Adult ADHD Evaluations

Make sense of your attention, overwhelm, and the ‘why is this so hard?’ part.”

You might find yourself thinking...

Why do small tasks feel so heavy?

Why does it look like I'm functioning but I feel like I'm barley keeping it together?

Why do I keep pushing myself and still feel behind?

Is this ADHD, burnout, anxiety, or some mix I can’t quite name?

Is there an explanation for this that isn’t just me being “bad at this”?

What if there’s a way to understand this with more kindness?

If this resonates, you’re not failing.

You might be carrying more than most people ever see, and there may be a reason this has felt so hard for so long.

Where things start to click

Many adults who seek an ADHD evaluation are people who have been working very hard for a long time just to keep up. Feeling overwhelmed is often a sign of how much effort you have been putting in, not a sign that you are doing something wrong.

This process is about stepping back and looking at the bigger picture of how attention, organization, follow-through, and emotional load have shown up over time. We look not only at what feels hard right now, but also at what you have had to adapt to along the way. Often, the things people feel most frustrated by today once helped them get through something important.

I take a neurodiversity-affirming approach and spend a lot of time listening to how things have actually felt in your day-to-day life. I was late-diagnosed with ADHD myself, and as a woman of color, I am especially aware of how often adults are misunderstood, overlooked, or given explanations that never quite fit.

An ADHD evaluation is not about labeling or pathologizing. It is about connecting the dots and understanding yourself with more clarity and less judgment.

Benefits of an evaluation

Many individuals come into this process for many reasons, but common takeaways include:

A clearer understanding of lifelong patterns
Language for experiences that were hard to explain before
Relief from self-blame
Insight into both strengths and challenges
Direction for therapy focus, supports, or next steps
Recommendations that actually fit how they work

For many adults, the biggest shift is not just answers. It is self-understanding.

What we explore together

This evaluation looks at how attention, follow-through, organization, and emotional load have shown up across your life, while also paying attention to things like anxiety, mood, sleep, and burnout when they overlap.

The process includes:

A guided conversation about your experiences, patterns, and concerns

Time spent understanding your history and how you have adapted over the years

Evidence-based ADHD and attention questionnaires

Optional input from someone who knows you well, if you choose

Careful review and integration of everything you share

A feedback session where we talk through what emerged and what it might mean for you, along with individualized recommendations

What the process looks like

Free consult (optional):

A brief call to talk through what’s been going on, answer questions, and see whether this feels like a good fit.

Intake & Questionnaires

Completed online ahead of time to gather important background information so we can use our time together thoughtfully and make the most of our session

Evaluation Session

We spend time walking through your history, patterns, and current challenges, and complete the evaluation pieces together.

Review, Feedback & Documentation

After our session, I carefully review everything, look for patterns, and integrate the information. We then meet for a collaborative feedback session, and you receive your selected written documentation (Clinical Summary or Full Evaluation Report).

Services and pricing

Many people start this process unsure whether they even want or need an evaluation yet. That is completely okay. The consultation is a space to talk through options and decide what makes sense for you.

Not everyone seeks an ADHD evaluation for the same reason. I offer options based on what you are hoping to get from the process.

Clinical Summary

$300

Includes a comprehensive ADHD evaluation, dedicated time reviewing and integrating your information, a 45–60 minute feedback session, and a brief written summary outlining key findings and practical recommendations.

Full Report

$500

Includes a comprehensive ADHD evaluation, dedicated time reviewing and integrating your information, a 45–60 minute feedback session, and a detailed written report that brings together your history, assessment findings, diagnostic reasoning, and individualized recommendations.

This evaluation is best for adults wanting a deeper understanding of lifelong patterns. If you are primarily seeking medication management, I can help you find appropriate referral options.

A Few Important Notes

This service is for adults age 18 and older.

This is an ADHD-focused evaluation rather than a comprehensive psychological or neuropsychological assessment.

I do not prescribe medication, but I can provide referrals if medication evaluation becomes part of your next steps.

Documentation may support requests for accommodations or other services; however, approval decisions are determined by the receiving institution or organization and are outside my control.

Sessions are offered in person in San Antonio and via telehealth throughout Texas.

FAQ's

What if I’m not sure I have ADHD?

Do you work with adults who were never diagnosed as kids?

Yes. Many adults were missed or misunderstood earlier in life. ADHD doesn’t start in adulthood, but it’s common for people to first recognize the pattern or seek evaluation later in life, especially after years of feeling like things were harder than they seemed to be for others.

What’s the difference between a clinical summary and a full evaluation report?

Clinical Summary: Shorter document outlining main findings and practical recommendations. Often chosen for personal understanding or therapy guidance. Full Evaluation Report: A more detailed document including background history, assessment results, diagnostic reasoning, and individualized recommendations. This option is often selected if documentation may be shared with schools, workplaces, or other providers. Please note that evaluation reports are clinical documents. Acceptance of documentation by outside institutions (such as schools, employers, or disability services) is determined by their individual policies.

How long does the process take?

Written reports are typically completed within approximately 14 business days after the evaluation session and once all required questionnaires have been completed and submitted. Typical timeline: • Questionnaires completed at home: Online questionnaires about attention, executive functioning, and related areas. These provide important background information before we meet. • Evaluation session (60–90 minutes): A structured clinical interview covering history, current experiences, and any remaining evaluation components. • Clinical review and report preparation: After we meet, I carefully review questionnaires, interview information, and assessment data to identify patterns and prepare your selected report type (Clinical Summary or Full Evaluation Report). This work occurs outside of session and involves several hours of focused clinical review and writing. • Feedback session (45–60 minutes): We meet to review findings, answer questions, and discuss recommendations. Your written report is provided through the secure client portal after this session. If you need documentation by a specific date, we can discuss timing during your consultation.

How is payment handled?

ADHD evaluations are private pay services and are not billed to insurance. Payment is due at the time of scheduling in order to reserve your assessment appointment.

That’s completely okay. Many people come in feeling unsure and wanting help making sense of patterns they’ve noticed over time. The goal isn’t to force a label. It’s to understand your patterns and how they’ve developed over time.

About Bianca

Bianca Barratachea, M.S.,

LPC-Associate

Supervised by Dr. José Luis Valenzuela, PhD, LPC-S

I’m a Licensed Professional Counselor Associate in Texas, working under the supervision of Dr. José Luis Valenzuela, PhD, LPC-S.

I conduct ADHD evaluations for adults and approach the process with care and curiosity. My work is shaped by both clinical training and lived experience, and I’m especially attentive to how ADHD can show up later in life.

In my work, I often meet adults who:

• have spent years pushing through or overcompensating
• feel capable but chronically overwhelmed
• wonder why certain things seem harder than they “should”

ADHD does not look the same for everyone. For some adults, long-standing coping strategies have made executive functioning differences less obvious, which can delay clarity and understanding.

If you’d like to learn more about my therapy work and overall approach, you can read more on my about me page.

Curious about next steps?

If you’re considering an ADHD evaluation, you’re welcome to schedule a free 15-minute phone consult so we can talk through next steps. *When scheduling, please note that you’re requesting a consult for an ADHD evaluation.

Schedule a Free 15-Minute Consult