'AuDHD' Evaluations

Comprehensive ADHD & autism testing for adults

Available via online assessment in 40+ PSYPACT States

Maybe you've read about ADHD and thought, that's definitely me. Then you learned more about autism and recognized yourself there, too. But putting the two together can feel confusing.

You may crave routine but struggle to maintain one. Seek novelty and stimulation while also becoming easily overwhelmed. Want connection but need significant time alone to recover. Be highly organized in some parts of your life and feel completely scattered in others.

Those experiences aren't necessarily contradictions.

Sometimes they make more sense when ADHD and autism are considered together. I provide comprehensive, neurodivergent-affirming 'AuDHD' evaluations for adults, with a focus in working with women and high-masking individuals whose neurodivergence may have been overlooked or misunderstood for years.

What Is 'AuDHD'?

'AuDHD' is a term commonly used to describe the experience of being both autistic and having ADHD. (It is not a formal term or diagnosis).

ADHD and autism are distinct forms of neurodivergence, but they can occur together- and when they do, their traits can interact in ways that aren't always obvious when each is considered separately.

For example, you might:

Crave predictability while struggling to create consistent routines
Seek novelty but become overwhelmed by too much stimulation
Have intense interests while also cycling through new interests
Want structure but resist feeling constrained by it
Seek social connection while needing substantial recovery time afterward
Struggle to begin everyday tasks but spend hours deeply absorbed in something interesting
Need organization to function while finding organization exhausting to maintain
Feel understimulated and overstimulated, sometimes at the same time

For some adults, recognizing both ADHD and autism finally provides a framework for experiences that previously seemed inconsistent or difficult to explain.

When ADHD and Autism Mask Each Other

'AuDHD' can be particularly difficult to recognize because traits associated with ADHD and autism may interact, compensate for one another, or make the overall picture less stereotypical. An autistic need for structure might help compensate for ADHD-related difficulties with organization. ADHD-related spontaneity might make someone appear more socially flexible than expected.

Strong intellectual abilities, perfectionism, anxiety, carefully developed systems, or years of observing and adapting to other people may further obscure what's happening underneath. You may function very well by external measures while internally spending an enormous amount of energy maintaining that functioning. This can be especially relevant for women and high-masking adults, who may have spent years developing strategies to meet expectations without realizing just how much compensation was involved.

That's why I don't ask only:

"Can you do this?"

I also want to understand:

"How do you do it and what does it cost you?"

Why Evaluate ADHD and Autism Together?

Sometimes evaluating only one piece of the picture leaves important questions unanswered. You may recognize significant ADHD traits but feel that ADHD doesn't fully explain your sensory experiences, social patterns, need for predictability, or lifelong sense of being different. Or autism may resonate deeply, but doesn't fully explain difficulties with attention, time, task initiation, impulsivity, or executive functioning.

A combined evaluation allows us to consider both ADHD and autism at the same time, including the ways they may overlap and interact. Rather than trying to force your experiences into one category, the goal is to develop a more integrated understanding of how your particular brain works.

Why My Adult 'AuDHD' Evaluations Are Different

I pay attention to masking, compensation, and internal experience

When someone has spent years adapting, outward functioning doesn't always tell us very much about how difficult something actually is.

You may have a successful career because you've developed incredibly sophisticated systems.
You may appear socially comfortable because you've spent decades learning how to navigate interactions.
You may meet every deadline because anxiety and last-minute urgency propel you through them.
You may seem flexible while privately needing significant preparation and recovery.

My evaluations intentionally explore these masking and compensatory strategies, particularly in women and adults whose neurodivergence wasn't recognized earlier in life. The goal isn't simply to document what you can and cannot do. It's to understand what it takes for you to do it.

Multiple data points, not one test or checklist

Neither ADHD nor autism can be understood through one questionnaire.

This is particularly important when evaluating 'AuDHD' because the interaction between the two can create a presentation that looks different from either ADHD or autism alone.

I use a multi-method approach, integrating information from several sources to understand the larger pattern.

Depending on your individual needs, your evaluation may include:

An in-depth clinical interview
Developmental and educational history
Exploration of attention and executive functioning
Social and communication patterns
Sensory experiences and regulation
Routines, flexibility, and interests
Evidence-based ADHD and autism assessment measures
Assessment of masking and compensatory strategies
Mental health and emotional functioning
Current functioning across work, relationships, home, and daily life
Collateral information or relevant records when appropriate and available

No single score makes the diagnosis, and the important information is often in how all of the pieces fit together.

Looking Beyond ADHD and Autism

A comprehensive evaluation also means being open to explanations other than the ones we initially suspect. Anxiety, depression, trauma, chronic stress, burnout, OCD, sleep concerns, and other mental health or developmental factors can overlap with ADHD and autistic traits. They can also coexist with them.

That's why I don't approach an 'AuDHD' evaluation with the assumption that the answer must be both. We'll look at your broader mental health and developmental history, consider alternative and co-occurring explanations, and work toward a fuller understanding of what's happening.

