Adult AuDHD Evaluation
Strengths-Based, Neurodiversity-Affirming Assessment Designed for Clarity: Not Labels
Three visits over three to four weeks. About five hours of clinical time. The kind of evaluation that takes both neurotypes seriously at the same time.
AuDHD evaluation is more involved than ADHD-only or autism-only evaluation — both neurotypes need their own depth of assessment, plus an integrated picture of how they interact in your specific brain.
Visit 1 and Visit 2 are both about two hours each. Visit 3 is one hour. We take the time because the contradictions and amplifications between autism and ADHD don't surface in 30-minute appointments. The depth is the work.
Why a Five-Hour Evaluation
AuDHD evaluation requires more time than either ADHD-only or autism-only assessment. Here's why:
Two neurotypes, two assessments, one integrated picture.
We use ADHD-specific tools (Conners' Adult Rating Scales, ASRS-v1.1, QbCheck when relevant) AND autism-specific tools (RAADS-R, AQ-50, CAT-Q for masking). Neither set replaces the other. Both happen in the same evaluation.
The interaction patterns are diagnostic.
Sensory sensitivity AND sensory seeking. Routine cravings AND novelty cravings. Hyperfocus AND attention difficulty. These contradictions are part of how AuDHD is identified, not unclear presentation. Catching them takes time and clinical attention.
Care planning has to integrate both.
Treatment that helps ADHD can sometimes worsen autistic experience, and vice versa. The integrated care plan that comes out of evaluation has to address both at once — and that requires the deeper assessment work in Visits 1 and 2 to get the foundation right.
The Three-Visit Evaluation Process
Each visit has a specific clinical purpose. Each visit is paid as its own appointment. Total cost across all three visits is $2,500.
Initial Consultation & History
120 minutes
$900
Visit 1 is intentionally extended — about two hours of structured conversation. We cover both neurotypes' developmental histories: childhood patterns relevant to autism (sensory experiences, social development, restricted interests, communication style) AND childhood patterns relevant to ADHD (attention regulation, impulse control, executive function challenges).
We also explore the contradictions: where you've felt pulled between the two, the masking patterns, the moments where things didn't fit either label alone. By the end of Visit 1, we have a working clinical picture that informs which assessment tools we'll use in Visit 2.
Diagnostic Testing
120 minutes
$800
Visit 2 is the assessment visit. Because we're evaluating both neurotypes, this visit is longer than the testing visit for ADHD-only or autism-only evaluation. Depending on what makes sense for your specific case, this may include:
ADHD-side tools:
• ASRS-v1.1 and Conners' Adult ADHD Rating Scales
• QbCheck (FDA-cleared objective ADHD test) when appropriate
• Structured interviews tailored to adult ADHD presentation
Autism-side tools:
• RAADS-R (Ritvo Autism Asperger Diagnostic Scale-Revised)
• AQ-50 (Autism Spectrum Quotient) • CAT-Q (Camouflaging Autistic Traits Questionnaire) for masking measurement
• Sensory profile review
Cognitive testing:
• Creyos cognitive assessment when it would add useful data — measures working memory, attention, executive function, reasoning
Tools support clinical judgment. They don't replace it. Karina interprets the assessment data alongside the clinical picture from Visit 1.
Diagnosis & Care Plan Review
~1 hour
$800
Visit 3 is when we sit together and review what we found. You'll receive:
• An integrated diagnostic picture in plain language — autism, ADHD, and how they interact in your specific brain
• A written care plan addressing both neurotypes and their interaction (not two separate care plans stitched together)
• Specific recommendations for sensory strategies, executive function tools, social/communication considerations, and medication options when relevant
• Guidance on how the two neurotypes might affect each other in treatment (where ADHD medications might amplify autistic experiences, where autistic routines might support ADHD challenges)
• Time to ask every question that's come up If you're in NJ or NY and we'll be providing ongoing care, we set up your next steps.
If you're in DC, FL, or CA, we walk through how to coordinate with your local prescriber using the care plan as the clinical guide.
Total for AuDHD evaluation: $2,500
Paid as $900 (Visit 1) + $800 (Visit 2) + $800 (Visit 3), due at each appointment.
Comprehensive Diagnostic Report — $450
If you need formal documentation for workplace accommodations under ADA, university disability services, or testing accommodations (LSAT, MCAT, GRE, Bar exam), we can prepare a comprehensive diagnostic report covering both neurotypes. Most patients don't need this — your care plan is sufficient for clinical purposes.
What's Included in Your Evaluation
Detailed clinical interviews and developmental history
Across all three visits, structured to understand both autism and ADHD presentation in your real life — childhood patterns, current functioning, the contradictions, the masking, the patterns that don't fit either single label alone.
ADHD-specific assessment tools
ASRS-v1.1, Conners' Adult ADHD Rating Scales, QbCheck (FDA-cleared) when appropriate, structured interview tools for adult ADHD presentation.
Cognitive testing with Creyos when appropriate
Measures working memory, attention, executive function, and reasoning. Helpful for understanding cognitive profile across both neurotypes.
Strengths inventory across both neurotypes
Both autism and ADHD bring strengths. AuDHD often combines them in distinctive ways. We map the strengths as part of the diagnostic picture.
Co-occurring conditions assessment
AuDHD frequently co-occurs with anxiety, depression, sleep issues, and trauma responses. We assess for these to give you a complete picture.
Integrated written care plan
One care plan that addresses both neurotypes and how they interact. Sensory strategies, executive function tools, social communication considerations, medication recommendations when relevant. Yours to keep, share with your local prescriber if needed, refer back to over time.
