Adult ADHD and autism assessment that accounts for masking.

Most ADHD and autism criteria were built from studies of young boys. Girls and women often compensate: they overprepare, mimic what works socially, and look fine from the outside while paying for it in exhaustion and anxiety. Many get diagnosed with depression or anxiety first. I was diagnosed with ADHD as an adult myself, so I know how this pattern looks from the inside.

• A detailed clinical interview about your history, from childhood to now
• Standardized questionnaires, and when possible input from someone who knew you as a child
• Screening for what often overlaps or looks similar: anxiety, depression, trauma, OCD
• A written summary and a feedback session in plain language about what it means and what to do next

When clinically appropriate, I can provide documentation for workplace or school accommodations, FMLA and emotional support animals. FMLA and ESA documentation requires ongoing therapy with me at least once a month. Letters are $150 per purpose, separate from sessions. I do not sell same-day letters, and I cannot guarantee an outcome. Read about letters and paperwork.

I am a therapist, so I do not prescribe. If you want to explore medication after an ADHD diagnosis, my report can go to your doctor or a psychiatric provider.

Assessment fees depend on what is being assessed and are quoted at your free consult. Some insurance plans cover diagnostic assessment; I provide superbills for out-of-network reimbursement.