Welcome to the AuDHD Assessment Info Page
If you've been wondering whether you might be Autistic, ADHD, or both, you're in the right place. This page explains my neurodivergent-affirming adult assessment process, offered by telehealth in Oregon, Washington, Florida, and Tennessee. It covers what the process looks like, how it's paced, and what it costs.
Below you'll find:
Who this assessment is a good fit for
The phased process, from intake to your written report
What we'll explore in the conversational interviews
Accommodations built in from the start
Tips for planning your schedule
Costs, insurance, and sliding scale options
Answers to commonly asked questions
A special note about Tailz: You'll see Tailz throughout this website.
In July, under a quarter moon, he crossed the rainbow bridge. He remains forever a part of Unbroken Circles Therapy in spirit.
Adult Autism & AuDHD Assessment
Understanding Yourself, Affirming Your Story
A collaborative, strengths-centered assessment designed to help you feel seen, not pathologized. Paced for your nervous system, with accommodations built in from the start.
Every step is flexible, at your pace, and focused on making sense of your unique experiences.
A Collaborative Process, Centered on You
This isn’t about fitting you into a box — it’s about understanding your patterns, strengths, needs, and possibilities.
I’m honored to walk this path with you.
Telehealth for adults in Oregon, Washington, Florida, and Tennessee.
Is this assessment right for me?
This process works well for adults who:
Suspect they're Autistic, have ADHD, or both
Were missed or suspected misdiagnosed earlier in life
Mask heavily or feel close to burnout
Want documentation for accommodations at work or school
Want time to process and integrate results independently and in-session
Three-Phased Process
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We talk through your history, what's prompting the assessment, and which tools we'll use.
We screen for co-occurring conditions and answer your questions before anything begins.
Your intake paperwork comes in several individual manageable sections to be completed on your own and discussed during our intake session.
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The heart of the assessment is a series of story-based conversations using the MIGDAS-2, a neurodivergent-affirming tool, alongside questions designed around DSM-5-TR criteria.
Sessions are spaced out (typically weekly) to reduce burnout and give you time to process.
Between sessions, you'll complete standardized questionnaires on your own time or with body-doubling support.
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You’ll complete standardized measures on your own time (*Body Doubling option available) and between session reflection questions amidst Phase 2.
These are a component of the formal assessment that has been shown to allow for a more rich process.
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After our final Conversational Interviews session, there is a gap of about 2–3 weeks for me to compile your report.
After this, we review your personalized written report together.
We focus on what your results mean, practical next steps, and language for advocating for yourself.
Report review can take place synchronously during session and asynchornously via collaborative access to a shared secure document.
What we'll explore in the interviews
Special interests & self-concept
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Sensory experience & interoception
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Daily functioning, routines & sleep
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Social communication, relationships & strengths
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Emotional regulation, coping & stress history
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If we need more room, we can add an overflow session. There's no rush.
Ready to Request an Assessment?
Ready to Request an Assessment?
Accommodations, built in:
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paperwork broken into manageable sections
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Upon Request, complete forms or questionnaires with me present, billed as a standard session
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send written notes or reflections for me to include in the report synthesis process.
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on request, an overview of each session's topics in advance
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At times, we may need to reschedule a session or skip a week due to life circumstances, illness, or other pacing needs.
This is something we can collaborate on to adjust scheduling and avoid interruptions, cancellation fees, and overwhelm
Planning your schedule:
Sessions are 60 minutes, usually weekly. Most clients finish the interviews in 6–7 weeks.
Block about 90 minutes, so you have buffer time before and after.
Past clients recommend not scheduling sessions right before work or social plans. Sessions can bring up hard memories, and many clients have reported that recovery time helps after extended conversation.
Questionnaires take about 1–2 hours total, split however you like.
Need to reschedule? Please give 24 hours' notice.
Using insurance: provisional diagnosis:
Insurance requires a diagnosis to cover any session, including the first ones. When you use insurance, I'll assign a provisional diagnosis based on what we discuss at intake. It reflects what's affecting you right now, not a conclusion about Autism or ADHD. Those impressions come only after the full assessment. I'm happy to talk through how this works during your consultation.
How much does an Assessment cost?
The out-of-pocket cost for assessments is set based on my Standard Rates.
My standard rate is $250/hour.
Open Path/Sliding Scale rates are available for $75-200/session and can be discussed in the consultation process before intake is scheduled. Income verification is NOT required.
There is a $250 Assessment fee to cover the cost of licensing fees for assessment tools and my time spent writing the diagnostic assessment.
**Note: The assessment fee is waived for Open Path/Sliding Scale Clients and clients utilizing Health Insurance as a form of payment.
Standard Rate: $2,000: Appointments + Assessment Fee
1 sixty-minute intake appointment to begin the process: $250
5 sixty-minute clinical interview assessment-focused psychotherapy appointments: $250*5 = $1,250
1 Sixty-minute summary appointment to discuss diagnostic assessment results: $250
Assessment Fee: $250 (waived for clients utilizing insurance)
Eligible for in-network coverage for some Clients - contact for more details
Superbill available for out-of-network reimbursement
Sliding Scale Rates Available upon Request
I offer a limited number of cash-pay sliding-scale assessment slots, available at a rate of $75-200 per session.
I offer a Good Faith Estimate after a consultation to clients interested in a Sliding Scale Assessment, detailing the estimated total cost at the rate determined during the consultation.
Sliding Scale Assessments are offered to clients who are uninsured, underinsured, or receiving an Assessment with financial support from an outside source.
Sliding scale rates are NOT available for clients utilizing health insurance. All clients using health insurance will be billed the standard rates listed above.
Assessment Fee - Waived for Sliding Scale Clients
Contact me for details regarding sliding scale Assessment availability. I reserve 25-50% of appointment times for clients who need sliding scale rates.
