ADHD & Autism Evaluations for Adults
Virtual 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 Evaluation Process
A clear, supportive process that helps you make sense of your experience—beyond just a diagnosis.
We begin with a brief consultation to determine whether an evaluation is the right fit for what you’re looking for.
This is a space to talk through your questions, what’s been bringing you in, and whether this process aligns with your needs.
Step 1: Initial Consultation
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.
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.
ADHD Evaluation
A comprehensive evaluation focused on attention, executive functioning, and ADHD-related patterns—especially in adults who have learned to compensate or “push through.”
Designed for those who want a clear, reliable diagnosis and a deeper understanding of why things have felt harder than they should.
Fee: $2000
Autism Evaluation
An in-depth evaluation of social communication, sensory patterns, and lifelong traits associated with autism—adapted for high-masking, late-identified adults.
This process goes beyond surface-level traits to help you understand how your experiences fit together in a way that feels accurate and validating.
Fee: $3000
Combined Evaluation
A fully integrated evaluation for individuals exploring both ADHD and autism—designed to capture how these patterns interact, rather than separating them into two disconnected assessments.
Ideal for those who suspect overlap and want a cohesive understanding without having to put together across multiple evaluations.
Fee: $4000
Choosing the Right Evaluation
You don’t need to figure this out on your own.
We’ll determine the best fit during your initial consultation based on your questions, history, and what you’re hoping to clarify.
What if I’m questioning ADHD and autism?
If you’re exploring both ADHD and autism — or wondering how they may overlap — a combined evaluation is often the most helpful option.
This allows us to look at the full picture and provide a clear, integrated understanding without needing separate assessments.
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)
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Yes. I specialize exclusively in assessment for adults. I do not provide child, adolescent, or school-based evaluations.
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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.
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Most clients spend 3–6 hours total in live sessions, depending on evaluation type and add-ons.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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.