Adult ADHD Assessments

 

Adult ADHD Assessments

Comprehensive evaluations for adults ages 18+ seeking diagnostic clarity

Is This You?

You've always felt like you're working twice as hard as everyone else just to keep up. You lose things constantly, miss deadlines despite your best intentions, and forget what people just said to you. Maybe you've been told you're "too smart" to have ADHD, or that you just need to try harder. But deep down, you know something else is going on.

For many adults—especially women—ADHD goes unrecognized for years. You might have succeeded in school by staying up all night or relying on last-minute panic to get things done. But now, with less external structure and more competing demands, those strategies aren't working anymore. You're exhausted, overwhelmed, and tired of blaming yourself for struggles that feel beyond your control.

An ADHD assessment can provide the answers you've been looking for.

What is an Adult ADHD Assessment?

A comprehensive ADHD assessment is a thorough evaluation process designed to determine whether your symptoms meet diagnostic criteria for Attention-Deficit/Hyperactivity Disorder—or if another condition better explains what you're experiencing.

This isn't just a quick questionnaire. It's an in-depth look at your developmental history, current functioning, and the impact these symptoms have on your daily life. The goal is to give you diagnostic clarity and a clear path forward, whether that's ADHD treatment or addressing another underlying cause.

The Assessment Process

My ADHD assessment involves three sessions over 2-3 weeks:

Session 1: Clinical Interview (60-90 minutes)
We'll explore your current symptoms, childhood experiences, academic and work history, relationships, and overall functioning. ADHD must be present from childhood (even if it wasn't recognized), so we'll thoroughly review your early years. I'll also screen for other conditions that can cause attention difficulties—like anxiety, depression, or trauma—to ensure diagnostic accuracy.

Session 2: Testing & Rating Scales (60-75 minutes)
You'll complete standardized assessment measures designed to evaluate ADHD symptoms and rule out alternative explanations. These evidence-based tools compare your experiences to normative data and help ensure an accurate diagnosis. When appropriate, I may also gather input from someone who knows you well to provide additional perspective.

Session 3: Feedback & Recommendations (60 minutes)
I'll share the assessment results with you in clear, understandable language. Whether findings support an ADHD diagnosis or point to another explanation, you'll leave with clarity and a personalized plan forward. This includes treatment recommendations, resources, and referrals to appropriate providers for medication management or specialized therapy.

Within one-two weeks, you'll receive a comprehensive written report that documents all findings and recommendations. This report can be shared with healthcare providers or used for accommodation requests.

Why ADHD in Women is Often Missed

I have extensive experience working with women, and I understand how ADHD uniquely affects women's lives. Women with ADHD are frequently diagnosed later than men because symptoms present differently:

  • Internalizing rather than disrupting - Girls are often "daydreamers" rather than hyperactive, so symptoms go unnoticed

  • High-functioning on the surface - Many women develop sophisticated coping strategies that mask their struggles

  • Perfectionism as compensation - Working three times as hard to appear "normal"

  • Dismissed as anxiety or "being scattered" - Symptoms attributed to personality rather than a treatable condition

  • Invisible labor becomes overwhelming - Managing household, work, and relationships feels impossible

If you've always felt like you're barely keeping it together while everyone else seems to have life figured out, assessment can help you understand why—and what to do about it.

Who Seeks Assessment?

Adults typically pursue ADHD assessment when:

  • They're struggling at work despite being intelligent and capable

  • Coping strategies that used to work aren't cutting it anymore

  • Relationships are strained by forgetfulness, distraction, or emotional reactivity

  • They recognize ADHD symptoms in their children and see themselves

  • Anxiety or depression treatment helped somewhat, but attention issues remain

  • They need documentation for workplace or academic accommodations

  • They want to try medication but need a formal diagnosis first

  • They're exhausted from working harder than everyone else and want answers

Investment & Accessibility

The complete three-session assessment is $799 (flat fee). This includes all clinical time—the three direct sessions plus scoring, interpretation, report writing, and coordination with other providers if needed.

This is a private-pay service. I designed this assessment to be significantly more accessible than the $1,500-3,000 cost typical of comprehensive evaluations in the St. Louis area, because I believe everyone who needs diagnostic clarity should be able to access it.

I can provide a superbill for you to submit to your insurance company for potential out-of-network reimbursement. Payment is due at the first session, and I accept cash, check, credit card, and HSA/FSA cards.

What Happens After Assessment?

If ADHD is confirmed, I provide:

  • Referrals to prescribers who specialize in ADHD medication management

  • Recommendations for ADHD-focused therapy or coaching

  • Resources for workplace or academic accommodations

  • Education about lifestyle interventions that support ADHD management

If ADHD is not confirmed, I'll explain what's actually causing your symptoms and recommend appropriate next steps—whether that's treatment for anxiety, depression, sleep issues, or something else.

Either way, you'll have answers and a clear path forward.

Frequently Asked Questions

Do I need a referral?
No, you can schedule directly.

What if I'm not sure if I have ADHD?
That's exactly what the assessment is for! Many people come in uncertain, and the evaluation provides clarity either way.

How is this different from asking my doctor?
While primary care doctors can prescribe ADHD medication, they typically don't have time for comprehensive assessment. A thorough evaluation ensures accurate diagnosis, rules out other conditions, and provides detailed recommendations.

What if I have ADHD AND anxiety/depression?
That's very common—about 50% of adults with ADHD also experience anxiety or depression. The assessment clarifies which symptoms relate to ADHD versus other conditions, so treatment can address both effectively.

Will I need to bring old report cards?
It's helpful if you have them, but not required. We'll gather as much historical information as possible through interview and any available documentation.

Do you also provide ADHD treatment?
This assessment is a standalone service designed to provide diagnostic clarity and recommendations. If you're interested in ongoing therapy for ADHD-related concerns, we can discuss that separately. For medication management, I provide referrals to prescribers.

Ready to Get Answers?

If you're tired of wondering, struggling, and blaming yourself for challenges that might have a neurobiological explanation, it's time to get clarity.

schedule a call