The outcome may be ADHD. It may be autism. It may be both. Or the evaluation may point us somewhere else entirely. The goal isn't a particular diagnosis. It's clarity.

An Evaluation Process That Is Therapeutic, Too

I use a therapeutic assessment framework, which means I want the evaluation itself to be useful, not simply the report you receive afterward. The process is collaborative and designed to help you develop greater understanding of your experiences as we explore them together.

Clients have described my assessment process as helpful, informative, supportive, and safe. For adults who have spent years wondering why they seem to need contradictory things, or blaming themselves for difficulties they couldn't explain, simply seeing those patterns in a different context can be meaningful.

My hope is that you leave the process with more than diagnostic information. I want you to understand yourself better.

Schedule a Free Consultation

Email Me with Questions

Who Might Benefit From an Adult 'AuDHD' Evaluation?

A combined ADHD and autism evaluation may be worth considering if you:

Strongly identify with descriptions of both ADHD and autism
Have an ADHD diagnosis but feel it doesn't explain the whole picture
Suspect autism but also experience significant executive functioning difficulties
Feel caught between craving routine and struggling to maintain it
Alternate between seeking stimulation and becoming overwhelmed by it
Experience intense interests or periods of hyperfocus
Need significant structure to function but find maintaining that structure exhausting
Feel socially capable but expend substantial energy navigating interactions
Have spent years masking or compensating
Are a woman whose neurodivergent traits weren't recognized earlier in life
Have experienced repeated burnout despite appearing highly capable
Have received multiple mental health diagnoses but still feel something hasn't quite been explained
Want someone to look at ADHD and autism together rather than treating them as unrelated questions

You don't need to be certain you have both ADHD and autism before choosing an AuDHD evaluation. If you're seeing meaningful signs of both, or feel that exploring only one would leave important questions unanswered, a combined evaluation allows us to look at the full picture.

What Your 'AuDHD' Evaluation Includes

ADHD & Autism Assessment

We'll assess for both ADHD and autism rather than assuming one diagnosis explains everything. I use multiple evidence-based measures and integrate them with your clinical history and lived experience. I'll provide you with measures to complete before we meet for our evaluation, so that this information can help to inform my questions.

Comprehensive Clinical Interviews (4 hours split across two sessions)

We'll explore your experiences across your lifetime, including development, education, work, relationships, mental health, executive functioning, sensory experiences, communication, routines, interests, and the strategies you've developed to navigate daily life.

Thoughtful Differential Diagnosis

After we meet, I will review all the information and I'll l also consider anxiety, depression, trauma, burnout, OCD, and other relevant concerns that could overlap with, or coexist alongside, neurodivergence.

Comprehensive Written Report

You'll receive a detailed, individualized written report bringing together the different pieces of your evaluation. When clinically appropriate, your report will include diagnostic conclusions for ADHD, autism, both, or another relevant condition.

It will also include:

A clear explanation of your evaluation findings
The clinical reasoning behind diagnostic conclusions
An individualized understanding of your strengths and challenges
Personalized recommendations
Treatment and support considerations
Academic, workplace, or testing accommodations when clinically appropriate
Additional resources or referrals when helpful

The goal isn't to hand you pages of test scores. Your report should help you understand yourself and give you useful information about what to do next.

Dedicated Feedback Session (50 minutes)

Once the evaluation is complete, we'll meet to review everything together. I'll explain the findings, how the different pieces fit together, and how I arrived at my conclusions.

You'll have time to ask questions, process your reactions, and talk about what the results mean for your life.

For many adults, learning they're neurodivergent, or understanding their neurodivergence differently, can reorganize the way they see years of past experiences. You won't be expected to process all of that alone with a report in your inbox.

What You Leave With

Maybe the answer is ADHD. Maybe it's autism. Maybe it's both.

Whatever the diagnostic outcome, my goal is for the evaluation to help you understand why your brain works the way it does, why certain things have required so much effort, and what could make life more sustainable moving forward.

When diagnoses are appropriate, you'll receive clear documentation along with individualized recommendations and accommodations when clinically indicated.

If the results point somewhere different than you expected, we'll make sense of that together, too. Because the most useful outcome isn't collecting another label. It's finally having a framework that makes sense of your experience, so that you have information that can help you move forward in a sustainable way.

Investment

Comprehensive Adult 'AuDHD' Evaluation: $3,600

Your flat-rate evaluation fee includes:

All clinical interview appointments
ADHD and autism assessment measures and materials
Scoring and interpretation
Integration of multiple data points and potentially sources of information
Comprehensive written report
Individualized recommendations
Accommodations when clinically appropriate
Dedicated feedback session

HSA/FSA accepted. A superbill can be provided if you'd like to seek possible out-of-network reimbursement from your insurance company.

Payment is divided into two installments:

50% before your initial evaluation appointment
50% before your feedback session and release of the written report

Getting Started

I offer a brief, no-cost phone or video consultation to ensure this evaluation is a good fit before moving forward.

