Adults with ADHD may struggle with attention, organization, time management, working memory or completing tasks despite intelligence, motivation and considerable effort.
Bright Future Psychology provides private adult ADHD evaluations with virtual and in-person options. Our assessments examine attention and executive functioning while considering learning, memory, emotional and developmental factors that can produce similar difficulties.
Evaluations may also provide documentation relevant to college, university, admissions-test and professional licensing-examination accommodation requests.
Appointments are generally available within 1–2 weeks. Written reports are typically completed approximately one week after testing.
Some adults were not evaluated during childhood because their symptoms were subtle, their academic performance was adequate or they developed effective ways to compensate.
Adults commonly seek an evaluation because they:
• Have difficulty sustaining attention during lectures, meetings or reading
• Frequently procrastinate until deadlines become urgent
• Start projects but struggle to finish them
• Lose track of appointments, assignments or responsibilities
• Have difficulty organizing tasks and managing time
• Make avoidable mistakes despite understanding the material
• Feel overwhelmed by multistep tasks
• Struggle to retain verbal instructions
• Need unusually intense effort to remain organized
• Perform inconsistently in college, graduate school or professional training
• Have difficulty completing timed examinations
• Suspect that anxiety or low motivation does not fully explain their difficulties
• Need updated diagnostic documentation or testing-accommodation documentation
These concerns do not automatically indicate ADHD. A comprehensive evaluation considers other possible explanations.
A careful evaluation examines current symptoms, developmental history and functioning across important areas of life.
Depending on the referral questions, assessment may include:
• Sustained attention and concentration
• Impulsivity and response control
• Working memory
• Processing speed
• Planning and organization
• Cognitive flexibility
• Time management
• Emotional regulation
• Cognitive abilities and reasoning
• Learning and memory
• Academic achievement
• Reading, writing and mathematics
• Anxiety, depression and related emotional concerns
• Developmental, educational and treatment history
• Previous accommodations and interventions
No single questionnaire or computer task can diagnose ADHD. Conclusions are based on the complete pattern of history, observations, test findings and functional difficulties.
Focused Adult ADHD Evaluation — $1,700
This option is designed for adults whose primary concern is possible ADHD and whose presentation does not appear to require a broad learning or neuropsychological evaluation.
It generally includes:
• Clinical interview and developmental history
• Review of available educational and clinical records
• ADHD and executive-function rating scales
• Targeted attention and executive-function testing
• Behavioral observations
• Diagnostic conclusions when supported
• Individualized recommendations
• Feedback consultation
• Written psychological report
Direct testing generally takes approximately 1–2 hours, although the total time may vary according to the referral questions and documentation needs.
Comprehensive Adult ADHD and Learning Evaluation — $3,500
A comprehensive evaluation is appropriate when attention difficulties occur alongside academic problems, memory concerns, suspected learning disabilities or more complex documentation needs.
The comprehensive evaluation includes:
• WAIS-5 cognitive testing
• D-KEFS executive-function testing
• CPT-3 attention testing
• Adult ADHD rating scales
• Executive-function rating scales
• Behavioral and emotional rating scales when clinically relevant
• Comprehensive academic achievement testing when indicated
• Cognitive-processing and memory measures
• Review of relevant educational and clinical records
• Feedback consultation
• Comprehensive written psychological report
The precise battery is selected according to the individual’s history, referral questions and the documentation requirements being addressed.
Assessment batteries are individualized. An adult will not necessarily receive every measure listed below.
Commonly used instruments include:
• Wechsler Adult Intelligence Scale, Fifth Edition (WAIS-5)
• Conners Continuous Performance Test, Third Edition (CPT-3)
• Delis-Kaplan Executive Function System (D-KEFS)
• Adult ADHD Self-Report Scale
• Conners adult ADHD rating measures
• Adult executive-function rating scales
• Behavior and emotional-functioning rating scales
• Wechsler Memory Scale
• Wechsler Individual Achievement Test, Fourth Edition (WIAT-4)
• Woodcock-Johnson Tests of Cognitive Abilities and Achievement
• Kaufman Test of Educational Achievement, Third Edition (KTEA-3)
• Additional attention, memory and cognitive-processing measures
Test selection depends on the individual’s history, presenting concerns and the purpose of the evaluation.
Executive functions are the mental processes used to plan, prioritize, begin tasks, monitor progress, manage time and regulate behavior.
An adult may understand what needs to be done yet struggle to translate that understanding into consistent action. These difficulties may appear as chronic procrastination, missed deadlines, disorganization, unfinished projects or dependence on last-minute urgency.
An ADHD evaluation examines whether these problems reflect clinically significant executive-function weaknesses and whether ADHD or another condition provides the best explanation.
ADHD and learning disabilities can occur together, but they affect performance in different ways.
ADHD may interfere with attention, consistency, organization and task completion. Learning disabilities directly affect the development or efficient use of skills such as reading, writing or mathematics.
Comprehensive testing can examine whether academic difficulties are related to ADHD, dyslexia or another learning disorder, or a combination of conditions. This distinction can be especially important when seeking college or standardized-testing accommodations.
Strong reasoning, memory or problem-solving abilities can sometimes mask ADHD. Some adults earn strong grades or complete advanced education by relying on intense effort, rigid routines, extensive preparation or last-minute pressure.
A history of achievement does not automatically rule out ADHD. The evaluation considers the amount of effort and compensation required, the consistency of performance and evidence that symptoms were present during the developmental period.
Anxiety, depression, sleep problems, trauma, autism, medication effects and medical conditions can produce concentration or executive-function difficulties that resemble ADHD.
