Adult ADHD Evaluation
Diagnostic Clarity for Adults Who Feel Stuck, Scattered, or Overwhelmed
Many adults come to us after years of wondering why life feels harder than it seems to feel for other people.
You may be intelligent, capable, and deeply motivated—and still find yourself struggling with procrastination, disorganization, emotional overwhelm, forgetfulness, unfinished projects, or the painful sense that you are always falling behind.
For some people, these struggles are rooted in ADHD. For others, they may be related to anxiety, trauma, depression, burnout, sleep problems, or the nervous system impact of chronic stress. A careful ADHD evaluation can help clarify what is really going on, and what kind of support is most likely to help.
At Brooklyn Somatic Therapy, we offer comprehensive adult ADHD diagnostic evaluations for those seeking greater self-understanding, treatment direction, and documentation to share with psychiatric or medical providers.
Who This Evaluation Is For
An adult ADHD evaluation may be helpful if you:
Have long suspected you may have ADHD
Were never evaluated as a child, but recognize yourself in descriptions of adult ADHD
Struggle with focus, follow-through, time management, organization, or emotional regulation
Feel chronically overwhelmed by daily responsibilities
Have a history of being told you are “smart but not living up to your potential”
Are seeking diagnostic clarity before pursuing medication or other ADHD-specific treatment
Want a thoughtful, psychologically grounded report rather than a brief screening
This service is designed for adults seeking careful diagnostic clarification. It is not a full neuropsychological evaluation and may not meet the documentation requirements for every school, testing agency, or workplace accommodation request.
What the Evaluation Includes
Our ADHD evaluations are conducted fully online and include:
Clinical Interview
A thorough interview exploring attention, executive functioning, emotional regulation, developmental history, school history, work functioning, relationships, sleep, trauma, anxiety, mood, and other factors that can mimic or complicate ADHD.
Standardized Rating Measures
You will complete evidence-based ADHD and executive functioning questionnaires. When appropriate, we may also ask a partner, parent, or other close person to complete collateral forms.
Differential Diagnosis
ADHD rarely exists in isolation. We carefully consider whether your symptoms are better explained by ADHD, anxiety, depression, trauma, burnout, substance use, sleep problems, learning differences, or another concern.
Emphasis on Emotional Challenges and Developmental Trauma
The side of ADHD that often gets the least attention is the presence of intense sensitivity, social anxiety, and difficulty regulating emotion. We will spend time understanding the role of emotions in your experience, as well as the ways that your childhood experience may have contributed to the formation of toxic shame, negative self-beliefs, and unhealthy coping mechanisms that carry over into adulthood.
Feedback Session
After the evaluation, we meet to review findings, answer questions, and discuss next steps. You are free to bring a spouse or partner to this session.
Written Report
You receive a clear written report summarizing diagnostic impressions, relevant history, clinical findings, and recommendations for treatment and support.
Understanding Adult ADHD
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ADHD isn't one-size-fits-all. Some people primarily struggle with attention, organization, and forgetfulness. Others experience more hyperactivity and impulsivity. Many adults experience a combination of both.
It's also common for ADHD to look very different in adulthood than it did in childhood. Hyperactivity may become an internal sense of restlessness rather than obvious physical activity. Many adults have learned to mask their symptoms through overwork, perfectionism, or elaborate organizational systems.
One goal of the evaluation is not simply to determine whether ADHD is present, but to understand how it uniquely shows up in your life.
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Often, yes.
For many years, ADHD research focused primarily on young boys who displayed obvious hyperactivity and disruptive behavior. As a result, many girls and women with ADHD went unrecognized because their symptoms looked different.
Women are often more likely to experience difficulties such as:
chronic overwhelm
disorganization behind the scenes despite appearing highly capable
inattentiveness rather than hyperactivity
perfectionism and overcompensation
emotional sensitivity
masking or hiding their struggles
feelings of shame or believing they are simply "not trying hard enough"
Many women are not diagnosed until adulthood—sometimes after years of treatment for anxiety or depression, or after one of their own children is diagnosed with ADHD.
At the same time, it's important to remember that these patterns are not exclusive to women, and many men experience them as well. Our evaluation focuses on understanding how ADHD uniquely presents in you rather than relying on stereotypes.
Understanding how your brain works can replace years of self-criticism with greater self-compassion and more effective strategies for moving through the world.
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Yes.
Many adults with ADHD were bright enough, interested enough, or worked hard enough to compensate for their symptoms throughout childhood and adolescence.
Some relied on intelligence, supportive parents, anxiety-driven perfectionism, or last-minute bursts of effort to succeed academically. Their difficulties often become more noticeable later in life when work, parenting, or independent living require greater executive functioning.
Doing well in school does not rule out ADHD.
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Not really.
Many researchers now understand ADHD primarily as a condition involving executive functioning—the brain's ability to organize, prioritize, initiate tasks, regulate attention, manage emotions, and follow through on intentions.
Many adults with ADHD don't have too little attention. They have difficulty regulating where their attention goes.
This helps explain why someone might struggle to answer emails while simultaneously becoming completely absorbed in a hobby or creative project.
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Many people with ADHD describe experiencing emotional reactions to criticism, disappointment, or perceived rejection that feel unusually intense.
This experience is often referred to as Rejection Sensitive Dysphoria (RSD).
During your evaluation, we'll explore your emotional experiences as part of understanding the whole picture, while distinguishing ADHD from anxiety, trauma, depression, and other conditions that can produce similar patterns.
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Absolutely.
An ADHD evaluation is not simply about identifying areas of difficulty. It is also about understanding how your brain works best.
Many people with ADHD demonstrate strengths such as:
creativity and original thinking
curiosity
rapid idea generation
strong intuition
the ability to hyperfocus on meaningful work
resilience developed through years of adapting to challenges
enthusiasm and passion for areas of interest
Of course, no strength is universal, and not every person with ADHD experiences these qualities. Our goal is to understand both your challenges and your capacities so that recommendations build on what already works for you.
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It certainly can help. Many clients share their report with a psychiatrist, psychiatric nurse practitioner, or primary care physician when discussing ADHD medication. We do not prescribe medication, and medication decisions are always made by your medical provider.
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No. This is a comprehensive ADHD diagnostic evaluation, not a full neuropsychological battery. If you need extensive cognitive, academic, or learning disability testing, we may recommend a neuropsychological evaluation instead.
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Sometimes. Many clients find the report helpful in requesting support, but documentation requirements vary widely by school, employer, licensing board, and testing agency. If your primary goal is formal accommodations, please let us know before scheduling so we can help determine whether this evaluation is the right fit.
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That can still be incredibly valuable.
Many people come to an evaluation hoping for answers, not a particular diagnosis. If your symptoms are better explained by another condition—or by several overlapping factors—we'll discuss those findings with you and offer recommendations that are tailored to your specific needs.
The goal is clarity, not simply confirming or ruling out ADHD.
Why Work with a Psychologist?
An ADHD evaluation is not simply a checklist. Many adults with ADHD have spent years masking, compensating, overworking, or blaming themselves for symptoms they did not fully understand.
A psychologist-led evaluation brings together diagnostic expertise, developmental understanding, and attention to the full person—not just the symptom list.
Our goal is to help you leave the process with greater clarity, less shame, and a more accurate map of what kind of support you need.
Fee
The fee for a comprehensive adult ADHD evaluation is $1750.
This includes the clinical interview, standardized measures, feedback session, and written diagnostic report.
Incremental payment available through Advance Care card. Please inquire for more details.
Begin with a Free Consultation
If you are wondering whether ADHD may be part of your story, we would be glad to speak with you.