Ready to Request an Assessment?
Ready to Request an Assessment?
Commonly Asked Questions about AuDHD Assessment
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Most assessments involve 4–5 hours of appointment time after intake. Most clients complete the full process within 60 days of their first appointment. Written reports are typically ready within 14 days of the final session.
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A formal diagnosis opens the opportunity to knock on new doors — to services, accommodations, and a deeper understanding of yourself. For many late-diagnosed adults, a formal diagnosis is a gateway to self-exploration of discovering aspects of oneself that can be better explained with new understanding and awareness.
Until 2012, Autism and ADHD could not be diagnosed simultaneously in most cases and -therefore- many adults who are AuDHD (Autistic and ADHD) were misunderstood or unable to access the unique or custom supports and interventions available for our brains.
For more insight into why many folks consider a formal diagnosis to supplement any self-assessment tools, check out these links:
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The AuDHD assessment is a structured series of sessions designed to explore traits and behaviors associated with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD), including areas where these traits may overlap. We’ll cover topics such as sensory sensitivities, executive functioning, emotional regulation, social communication, and daily routines. Each session focuses on a specific area to ensure we gain a comprehensive understanding of your strengths, challenges, and unique experiences.
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Absolutely, yes.
If you’re currently working with another therapist, we can coordinate so that our work can include any information about the support you’re already receiving.
I can provide you with a summary or suggestions on how to share the assessment results with other providers, if that’s something you’d find helpful.
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The clinical interview uses the MIGDAS-2, alongside DSM-5-TR criteria. Additional validated tools may be used to screen for co-occurring conditions like anxiety, depression, or ADHD.
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Yes, but you may need to pay out of pocket and request reimbursement if I am not in network with your insurer.
I am in network with several insurance companies, which are listed on my Rates and Billing page here.
I am able to offer clients a SuperBill to utilize Out of Network Benefits available on many health insurance plans. With superbills, clients pay out of pocket the full session rate and are reimbursed directly from their insurance company based upon available out of network benefits. To learn more about Out of Network billing, check out this post.
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The amount of time can vary slightly, but I generally schedule 6 appointments, typically over 6-7 weeks in a row (it's okay if a week needs to be skipped because of life or other commitments; I don't want the process to feel rushed).
I schedule appointments for 60 minutes, and typically the entire hour is full, so I encourage people to consider a timeframe in their week when they have about 1.5 hours available for appointments. Scheduling with "buffer time" can allow for any transition time before or after a session to grab a snack, use the bathroom, or do whatever is helpful when preparing for or finishing an appointment that can feel mentally like "a lot".
I encourage interested clients to consider scheduling assessment sessions not right up against anything else that may require focus or socializing with others, because sessions can sometimes bring up emotionally challenging life stories, and having some time for self-care can be helpful. I mention this because SOME past assessment clients have encouraged me to share it in the scheduling process, as it was unexpected for them.
Additionally, while much of the assessment is completed during the sessions, I ask clients to complete several standardized measures to include in my report writing. These are completed via NovoPsych - an online platform - and can be completed on your own time (generally, clients say it can take 1-2 hours split over time) or we can schedule a "body doubling" time and walk through the measures on-screen in case you prefer or would benefit from completing them together.
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A body-doubling session is an optional service that provides additional support while you complete the self-assessment forms. During this session, I’ll be present with you to offer encouragement, accountability, and guidance as you work through the self-assessments.
This session focuses on supporting any needs/preferences around executive function struggles.
Body doubling can be especially helpful for those who struggle with executive functioning, focus, or procrastination. You’re not required to do it, but many clients find it beneficial. It is billed as a standard session to the method of payment you are utilizing and focuses on skill building by improving accessibility of the self-assessments, which can be challenging to complete independently, generate questions, and some clients find this session useful.
Note: this is NOT a requirement or expectation, but is an available accomodation.
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Before sessions, (upon request) I can send an overview of what we’ll be discussing and some optional prompts for reflection.
These materials can help you consider specific aspects of your life, such as routines or sensory experiences, and gather your thoughts in advance.
You’re welcome to bring any notes to our sessions if that helps you feel prepared and/or send notes to me for written review as a part of my report writing.
Some clients have found this beneficial - especially those who feel most comfortable expressing themselves via writing vs. speaking. This can be discussed in the intake process and is an option, not an expectation.
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Life happens, and rescheduling may be necessary!
I just ask that you provide at least 24 hours' notice if you need to change a session time.
We can work together to find an alternative date that fits within our schedules.
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Once the assessment is complete, we’ll have a report review session to discuss the findings, recommendations, and next steps.
I also offer monthly check-in sessions for a few months after the assessment, which can be helpful for those interested in ongoing AuDHD-specific support.
This is entirely optional and can focus on integrating insights from the assessment into your daily life, identifying resources, and developing self-advocacy skills.
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Yes, after our assessment sessions, I’ll spend about 2-3 weeks compiling a comprehensive report that summarizes key findings and offers insights into Autism and/or ADHD traits that we identified.
We’ll review this report together during our final session, where I’ll answer any questions and discuss next steps or recommendations.
About Insurance & Provisional Diagnosis
If you're using insurance for this process, a provisional diagnosis is required to begin.
I usually observe that many clients meet the criteria for: Adjustment Disorder with Mixed Anxiety and Depressed Mood initially.
This reflects the real stress of navigating systems not designed with all brains in mind. This provisional diagnosis is not a final conclusion.
Diagnostic impressions specific to Autism and/or ADHD will be developed thoughtfully through our full conversations and clinical observations.
If you have questions regarding this, don't hesitate to get in touch with me and ask. I welcome any and all questions, especially considering the complexity of many healthcare and insurance systems.