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

People 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 and questionnaires: Completed online ahead of time so we can use our sessions well.

Evaluation session or sessions: We spend time walking through your history, patterns, and current challenges, and complete the evaluation pieces together.

Review and integration: Time on my end to carefully review everything, look for patterns, and make sense of how it all fits together.

Feedback session: We go over what came up, talk through impressions, and discuss recommendations in a way that’s collaborative and clear.

Written documentation: A brief clinical summary or a full evaluation report, depending on what you need and how you plan to use it.

Most people leave feeling relieved, with a sense of “this finally makes sense,” a better understanding of how their brain works, and more clarity about whether ADHD is part of their story.

Services & 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.

Adult ADHD Evaluation with Clinical Summary $300
Includes a comprehensive ADHD evaluation, time spent reviewing and integrating your information, a feedback session, and a brief written summary that highlights key findings and practical recommendations.

Adult ADHD Evaluation with Full Evaluation Report $500
Includes the same evaluation and feedback process, along with a detailed written report that brings together your history, assessment findings, and diagnostic reasoning, plus 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.

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

This is an ADHD-focused evaluation rather than a full neuropsychological assessment.

Documentation can support requests for accommodations or other supports, but approval decisions are made 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?

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.

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: More detailed document including background history, assessment results, diagnostic reasoning, and individualized recommendations. Often helpful if documentation may be shared with schools, workplaces, or other providers. You can see the Important Notes section below for more information about documentation use and accommodation decisions.*

How long does the process take?

Most evaluations are completed within a few weeks, depending on scheduling and questionnaire completion.

Typical timeline:

• Questionnaires completed at home: Online questionnaires about attention, executive functioning, and related areas.

• Evaluation session (60–90 minutes): Structured interview covering history, current experiences, and remaining evaluation pieces.

• Review and integration: Careful review and interpretation of all information.

• Feedback session: We review findings, answer questions, and discuss recommendations. Documentation is provided after this step, based on the option you selected.

If you need documentation by a certain timeline, we can talk about that during the consultation.

About the clinician

I am a Licensed Professional Counselor Associate in Texas and work under the supervision of Dr. José Luis Valenzuela, PhD, LPC-S. I am trained in adult ADHD assessment and diagnosis and use evidence-based tools alongside a relational, neurodiversity-affirming approach.

My work is shaped by both clinical training and lived experience. I pay particular attention to how ADHD can show up later in life, especially for adults who have spent years compensating, pushing through, or trying to make things work without having the full picture.

If you would 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 thinking about an ADHD evaluation, you’re welcome to schedule a free 15-minute phone consult. We can talk through what’s been going on and whether this feels like the right next step.