Comfortable, Affirming, Online
Autism & ADHD Assessments for Adults
Does this sound like you?…
All your life, you’ve struggled to fit in and never quite feel you belong
You have to put in extra effort to seem “normal” and meet expectations
You find everyday situations overwhelming, while others are unfazed
Your socials are showing you more neurodivergent content—and it’s oddly relatable
You have a running list of your Autistic or ADHD traits, or are “peer reviewed,” but you want a professional to confirm if it adds up
You already self-identify as ADHD or Autistic, and want to feel more confident about that/need a formal diagnosis for accommodations/need guidance about how to meet your neurodivergent needs
You’re not alone! Many late-diagnosed Autistic and ADHD people have been through these experiences—including me. And let me tell you, there is a whole world of possibilities once you discover your neurotype! Let’s see what we can do for you.
My Qualifications
I’m a PhD-level Licensed Mental Health Counselor, with Diagnostic Privilege in the State of New York (FL and IN do not have a parallel designation, but I can diagnose everything in the DSM there, too).
I’ve trained in assessing for Autism and ADHD through a neurodivergent-affirming approach, and I’m AuDHD myself, and active in our communities, which all help me recognize your neurotype—even where some other professionals might overlook your traits. Identifying Autism and ADHD traditionally depend on deficit-based views, but our neurotypes have many strengths and traits that show up when we are healthy—and which can be a basis for identification, too!
I’ll be honest, a personal peeve of mine is when providers use outdated perspectives to dismiss possible Autism or ADHD (like because someone is an adult, can make eye contact, or can focus on certain task). Those external observations miss the inner experiences, which is what really matters! Masking, hyperfocus, and compensatory strategies can hide your neurodivergence from you and professionals—but they can also create significant challenges, and they don’t eliminate your support needs. I aim to uncover those pieces to correctly and fully understand your neurotype, together.
Read on to learn about what it’s like to do an assessment with me…
Affirming Autism Assessment for Adults
I am trained to offer the MIGDAS-2, the Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, second edition. This is an affirming interview process to assess for Autism in adults. This approach doesn’t just identify signs of Autistic distress, but can also validate Autistic traits that are present during times of wellbeing. It can help us recognize Autistic brain styles beneath masking. Unlike the common ADOS-2’s supposedly “gold standard” process, with the MIGDAS, you won’t be subjected to childish, confusing activities. The MIGDAS can actually be kind of enjoyable, because the semi-structured interview is all about welcoming your special interests and sensory needs.
In addition to the MIGDAS-2 interview, I will also incorporate data from several self-report assessments, which result in individual reports to help you understand your results:
CAT-Q, the Camouflaging Autistic Traits Questionnaire, a validated measure of masking, which then influences how I interpret the rest of your data.
RAADS-R, the Ritvo Autism Asperger Diagnostic Scale-Revised, a validated measure of how your experiences compare to other adults who are and aren’t Autistic.
AQ, the Autism Spectrum Quotient, another measure of how your experiences compare with those of Autistic adults.
CATI, the Comprehensive Autistic Trait Inventory, a new measure created by researchers in collaboration with Autistic community members to identify masking and other Autistic traits.
Plus measures of emotion regulation and interoception (related to recognizing bodily needs and emotions)
I do NOT require, but am willing to facilitate or accept collateral informant input from people like your partner/s, friends, coworkers, family members, etc, with additional fees for the time involved.
I’m also interested in reviewing any other supplemental materials you want to share, like childhood documentation or records of your own self-observations while questioning your neurotype.
Affirming ADHD Assessment for Adults
I use the DIVA-5 interview (the Diagnostic Interview for ADHD in adults) in a supportive, understanding environment. This semi-structured interview is geared to help you express your experiences with traits of Attention-Deficit Hyperactivity Disorder (ADHD)—including inattentive, hyperactive, and combined types. (Or, as I like to think of it “Attention-Difference High-activity Divergence”—I know it’s a mouthful, I’m still workshopping it.) We’ll account for how masking may affect your presentation, because many late-identified ADHDers have systems in place that hide their traits.
In addition to this interview, I will also incorporate data from following self-report assessments, which result in individual reports to help you understand your results:
ASRS, the Adult Self-Report Scale v. 1.1, which identifies how your experiences of ADHD traits compared to other adults.
ESQ-R, the Executive Skills Questionnaire-Revised, a measure that can illuminate your experiences of various areas of executive functioning.
WURS-25, the Wender-Utah Rating Scale-25, which helps adults identify childhood traits of ADHD (don’t worry, I know that sometimes traits might not seem as obvious in childhood—we’ll account for that)
Plus measures of emotion regulation and interoception (related to recognizing bodily needs and emotions)
I do NOT require, but am willing to facilitate or accept collateral informant input from people like your partner/s, friends, coworkers, family members, etc, with additional fees for the time involved.
I’m also interested in reviewing any other supplemental materials you want to share, like childhood documentation or records of your own self-observations while questioning your neurotype.
My Approach to Assessments
I am a late-identified AuDHD clinician and a part of the Autistic and ADHD communities, so I know first-hand the deep importance of recognizing and affirming Autistic and ADHD identity in adulthood.
Unfortunately, far too many providers rely on outdated and limited understandings of Autistic and ADHD traits that lead them to tell us, “you don’t seem autistic” or “you don’t seem ADHD,” because they only see our masks, coping systems, or strengths. This can be a painful thing to hear after we have done the deep-dives of research and extensive self-reflection that may have us convinced—or at least still constantly questioning—if we are Autistic/ADHD.
