Diagnostic Evaluation · Focused Assessment · Clinical Supervision

Adult ADHD & Diagnostic Evaluations

Understand what is affecting attention, organization, and follow-through.

Focused adult evaluations examine attention difficulties, executive dysfunction, and the possibility of overlapping or alternative explanations, including anxiety, depression, trauma, and other relevant clinical factors.

Assessment integrates clinical history and functional concerns with standardized measures such as the Brown Executive Function/Attention Scales, Beck Depression Inventory–II (BDI-II), and Beck Anxiety Inventory (BAI), selected as clinically appropriate. Rating-scale findings are interpreted alongside the broader assessment.

A written report explains the findings, diagnostic reasoning, and recommendations. With your authorization, it can inform discussions with your prescriber or support a workplace accommodation request. Prescribers make medication decisions, and employers determine accommodation requests through their own processes.

$650 flat fee · Self-pay

Includes the clinical interview, selected standardized measures, and written diagnostic report. The service agreement confirms appointment arrangements and any feedback session before scheduling.

DOT SAP Return-to-Duty Evaluations

An independent assessment for a regulated return-to-duty process.

Initial and follow-up Substance Abuse Professional evaluations for safety-sensitive employees following a DOT drug or alcohol violation, conducted under 49 CFR Part 40.

The initial evaluation establishes recommendations for education and/or treatment. The follow-up evaluation assesses successful compliance with those recommendations. When successful compliance is established, the SAP establishes the required follow-up testing plan. Employer decisions and required testing remain separate steps in the return-to-duty process. Successful compliance findings do not guarantee employment or a return-to-duty outcome.

Scheduling follows review of the relevant documentation, designation requirements, and payment.

DOT-qualified Substance Abuse Professional (SAP)
SAP Certificate No. 26730912
Expiration: September 12, 2029

$350 initial evaluation · $300 follow-up evaluation

Each evaluation is billed separately. Education, treatment, and drug/alcohol testing are separate services and are not included in these evaluation fees.

Immigration Psychological Hardship Evaluations

Careful clinical documentation of hardship, trauma, and daily functioning.

Now accepting inquiries for immigration-related psychological evaluations involving extreme hardship waivers (I-601/I-601A), VAWA petitions, U-Visas, T-Visas, and asylum matters.

The assessment explores relevant history, trauma and stress symptoms, relationships, and effects on daily life. Measures are selected for the referral question and may include the TSI-2, PCL-5, PHQ-9, GAD-7, and WHODAS 2.0. Vineland-3 may be included when adaptive functioning is relevant. Instrument selection also considers age, language, and administration requirements; every case does not require every measure.

Immigration evaluation methodology draws on educational frameworks from Marc Sadoff and the Immigration Evaluation Training Center. Structured interviewing, record review, and clinical interpretation inform a report that identifies its sources and limitations.

With your authorization, coordination with your attorney helps clarify the referral question and documentation needs. The written report explains the referral question, information reviewed, assessment methods, clinical findings, and limitations; your attorney directs legal strategy, and immigration authorities determine eligibility and the outcome of the matter.

$1,200–$1,500 flat fee · Self-pay

A case-specific written quote confirms the exact fee, included assessment and report, and agreed scope before scheduling.

Gender-Affirming Surgery Letters

A focused, respectful assessment for adults preparing for surgery.

WPATH-informed assessments for adults seeking a mental health letter of support for gender-affirming surgery.

The assessment considers your goals, relevant clinical history, informed decision-making, and the documentation requested by your surgical team. The process is direct, affirming, and attentive to your individual circumstances.

When clinically supported, expedited letter delivery is targeted within five business days after the completed assessment and receipt of all required information.

Your surgical team and insurer determine their documentation requirements and whether a letter is accepted. A particular surgical or coverage outcome is not guaranteed.

$300 flat self-pay fee

Includes the focused assessment and, when clinically supported, the letter. If additional information or assessment is needed, the next steps and timing are discussed before proceeding.