If this description resonates, you don’t need to have everything figured out to reach out. Curiosity is enough to begin, and we can talk through any questions or concerns on our call, so that you can make an informed decision.

Schedule a Free Consultation

Email Me with Questions

FREQUENTLY ASKED QUESTIONS

What if I'm not sure whether I need an autism, ADHD, or AuDHD evaluation?

That's okay- you don't need to determine the diagnosis yourself before being evaluated. If you're primarily wondering about attention, executive functioning, and ADHD, you may want to learn more about my Adult ADHD Evaluations.

If your questions center primarily around autism, masking, sensory experiences, social communication, or lifelong patterns of feeling different, you may want to explore my Adult Autism Evaluations.

If you see significant parts of yourself in both, or aren't sure which explains your experiences, an AuDHD evaluation allows us to explore both together.

You don't need to choose the "right" diagnosis before we begin. You can learn more about the differences between the evaluations here.

Can ADHD and autism really occur together?

Yes. A person can meet diagnostic criteria for both ADHD and autism. When they occur together, their traits can interact in ways that sometimes make the overall presentation more difficult to recognize, which is one reason evaluating both simultaneously can be helpful when there are meaningful questions about each.

What if I mask or appear to function really well?

That's something I specifically consider. Outward functioning doesn't necessarily capture the effort, systems, preparation, recovery, or distress required to maintain it. My evaluations explore masking and compensatory strategies rather than relying exclusively on what other people can observe.

What if trauma, anxiety, or another mental health concern could explain what I'm experiencing?

That's part of what we'll evaluate. I consider relevant mental health concerns and alternative explanations rather than assuming from the beginning that ADHD and autism are the answer. Sometimes these experiences overlap, sometimes they coexist, and sometimes another explanation fits better. The goal is to understand the complete picture.

Can an AuDHD evaluation be completed online?

Yes. My adult AuDHD evaluations are completed through secure telehealth. The evaluation integrates clinical interviews, evidence-based assessment measures, developmental history, and multiple sources of information rather than relying on a single in-person test.

Because I participate in PSYPACT, I can provide telehealth evaluations to adults located in 40+ states across the U.S, including Arizona, Connecticut, Florida, Maryland and Virginia. Eligibility depends on where you are physically located at the time of services, which we can confirm before scheduling. You can check out the link to review if your state is on the list.

Is this a neuropsychological evaluation?

No. This is a comprehensive diagnostic psychological evaluation focused on ADHD, autism, related neurodevelopmental concerns, and relevant mental health factors.

It does not include the extensive assessment of cognitive abilities across domains such as memory and intellectual functioning that may be included in a comprehensive neuropsychological evaluation. If your particular needs require neuropsychological testing, we can discuss whether that type of evaluation would be more appropriate, and discuss the best ways to find a neuropsychologist.

Do I need a parent or family member to participate?

Collateral information can often be helpful, but not every adult has access to a parent or another person who knew them in childhood, or feels comfortable involving them. Before beginning the evaluation, we'll discuss whether there is someone you would like to include in the process and what role, if any, their input may play. Evaluations can be completed using self-report measures, clinical interview and other clinical data points. We'll work together to determine what information is available and appropriate for your individual situation.

Will I receive a written report?

Yes. You'll receive a comprehensive written report explaining your results and diagnostic conclusions, along with individualized recommendations and accommodations when clinically appropriate. We'll also review everything together during your feedback session.

Do you accept insurance for 'AuDHD' evaluations?

I do not participate directly with insurance plans for 'AuDHD' evaluations. Instead, I offer a flat-rate fee of $3,600, which is split into two payments- one at the start of the evaluation process and one at the completion of the assessment and feedback. While I am an out-of-network provider, I provide detailed superbills and offer access to Reimbursify to support clients who wish to seek partial reimbursement from their insurance plan. Coverage varies by plan, and I recommend contacting your insurer directly to understand your out-of-network benefits. Before scheduling, I recommend contacting your insurance provider to ask about your out-of-network benefits for psychological testing and evaluation. You may want to ask about coverage for CPT codes commonly used in my evaluations, including 90791, 96130, 96131, 96136, and 96137. This structure allows me to offer a comprehensive, high-touch evaluation that goes beyond brief screenings or checklist-based assessments, while keeping costs predictable and transparent.

What if I'm curious about a diagnosis but I'm not sure I need a formal evaluation?

An evaluation is just one way to explore questions about neurodivergence. The right service depends on what you're hoping to get from the process. If you want formal diagnostic clarification, a comprehensive written report, and recommendations or accommodations, an evaluation may be the best fit.

If your primary goal is to understand yourself more deeply, explore patterns in your life, or work through a specific concern, therapy or an intensive may be a better fit, even if questions about ADHD, autism, or neurodivergence are part of that work.

I've created a guide to help you compare the options and think about which approach best matches what you're looking for here.