final understanding feels accurate, connected, and true to your experience.
Time Commitment
Most evaluations are completed over 3–4 sessions (1–1.5 hours each), with some questionnaires completed on your own time.
Step 3: Feedback and Next Steps
We review the results together in a collaborative feedback session.
This includes:
walking through what fits (and what doesn’t)
answering your questions
making sense of the findings in a way that feels clear and grounded
You’ll also receive a written report with personalized recommendations, so you leave with a deeper understanding—not just a diagnosis.
ADHD & Autism Evaluation Options
You don’t need to have this fully figured out—many people aren’t sure which direction makes the most sense at first. These options are designed to meet you where you are, and we can clarify fit together if needed.
I also believe clients deserve a clear understanding of how I approach ADHD and autism evaluations. The breakdowns below are meant to give you a more transparent picture of the process, including appointment time, work completed outside of sessions, and the level of care and thoughtfulness that go into a comprehensive evaluation.
ADHD Evaluation
A comprehensive evaluation focused on attention, executive functioning, and the ways ADHD can impact daily life — especially in adults who have spent years masking struggles, overcompensating, or pushing themselves beyond burnout.
Designed for people who want more than a checklist diagnosis: a thoughtful evaluation process, meaningful clarity, and a better understanding of how their brain actually works.
Includes:
~3–3.5 hours of session time together
Structured ADHD assessment interview
Questionnaires completed on your own time
Personalized feedback and recommendations
-
Note: Evaluations can be spaced out over multiple days to help make the process feel more manageable and less overwhelming.
Time Together in Session
Initial intake session: ~60 minutes
ADHD interview (DIVA-5): ~60–75 minutes
Feedback session to review results and recommendations: ~60 minutes
Total session time together: about 3–3.5 hours
Questionnaires Completed on Your Own Time
You’ll also complete several questionnaires and rating forms outside of sessions. Most people spend about 30–90 minutes total on these, depending on the complexity of their history and experiences.
Behind-the-Scenes Clinical Work
A significant portion of the evaluation also happens outside appointments. This includes reviewing questionnaires and records, carefully considering patterns and differential diagnoses, integrating information from multiple sources, and preparing personalized recommendations and written feedback.
Fee: $2000
Autism Evaluation
An in-depth evaluation exploring social communication, sensory experiences, patterns of thinking and relating, and lifelong traits associated with autism — adapted for high-masking and late-identified adults.
The goal is not just to look for traits on a checklist, but to help you make sense of experiences that may have felt confusing, exhausting, or difficult to explain for much of your life.
Includes:
~4–4.5 hours of session time together
In-depth autism assessment interview
Questionnaires completed on your own time
Personalized feedback and recommendations
-
Note: Evaluations can be spaced out over multiple days to help make the process feel more manageable and less overwhelming.
Time Together in Session
Initial intake session: ~60 minutes
MIGDAS-2 autism assessment interview: ~2–2.5 hours
Feedback session to review results and recommendations: ~60 minutes
Total session time together: about 4–4.5 hours
Questionnaires Completed on Your Own Time
You’ll also complete several questionnaires and rating forms outside of sessions. Most people spend about 45–120 minutes total on these.
Behind-the-Scenes Clinical Work
A significant portion of the evaluation happens outside appointments, including reviewing developmental history and questionnaires, thoughtfully integrating findings, considering overlapping or alternative explanations, and preparing personalized recommendations and written feedback.
Fee: $3000
Combined Evaluation
A fully integrated evaluation for individuals exploring both ADHD and autism — designed to understand how these patterns may overlap, interact, and shape daily life in complex ways.
Ideal for those who suspect both may be present and want a clearer, more cohesive understanding of themselves, rather than trying to connect the dots across separate evaluations.
Includes:
~5–6 hours of session time together
ADHD and autism assessment interviews
Questionnaires completed on your own time
Personalized feedback and recommendations
-
Note: Evaluations can be spaced out over multiple days to help make the process feel more manageable and less overwhelming.
Time Together in Sessions
Initial intake session: ~60 minutes
ADHD interview (DIVA-5): ~60–75 minutes
MIGDAS-2 autism assessment interview: ~2–2.5 hours
Feedback session to review results and recommendations: ~60 minutes
Total session time together: about 5–6 hours
Questionnaires Completed on Your Own Time
You’ll also complete several questionnaires and rating forms outside of sessions. Most people spend about 1–3 hours total on these, depending on the depth and complexity of their experiences.
Behind-the-Scenes Clinical Work
Additional time outside appointments is spent reviewing records and questionnaires, integrating information across multiple areas of functioning, considering nuanced or overlapping presentations, and preparing individualized recommendations and written feedback.
Fee: $4000
Not Sure Which Evaluation is Right For You?
You don’t need to have everything figured out before reaching out. The Diagnostic Clarity Session is designed to help explore questions around ADHD, autism, overlap, and whether a full evaluation (or which one) would actually be helpful.
Optional Add-On Support
Some clients find that a bit of additional support helps the evaluation feel more complete or easier to apply in real life. These options are available if and when they would be genuinely useful.
They’re always optional, and we’ll decide together what adds value—nothing is included unless it meaningfully supports your goals.
Accommodation documentation
Thoughtfully written documentation to support workplace or academic needs.Cognitive testing
A deeper look at cognitive strengths, processing patterns, and learning style, when a more complete picture would be helpful.Additional feedback sessions
Extra time to process results, ask questions, and talk through next steps.Expedited report delivery
Faster timelines when you’re working within a deadline.Extended record review
Additional time to integrate more complex or extensive prior records.
Details and pricing are discussed during intake, with care taken to ensure anything added is truly worthwhile for you.
Frequently Asked Questions (FAQs)
-
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. Any client can request evaluations in-person, which are held in my office in 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.
-
Feedback sessions are typically scheduled within 3–4 weeks after all assessment components and questionnaires are completed.
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 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.
-
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.
-
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 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.
Here are a couple of ways to better understand if and how much your insurance plan will help cover the testing.
1. You can call the customer service number at the back of your insurance card.
2. Use this service to get the most out of your out-of-network benefits:
https://www.thrizer.com/for-clients
Your insurance company may ask for detailed CPT codes to provide a more accurate estimate of coverage. Below are the CPT codes you can utilize to obtain a more accurate estimate of the out-of-pocket cost for testing.
Clinician interview CPT code 90791
Test administration CPT code 96132, 96133
Scoring, interpretation, and writing CPT code 96130, 96131
Collateral interview CPT code 90887
Feedback session CPT code 90837
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.
For Referring Providers
I welcome referrals from therapists, prescribers, and other clinicians working with adults who are seeking diagnostic clarification or a more integrative understanding of ADHD and/or autism.
Evaluations are designed to complement, not replace, ongoing therapy or medical care. Reports emphasize diagnostic clarity, differential considerations, and practical recommendations that can support treatment planning, accommodations, or medication decision-making when appropriate.
If you have questions about evaluation scope, fit, or referral coordination, you’re welcome to reach out directly.
Considering an Evaluation?
Many adults reach this point after years of wondering, researching, or second-guessing themselves. If you’re looking for diagnostic clarity, support with accommodations, or a better understanding of how your brain works, a brief consultation can help you sort through next steps.
During this call, we’ll talk through your questions, review whether an evaluation is a good fit, and outline options at a pace that feels manageable.