Adult ADHD Evaluation & Treatment
Neurodiversity-Affirming Care Designed for Real Life
Three visits over three to four weeks. About five hours of clinical time. The kind of evaluation that finds what a 15-minute checkup misses.
Most ADHD evaluations get rushed. Insurance pays for 30-60 minutes total. Karina takes five hours across three visits — because adult ADHD shows up across years of compensating, masking, and rebuilding routines, and that doesn't unpack in a single appointment.
If you've been told you can't have ADHD because you finished college, run a business, or hold down a demanding job — you're at the right page. Adult ADHD evaluation requires depth. We provide it.
Why a Five-Hour Evaluation
More time produces better answers. Here's why the depth matters:
Adult ADHD doesn't fit a checklist.
Adult ADHD shows up differently than it does in children. The hyperactive 8-year-old becomes the
burned-out 38-year-old who can't seem to start a task without urgency. Catching that pattern requires
more than 15 questions.
Co-occurring conditions complicate the picture.
ADHD often overlaps with anxiety, depression, autism, and trauma responses. Sorting out which
condition explains which experience takes time. We use the time.
Strengths matter as much as challenges.
Most evaluations focus only on what's wrong. We map what's working too — the adaptive strategies
you've built, the strengths that come with how your brain works, the patterns that serve you. That's half
the picture for an actual care plan.
The Three-Visit Evaluation Process
Each visit has a specific clinical purpose. Each visit is a distinct payment. Same total cost as evaluations elsewhere — paid in three steps instead of one upfront.
Initial Consultation & History
60 minutes
$550
We start with a long, structured conversation about your history — childhood patterns, school experience, work life, relationships, current struggles, and the question that brought you here. This is where we begin to understand what's actually going on.
Karina takes detailed notes. She asks follow-up questions. She doesn't read from a checklist. By the end of Visit 1, we'll have a working hypothesis and a plan for what testing (if any) makes sense.
Diagnostic Testing
90 minutes
$550
Visit 2 is the testing visit. Depending on what makes sense for your specific case, this may include:
• Creyos cognitive assessment — measures attention, working memory, executive function
• QbCheck — FDA-cleared objective ADHD test that measures attention and impulse control
• Validated rating scales completed before the visit
• Structured interview tools tailored to adult ADHD presentation
Tools support clinical judgment. They don't replace it. Karina reviews everything together with the conversation from Visit 1.
Diagnosis & Care Plan Review
60 minutes
$550
Visit 3 is when we sit together and review what we found. You'll receive:
• An integrated diagnostic picture in plain language — no jargon, no rushed delivery
• A written care plan tailored to your specific profile
• Specific recommendations for treatment, including medication options if appropriate
• Time to ask every question that's come up If you're in NJ or NY and we'll be providing ongoing care including prescribing, 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 ADHD evaluation: $1,650
Paid as $550 × 3 visits, due at each appointment.
Comprehensive Diagnostic Report — $450
If you need a formal written report (workplace accommodations, university disability services, exam accommodations like LSAT/MCAT/GRE/Bar), we can prepare a comprehensive diagnostic report. Most patients don't need this — your care plan is sufficient for clinical purposes. Add-on available at any point during or after evaluation.
What's Included in Your Evaluation
Detailed clinical interviews and developmental history review
Across all three visits, structured to understand how ADHD shows up in your real life — work, relationships, daily routines, the gap between what you intend and what you execute.
Validated assessment tools
Including ASRS-v1.1, Conners' Adult ADHD Rating Scales, and structured interview tools tailored to adult ADHD presentation.
Cognitive testing with Creyos when appropriate.
Measures working memory, attention, executive function, and reasoning. Adds quantitative data to the clinical picture.
Objective ADHD testing with QbCheck when appropriate
FDA-cleared computerized task that measures attention and impulse control. Used selectively, not routinely.
Strengths inventory alongside challenges
Most evaluations focus only on what's wrong. We map what's working too — adaptive strategies, cognitive strengths, the patterns that serve you.