ADHD can also occur alongside these conditions. A careful evaluation considers alternative and co-occurring explanations rather than assuming that every attention problem is ADHD.
Additional assessment or referrals may be recommended when the findings suggest another condition should be considered.
Colleges and universities may request current documentation before considering accommodations through their disability-services offices.
When supported by the findings, an evaluation may document:
• The diagnosed condition
• Relevant developmental and educational history
• Objective test results
• Current functional limitations
• The relationship between the limitations and requested accommodations
• Clinically appropriate recommendations
Possible recommendations may include extended testing time, reduced-distraction testing, breaks, assistive technology or organizational support. Each institution independently establishes its documentation requirements and determines eligibility.
Adults may seek ADHD evaluations when requesting accommodations for high-stakes standardized examinations.
Depending on the individual’s educational or professional path, documentation may be relevant to:
• SAT, PSAT and Advanced Placement examinations administered by College Board
• ACT examinations
• GRE examinations
• GMAT examinations
• LSAT examinations administered by LSAC
• MCAT examinations administered by the AAMC
• Medical and health-professions examinations
• USMLE and other medical licensing examinations
• Florida Bar Examination and other bar examinations
• Other professional certification and licensing examinations
Testing organizations establish their own documentation standards and make their own accommodation decisions. An evaluation cannot guarantee approval, a particular accommodation or a specific amount of extended time.
Applicants should review the receiving organization’s current requirements before scheduling and provide any prior evaluation and accommodation records.
ADHD is a neurodevelopmental condition, so an adult evaluation considers whether symptoms were present during childhood or adolescence even if no formal diagnosis was made at that time.
Helpful records may include:
• Previous psychological or educational evaluations
• School report cards and teacher comments
• IEP or Section 504 records
• Standardized test results
• Prior accommodation records
• College transcripts
• Treatment records
• Information from a parent or another person familiar with the individual’s childhood functioning
A lack of childhood records does not automatically prevent an evaluation, but available historical information can help establish the developmental course of the symptoms.
Adult ADHD evaluations may be completed virtually or in person, depending on the selected assessment measures, referral questions, client location and documentation requirements.
Clinical interviews, questionnaires and record review can generally be completed remotely. Direct testing may also be available virtually when the selected measures and circumstances support valid remote administration.
We will discuss the appropriate format during the initial consultation.
Following the evaluation, clients receive:
• A clear explanation of the results
• Diagnostic conclusions when supported
• Identification of cognitive and executive-function strengths
• Identification of attention, memory, learning or emotional concerns
• Individualized recommendations
• Accommodation recommendations when clinically appropriate
• Recommendations for treatment or additional services
• A written psychological report
• A feedback consultation
The goal is to explain the pattern behind the difficulties and provide useful next steps.
Free phone consultation
We begin with a brief consultation to discuss your concerns, the purpose of the evaluation and any documentation requirements.
Intake and records
You complete intake forms and provide relevant educational, clinical and accommodation records. If the evaluation is intended for a particular examination, provide that organization’s current documentation requirements whenever possible.
Testing
Testing may be completed virtually or in person, depending on the assessment measures, referral questions, client location and documentation requirements.
Feedback and written report
The findings are explained during a feedback consultation. Written reports are typically completed approximately one week after testing.
Can ADHD be diagnosed for the first time in adulthood?
Yes. Many adults were not identified during childhood. Because ADHD begins during the developmental period, the evaluation examines childhood history as well as current symptoms and functional difficulties.
Can one questionnaire or attention test diagnose ADHD?
No. Questionnaires and continuous-performance tests provide useful information, but no single measure can diagnose ADHD. Conclusions are based on clinical history, functional impairment, observations and the complete pattern of test findings.
What is the difference between focused and comprehensive testing?
Focused testing primarily examines ADHD symptoms, attention and executive functioning. A comprehensive evaluation also examines cognition, learning, memory, academic achievement and emotional functioning. Comprehensive testing is usually more appropriate for complex presentations or extensive documentation needs.
Can an adult ADHD evaluation be completed virtually?
Yes. Adult ADHD evaluations may be completed virtually or in person, depending on the assessment measures, referral questions, client location and documentation requirements. We will discuss the appropriate format during the initial consultation.
Will the report guarantee college or testing accommodations?
No. When clinically appropriate, the evaluation may document a diagnosis, current functional limitations and recommended accommodations. The college, university, testing organization or licensing authority independently reviews the request and determines eligibility.
Can the evaluation support an MCAT, LSAT or Florida Bar accommodation request?
The evaluation may provide relevant clinical documentation when the findings support a diagnosis and functional limitations. The AAMC, LSAC, Florida Board of Bar Examiners and other organizations apply their own documentation standards and independently decide whether accommodations will be approved.
Does insurance cover adult ADHD testing?
Bright Future Psychology can provide a superbill upon request. Reimbursement depends on the individual insurance plan, diagnosis, benefits and medical-necessity requirements. We cannot guarantee that an insurer will reimburse any portion of the evaluation.
How quickly can I schedule?
Appointments are generally available within 1–2 weeks. Written reports are typically completed approximately one week after testing.
If attention, organization, time management or inconsistent performance is affecting college, professional training or preparation for a high-stakes examination, an evaluation can clarify the reason and identify appropriate support.
Contact Bright Future Psychology to schedule a free phone consultation with a psychologist and discuss the adult ADHD evaluation that best fits your needs.
Bright Future Psychology
5633 Strand Blvd, Suite 311, Naples
Welcome! We offer free 20-min phone consultations. Looking forward to speaking with you to see how we can help.