Where We Practice
NJ & NY
Full Care
Comprehensive evaluation, diagnosis, treatment planning, and ongoing prescribing.
DC, FL & CA
Diagnostic & Care Plan
Comprehensive evaluation and a written care plan that you'll use with your local prescriber.
After Your Evaluation: What Comes Next
What ongoing care looks like depends on where you are.
If you're in New Jersey or New York
Karina is DEA-licensed in both states and provides ongoing AuDHD care including:
- Medication management for ADHD components and co-occurring conditions
- Follow-up appointments at the cadence you need
- Care plan adjustments as your life changes (AuDHD needs evolve)
- Coordination with other providers (therapist, primary care) when relevant
Follow-up visits are $175 each. Most AuDHD patients land in a routine of monthly follow-ups during medication titration and care plan refinement, then quarterly visits for stable management.
If you're in Washington DC, Florida, or California
Your integrated care plan is the clinical guide your local prescriber uses for medication management. The plan covers ADHD medications, recommendations for co-occurring conditions, and the autism-specific support strategies that don't require prescribing.
Most patients coordinate easily with their existing PCP or psychiatrist using the care plan. Our office can also communicate directly with your prescriber if questions come up about how the AuDHD presentation should inform medication choices.
If your care plan needs updating later, you can return for a follow-up visit ($175) — telehealth or in-person — to revise with Karina before bringing it back to your local prescriber.
Real Patients, Real Progress
Ready to Explore AuDHD Care That Actually Fits?
If you are seeking clarity, validation, and expert AuDHD care grounded in neurodiversity-affirming principles, Neurokin is here to help.
You do not need to have it all figured out before you reach out. You do not need to be certain. You just need a place that takes your experience seriously and can help you understand what is going on.
Your Questions About AuDHD Evaluation, Answered
How long does AuDHD evaluation take?
Three visits over three to four weeks. About five hours of clinical time total. Visit 1 is ~120 minutes (extended initial consultation and developmental history), Visit 2 is ~120 minutes (combined ADHD and autism assessment), Visit 3 is ~60 minutes (integrated diagnosis and care plan review).
Why is AuDHD evaluation longer than ADHD or autism evaluation alone?
Because we're assessing two neurotypes in the same evaluation, plus how they interact. Visit 1 and Visit 2 are both extended (~120 minutes each, vs. ~60-120 for single-neurotype evaluations) to give both autism and ADHD their own depth of assessment. Visit 3 is the same length as ADHD or Autism Visit 3 (~60 minutes) — it's the longer Visits 1 and 2 that account for the additional time.
How much does AuDHD evaluation cost?
$2,500 total, paid as $900 (Visit 1) + $800 (Visit 2) + $800 (Visit 3) at each appointment. The optional comprehensive written report adds $450 if you need formal documentation. All evaluation tools (Creyos, QbCheck, validated rating scales) are included in the $2,500 — no separate testing fees. We accept HSA/FSA cards directly and provide a superbill for out-of-network insurance reimbursement.
Why does AuDHD cost more than ADHD or autism evaluation alone?
Two reasons. First, more clinical time — about 5 hours vs. 3 hours (ADHD) or 4 hours (Autism) for a single-neurotype evaluation. Second, more assessment work — both ADHD-specific tools and autism-specific tools, with integrated interpretation. The cost reflects the actual time and complexity of the work, not a premium for the service line.
Do I have to pay the full $2,500 upfront?
No. Each $900 or $800 payment is due at the visit it covers. You're paying for services rendered at each step. If something changes between visits, you're not locked into the full evaluation.
What if you find I have ADHD only or autism only?
That happens sometimes. What presents as AuDHD can occasionally turn out to be one neurotype with confounding factors (anxiety, trauma response, masking presenting in unexpected ways). If we identify only ADHD or only autism, we transition the evaluation pricing to match — ADHD-only ($1,650) or autism-only ($2,050). We don't charge AuDHD pricing for non-AuDHD findings. The pricing change is discussed transparently before any adjustment.
What if I've already been diagnosed with one — is AuDHD evaluation still appropriate?
Yes, often. Many adults come to AuDHD evaluation having been previously diagnosed with ADHD or autism but feeling that the single diagnosis didn't fully explain their experience. The evaluation revisits your previous diagnosis with the second neurotype in mind. If both are present, AuDHD evaluation gives you the integrated picture that single-neurotype assessment couldn't.
an I do AuDHD evaluation by telehealth?
Yes. The full three-visit AuDHD evaluation can be done by telehealth in any of our five licensed states (NJ, NY, DC, FL, CA). In-person is available at our Westfield NJ and Midtown Manhattan offices. Most assessment work translates cleanly to video; some sensory or observational components may benefit from in-person if you're nearby and prefer that format.
What's the difference between an AuDHD care plan and a comprehensive report?
The integrated care plan is included with every AuDHD evaluation. It covers diagnostic conclusions for both neurotypes, treatment recommendations, sensory strategies, executive function tools, and next steps — written for you and your local prescriber if relevant. The comprehensive report ($450 add-on) is a longer formal document designed for workplace accommodations, university disability services, or testing accommodations. Most patients don't need the formal report.
Can existing patients keep original pricing?
Yes. Existing patients in continuous care since [LAUNCH DATE] are grandfathered at the original $150 follow-up rate. New patient pricing applies to evaluations and follow-ups for new patients booked after launch. Continuous care means no more than 90 days between visits.