I create an empathic, interactive space that recognizes the nuances or neurodivergence, so that together we can recognize your hidden experiences of difference and disability—while also creating room for a positive re-interpretation of how your brain and nervous system guide you through the world.
My assessment process allows for a wide range of accommodations to enable you to express yourself best. All appointments are virtual, meaning we have options to use chat, captioning, video-off, stimming on or off-camera, etc. I am also happy to accept input via email.
I view assessment as a collaborative process: although I am the one who will compare your experiences with the diagnostic (and community-acknowledged) traits, I deeply respect that YOU are the one who knows your inner experiences best. My goal is to avoid a “big reveal” at the end, and instead to allow this process to be therapeutic and organic in nature. I hope that by the time a result is confirmed, you are familiar with and in agreement with the logic of that outcome.
I believe that your deepened self-understanding of your neurotype—not just a professional’s opinion—is what will truly help formal assessment make a real difference in your life.
All assessments take place fully online.
Current openings are available.
Assessment fees begin at $450. Please see the Assessment Fees below for package details.
Please contact me for more information and scheduling at counseling@apathwaytoyou.com
Assessment Fees
I offer three packages to help you get your particular needs met. For each, you can decide whether you want to explore Autism, ADHD, or both. Fees begin at $450.
For a visually organized version of this list, see below.
”Clarity” Package
Just enough to get on the right track
ADHD $450 - Autism $650 - both $1,000
ADHD assessment includes:
Self-report online questionnaires (ASRS, WURS-25, ESQ-R, MAIA-2, DERS)
DIVA-5 interview (apx. 2 hours) - an affirming interview appropriate for adults
Autism assessment includes:
Self-report online questionnaires (CAT-Q, RAADS-R, AQ, CATI, MAIA-2, DERS)
MIGDAS-2 interview (apx. 3 hours) - an affirming interview appropriate for adults
After the assessment, you will receive:
An interpretive score report for each questionnaire, addressing diagnostic features and related traits such as emotion regulation and interoception (related to alexithymia)
A letter stating the diagnostic results
A resource list
A follow-up appointment (50 minutes) to discuss your results and implications
”Access” Package
Identifying accommodations for at home, work, and school
ADHD $850 - Autism $1,050 - both $1,400
Includes everything in the Clarity Package above, plus:
An additional hour of interviewing to support extended documentation
Sensory measure (SPM-2)
You will also receive:
Sensory profile report
Sensory needs and strategies session (1 hr)
Detailed diagnosis confirmation letter that lists which diagnostic criteria are met
Letter of recommended accommodations for work or school based on your needs
List of resources based on your needs
Bonus: Neurodivergent Insights digital workbook/toolkit
”Wellness” Package
Tailored tools to help you thrive
ADHD $1,100 - Autism $1,300 - both $1,650
Includes everything in both the Clarity and Access Packages above, plus:
Strengths and Traits Inventory
An extra 1-hour appointment to identify challenges, goals, and strategies
You will also receive:
Results of the Strengths and Traits Inventory
Tailored list of therapeutic/growth strategies to use on your own or with a therapist
Extended diagnostic confirmation letter with examples of how you meet criteria
Extended accommodation support letter for work or school with additional advocacy language about your needs (e.g., about masking, dynamic disability, etc.)
Bonus: multiple Neurodivergent Insights digital workbooks/toolkits
Email counseling@apathwaytoyou.com or text/call 352-234-3150 to get started.
Only your input needed (no collateral). Accommodation requests welcome!
Additional Services
For any package, a second 50-minute follow-up processing session can be booked for an additional $165, if desired. This may be to discuss your feelings after receiving results, or to learn more about how to apply this new information (for example, ND-specific strategies for in healthcare settings, or following up about sensory care implementation).
In complex cases or if assessing for/ruling out additional diagnoses at your request, additional interviewing may be needed and will be billed at a rate of $25 per quarter-hour. Relevant conclusions will be included in the diagnostic letter.
If you would like services that are not listed here—such as collateral interviews, document/record review, exploring other diagnoses based on clinical complexity, and creating other documentation—those can be provided at a rate of $200/hour, prorated by the quarter-hour.
About Payment & Insurance
These services are self-pay only. A $250 deposit is required to secure the appointment and initiate the assessment process.
To use out-of-network insurance, after payment has been made, I can provide a superbill that you can submit with an insurance claim to seek reimbursement. For a 5% fee, my claim filing service can do this for you, and they can also check your coverage and fight denials on claims you had them submit.
Not all Insurance plans will cover diagnostic assessments and some may reimburse only for certain parts of the assessment process. You should confirm coverage with your plan’s provider in advance; I can provide CPT service codes to help with this.
Important Notes
I am a doctoral-level LMHC, with diagnostic privilege in all of my states of practice (FL, NY, IN). However, my assessments are NOT “neuropsychological testing” that would be done by a Psychologist, which may be required by some entities. My assessments are NOT sufficient for SSDI. I can NOT prescribe medication, but I can provide information to prescribing providers at your request.
It is your responsibility to verify that the results of this assessment will meet your needs, and I am happy to do what I can to help in that determination.
If you just want an informal chat with a clinician to help you learn more about whether assessment would be right for you, feel free to reach out for a free brief assessment consultation with me.
To learn more about me as a provider, including my background, training, and values, visit my about page.
After assessment, you might be interested in pursuing therapy. I can offer referral resources, and you can learn more about my therapeutic specialties and approaches at my services pages.
I’ve also created a page about considerations when choosing assessment and diagnosis that you might like to visit.