Autism/ADHD Evaluations

Thank you for choosing us for your ADHD, ASD, or AuDHD evaluation. The diagnostic process is quite involved; thus, we have put together this guide and FAQ to assist you or your loved one in understanding what to expect. We want to take a moment to emphasize that we use a neurodivergent affirming and strengths-based approach. This means that our approach to the diagnostic process is non pathologizing and based around helping you learn to identify and leverage your strengths as a neurodivergent individual. We view neurodivergence as nothing more than a different way of thinking and perceiving the world, thus this process is designed to figure out how you think and why you perceive the world the way that you do to in turn give you and/or your child the tools to be as successful as possible.

If you or your child are formally diagnosed with autism, ADHD, or AuDHD, we offer therapy to assist with accepting and adjusting to knowing that you are neurodivergent as well as developing coping skills. This will look different from person to person, but it may include things as learning to use things like reminder systems and scheduling to assist with memory or breaking down tasks so that things are less overwhelming.

Note that Matthew is not a psychologist and thus cannot do neuropsychological testing nor IQ testing. If you are in need of a neuropsychological evaluation, please reach out and we'll refer you to a psychologist for the appropriate testing.

Adults

ADHD or Autism Evaluation

You will fill out our intake package which includes consent forms and clinical questionaries.
You will complete the assessments remotely using a platform called Q-Global using your computer, tablet, or phone. This can be completed on your own time.
We will meet for what is known as a clinical interview via Telehealth. During this appointment, we will complete what is called a biopsychosocial assessment in which I will ask you questions about your developmental history (childhood), medical history, and how you feel that you are impacted in the present. This appointment will take around 1.5 to 2 hours to complete.
Matthew will review his notes from your interview and your test results and make a determination as to your diagnosis and write a report.
We will schedule a second appointment to go over the results. This will take approximately 30 minutes to complete, and you will have the opportunity to ask me any questions that you may have. If you would like psychotherapy services after your evaluation to assist with adjustment to your diagnosis, I will be happy to discuss this with you at this time as well.

AuDHD (ADHD + Autism) Evaluation

You will fill out our intake package with includes consent forms and clinical questionnaires. In the case of a combined evaluation, you will complete information for both ADHD and ASD.
You will complete testing for ADHD and ASD using a platform called Q-Global on your own time.
We will meet for a clinical interview as outlined above; however, this will be conducted in two separate appointments. One appointment will be related to discussing your developmental and medical history related to ADHD and the other will be dedicated to ASD. In total, the interview portion of the process for a combined evaluation will last a total of approximately four hours.
Matthew will review his notes and the testing results to write a diagnostic report.
We will schedule a third appointment of 30 minutes duration to go over my findings and address any questions or concerns that you might have.

Teenagers (12 – 17)

The process for an ASD and/or ADHD evaluation for teenagers looks very similar to the process for diagnosing children. However, we make it a key point to put YOU, the teenager, into the driver’s seat as much as possible. We will meet with both you and your parents to figure out what’s going on with your brain, figure out how you think, and how we can best honor your neurotype.

Children (3 – 11)

The process for diagnosing autism in children is generally far more involved than it is with teenagers and adults. Note that Matthew typically will not diagnose ADHD in a child younger than 12; however, if I feel that there are clinically significant indicators, Matthew will recommend that we proceed with the evaluation.

ASD Evaluation

You will complete the intake paperwork for your child. This will include clinical questionnaires and consent forms. Note that we will need to send questionnaires to all important people in your child’s life to make an accurate diagnosis (parents, teachers, etc.).
You and your child will complete evaluations remotely on a platform called Q-Global prior to your clinical interview appointment.
You will meet with Matthew via Telehealth for a psychological assessment. This process should take around 2 hours to complete as Matthew will need a comprehensive developmental, educational, medical, and psychiatric history.
Upon completion of your child's assessment appointment, Matthew will review all information gathered and write a report with his diagnostic impression and suggestions for next steps.
We will set up another appointment to discuss the report and address any questions or concerns.

