A thorough, multi-session evaluation by a psychologist who has done this hundreds of times. Validated instruments, clinical data from multiple sources, and a detailed report that tells you exactly what is going on, not a best guess based on a 15-minute conversation.
You do not need to be certain it is ADHD. You just need to want a real answer.
This is not a longer version of a screening. It is a comprehensive, multi-method evaluation that pulls together data from every relevant source.
A 60-90 minute structured conversation about your history: childhood, school, work, relationships, mental health, and daily functioning. Luke is not running a checklist. He is listening for the patterns, the timeline, and the lived experience behind the symptoms. This is where the clinical picture starts to form.
A set of validated instruments including ADHD symptom scales, functional impairment measures, and co-occurring condition screeners. You complete these through our secure client portal at your own pace, about 45-60 minutes total. These are the same instruments used in research and clinical practice worldwide.
Someone who knows you well (a partner, close friend, sibling, or parent) completes a separate set of ratings about your daily functioning. This provides an outside perspective that strengthens the evaluation and helps confirm or challenge what the self-report data shows. Takes about 20 minutes and is completed through a secure link we send directly to your observer.
ADHD rarely exists in isolation. We screen for anxiety, depression, PTSD, and other conditions that can look like ADHD, co-occur with ADHD, or complicate the diagnostic picture. This is one of the biggest advantages of a comprehensive evaluation over a quick screen. You get the full answer, not a partial one.
Our proprietary scoring approach, Calibrated Adaptive Symptom Threshold, uses age-normed diagnostic thresholds instead of the one-size-fits-all DSM-5 criteria. This matters because ADHD does not present the same way at 25 as it does at 55. CAST produces more precise results, especially for adults over 40, women, and people who have spent decades compensating.
A thorough, personalized clinical report that includes your diagnosis (or clear explanation if ADHD is not indicated), all supporting data, plain English explanations of what the data means, and practical recommendations for treatment, medication conversations, and accommodations. This is not a template. It is written specifically for you.
A dedicated 60-minute session where Luke walks you through every finding in detail. You will understand exactly what your results mean, why the diagnosis is or is not indicated, and what your specific next steps are. You can ask every question. You will leave with total clarity.
The entire process takes one to two weeks from start to finish.
A brief call to make sure this assessment is the right fit for your situation. We answer your questions about the process, cost, insurance, and timeline. You decide if you want to move forward. No pressure, no commitment.
A structured interview covering your developmental history, education, work history, relationships, mental health, and daily functioning. This is where Luke starts building the clinical picture. Conducted via secure telehealth.
Completed through our secure client portal. Several validated questionnaires, about 45-60 minutes total, at your own pace. You can stop and come back. No time pressure.
We send a secure link to someone who knows you well. They complete a separate set of ratings about your functioning. Takes about 20 minutes. This provides crucial outside perspective.
Luke reviews all data (clinical interview notes, self-report measures, and observer ratings) and integrates everything using the CAST method. He looks at the full picture: ADHD symptoms, functional impairment, developmental history, and co-occurring conditions.
Luke walks you through every finding, explains the diagnosis, and gives you practical next steps. Written report delivered within two weeks. You will leave this session with total clarity about what is going on and what to do about it.
Most assessments are completed within 1-2 weeks from start to finish.
The assessment gives you the answer. What you do with it is up to you. Here are the most common paths.
Continue with Luke as your therapist. No repeating your history, no handoff to a stranger. Your therapist already knows exactly what the evaluation found, what your strengths are, and where the challenges are. This continuity of care is rare and it makes therapy significantly more effective from day one.
We do not prescribe medication, but we work closely with prescribers. Your report gives them everything they need to make informed medication decisions: diagnosis, severity, specific symptom profile, and treatment recommendations. Many prescribers appreciate having this level of clinical data to work from.
Your report includes formal documentation for ADA workplace or academic accommodations, including specific recommendations tailored to your situation. It is written to meet the standard required by employers, universities, and professional testing agencies (LSAC, AAMC, NBME, and similar bodies).
Some people just needed to know. You do not owe anyone a treatment plan. If all you wanted was clarity about what is going on, the assessment delivers that. Knowing is enough. You can always come back for therapy later if you decide to.
We walk you through every detail during your free consultation so there are no surprises.
Everything: both live sessions (clinical interview and results), all standardized measures, observer ratings, CAST scoring, the detailed written report, and the results walkthrough. One comprehensive package, no add-on fees, no surprises.
In-network with Providence Health Plan. Regence and Moda coming soon. We verify your benefits before you start so you know exactly what your plan covers. For out-of-network plans, we provide detailed superbills for reimbursement.
Interest-free payment plans available. CareCredit accepted. HSA/FSA accepted. Sliding scale available for a limited number of clients. Book a consultation and we will walk you through every option.
Yes. Our full assessment is available via telehealth for anyone in Oregon. Same clinical interview, same standardized measures, same thorough report. Research supports telehealth-based ADHD assessment as equally valid and reliable. Telehealth does not mean less thorough. It means more accessible.
Then you will know, and that is still genuinely valuable. We screen for anxiety, depression, PTSD, and other conditions that can mimic or co-occur with ADHD symptoms. You leave with a clear picture of what is actually going on, regardless of whether the answer is ADHD. Many people find real relief in finally having clarity after years of wondering.
No. Questionnaires are one component of a multi-method evaluation. The clinical interview, observer data, developmental history, and integrated CAST scoring make this a real assessment, not a longer version of a screening. A questionnaire by itself cannot diagnose ADHD. A comprehensive evaluation can.
No. Psychologists diagnose and treat through therapy and assessment. We do not prescribe medication. But if medication is warranted, your report gives your prescriber everything they need to make informed decisions: diagnosis, severity, symptom profile, and specific recommendations. We can also help you find a prescriber if you do not have one.
Those are screeners. They tell you whether further evaluation might be warranted, not whether you actually have ADHD. Our assessment uses multiple validated instruments, a structured clinical interview, observer data from someone who knows you well, and proprietary CAST scoring with age-normed thresholds. A screener is a thermometer. This is the full diagnostic workup.
ADHD can look very different in adults than it did in childhood. We evaluate your current functioning using adult-specific instruments and age-normed thresholds. Your needs at 35 or 55 are not the same as they were at age 10. A current evaluation gives you an updated picture and recommendations that match your life right now.
Absolutely. Many older adults are exploring ADHD for the first time because awareness did not exist when they were young. Age-related changes can also unmask ADHD that coping strategies previously kept hidden. Our CAST scoring uses age-normed thresholds specifically designed for this situation. We also differentiate ADHD from other cognitive changes, a question that becomes especially important after 60.
Choose your own adventure. Want to ask a question first? Send us a message. Ready to dive in? Book a time that works for you.