Co-occurring conditions assessment
ADHD frequently co-occurs with anxiety, depression, autism, sleep disorders, and trauma responses. We assess for these to give you a complete picture
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 full ongoing care, including:
- Medication management when clinically appropriate
- Follow-up appointments at the cadence you need (typically monthly, quarterly, or as-needed)
- Adjustments to your care plan as your life changes
- Coordination with other providers (therapist, primary care) when relevant
Follow-up visits are $175 each. Most patients land in a routine of monthly follow-ups during medication titration, then quarterly visits for stable management.
If you're in Washington DC, Florida, or California
Your care plan is the clinical guide your local prescriber uses to manage your treatment. The plan includes specific medication recommendations (when applicable), dosing considerations, monitoring guidance, and follow-up cadence.
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.
If your care plan needs updating later, you can return for a follow-up visit ($175) — telehealth or in-person — to revise the plan with Karina before bringing it back to your local prescriber.
Real Patients, Real Progress
Ready to Explore ADHD Care That Actually Fits?
If you are seeking clarity, validation, and expert ADHD 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 Adult ADHD Evaluation, Answered
What is ADHD in adults?
ADHD (Attention-Deficit/Hyperactivity Disorder) is a neurodevelopmental difference in how your brain regulates attention, impulse control, and executive function. In adults, it shows up as chronic overwhelm, difficulty prioritizing, emotional exhaustion, inconsistent focus, and challenges with organization or follow-through. Adult ADHD often looks different from the hyperactivity stereotype associated with ADHD in children.
Can adults be diagnosed with ADHD?
Yes. Adult ADHD diagnosis is increasingly common and clinically valid. Many adults are diagnosed later in life — often after years of masking, compensating, or being misdiagnosed with anxiety or depression. Recognizing ADHD in adulthood can provide important validation and clarity about lifelong
patterns.
What does ADHD look like in adults?
In adults, ADHD often shows up as chronic overwhelm, difficulty prioritizing, time blindness,
emotional exhaustion, inconsistent focus, and trouble managing multiple tasks. Many adults describe a gap between knowing what they should do and being able to actually do it. These patterns are
frequently misattributed to anxiety, stress, or personal failure — especially in high-achieving professionals who've developed sophisticated compensatory strategies.
What is masking in ADHD?
Masking — sometimes called camouflaging — is hiding or suppressing ADHD traits to fit in socially
or professionally. Many adults with ADHD, especially women, learned to mask early in life. You might appear organized, attentive, or calm while internally struggling. While masking can help in certain situations, it often leads to burnout. Understanding your masking patterns is an important part of ADHD
evaluation.
Do I need objective testing for ADHD?
Not always, but tools like QbCheck or Creyos may help clarify diagnosis when symptoms are complex or when additional data would be valuable. We use these tools strategically — not routinely for every patient. They support clinical judgment rather than replacing it.
Is ADHD care only medication-based?
No. ADHD care planning may include education about how ADHD affects your life, behavioral strategies, organizational systems, executive function tools, lifestyle modifications, and medication when clinically appropriate. Medication is one option among many. The right approach depends on your specific situation, goals, and preferences.
How long does an ADHD evaluation take?
Three visits over three to four weeks. About five hours of clinical time total. Visit 1 is the initial consultation and history review. Visit 2 is testing. Visit 3 is reviewing your integrated diagnosis and care
plan together.
How much does an ADHD evaluation cost?
$1,650 total, paid across the three visits ($550 each). The optional comprehensive written report adds $450 if you need it for workplace accommodations, university disability services, or exam
accommodations. We accept HSA/FSA cards directly and provide a superbill for out-of-network insurance reimbursement. See the Pricing page for full details.
What is the difference between ADHD and anxiety?
ADHD and anxiety are distinct, though they can co-occur and share some overlapping signs. ADHD
involves attention regulation, impulse control, and executive function differences. Anxiety involves
worry, fear, and hypervigilance. Both can cause overwhelm and difficulty focusing — but the underlying mechanisms are different. Many people with ADHD develop anxiety as a secondary response to years of struggling. A comprehensive evaluation can help clarify which conditions apply to you.
What happens after an ADHD evaluation?
After your evaluation, we review findings with you in plain language and explain what they mean for your life. From there, you can decide what support fits your needs — ongoing care at Neurokin (in NJ
or NY), coordination with your local prescriber (in DC, FL, or CA), or simply having clarity and validation for your experience.