Cost of Evaluation

We do not take insurance as we wish to protect patient privacy in the current political climate. Accepting insurance also creates many barriers for both the patient and the clinician that impact care. We discuss this in greater depth in the FAQ section. To address this, we have created what we feel is fair and equitable pricing. The typical cost of testing is $2,500+; however, we want diagnostic testing to be available to as many individuals and families as possible without the gatekeeping of unrealistic costs. Please see below for our fee schedule. As you are reviewing, please choose whatever tier fits your needs at this time and know that this will be “no questions asked” regarding pricing.

Adults

Tier I
- Autism or ADHD Evaluation: $700 (or two payments of $350)
- Combined AuDHD Evaluation: $900 (or two payments of $450)
Tier II
- Autism or ADHD Evaluation: $900 (or two payments of $450).
- Combined AuDHD Evaluation: $1,100 (or two payments of $550).
Tier III
- Autism or ADHD Evaluation: $1,100 (or two payments of $550).
- Combined AuDHD Evaluation: $1,300 (or two payments of $750).

Teens

Tier I
- Autism or ADHD Evaluation: $900 (or two payments of $450).
- Combined AuDHD Evaluation: $1,100 (or two payments of $550).
Tier II
- Autism or ADHD Evaluation: $1,100 (or two payments of $550).
- Combined AuDHD Evaluation: $1,300 (or two payments of $650).
Tier III
- Autism or ADHD Evaluation: $1,300 (or two payments of $650).
- Combined AuDHD Evaluation: $1,500 (or two payments of $750).

Children

Tier I
- Autism Evaluation: $1,100 (or two payments of $550).
Tier II
- Autism Evaluation: $1,300 (or two payments of $650)
Tier III
- Autism Evaluation: $1,500 (or two payments of $750).

We require that 50% of the total is paid 72 hours prior to your appointment and the remaining 50% is paid 72 hours prior to your documentation review appointment. If, for whatever reason, you won’t be able to pay within the 72-hour timeframe (e.g. delayed paycheck), send us an email and we will do our best work with your situation.

Frequently Asked Questions

I am already diagnosed with either ADHD or ASD. Which evaluation do I need?
- You’d just need the other evaluation. For example, if you’re already diagnosed with ADHD, you’d just need an ASD evaluation. Please inform us of a prior diagnosis, including the age of diagnosis, in your intake paperwork.
May I or my child stim during the testing appointment?
- Yes! Feel free to stim, fidget, or do whatever is needed to help self-regulate.
Will my college/university accept your diagnosis for accommodations?
- In most cases, yes. Matthew's diagnostic process includes the required testing for most colleges.
Can you do neuropsychological testing?
- No. Matthew can do an evaluation for the diagnosis of ASD and ADHD; however, he is unable to complete intelligence nor neuropsychological testing. If Matthew feels that a full neuropsychological evaluation is needed, he will refer out to a clinical psychologist or school psychologist for that portion.
Why is diagnostic testing so expensive?
- The primary reason for the high cost is the amount of time that it takes Matthew to complete this process. The interview process can last up to four hours, and it takes Matthew additional time to review your evaluation results, interpret the findings, and write the diagnostic report itself. There is also overhead such as the cost of test administration.
Why don’t you accept insurance?
- There are several reasons that we don’t accept insurance for psychotherapy or diagnostic evaluations. First and foremost, accepting insurance means that they determine the treatment methods that we are allowed to use along with the duration of therapy. This directly impacts the patient as some individuals require longer durations of therapy than others and not everyone responds well to cognitive behavioral therapy (CBT) which is what insurance typically requires that a therapist use. Secondly, insurance can do something called a “clawback.” A clawback is where an insurance company can demand that a therapist pay back any claims previously paid for any reason that they see fit, even years after treatment termination.
What does it mean to be "under supervision"?
1. Matthew is currently under the supervision of Erin Guiffre, MSW, BCBA, LBA, LCSW. When one completes their MSW, one is required to work under a fully licensed provider for 3,000 hours (2 years) prior to taking the licensing exam. What this means is that Matthew meets with Ms. Guiffre once or twice per week to go over cases and to review things such as psychological assessment reports. All reports will need to be co-signed by Ms. Guiffre until Matthew passes the LCSW exam in February 2026.
My financial situation won't work with your payment system. Can we discuss other options?
1. Yes, we are willing to discuss other payment plans with you. If this is a need, reach out and let us know what your needs are.