How to Get Tested for ADHD as an Adult: Complete Evaluation Guide - Part 2

cost without insurance? Costs vary significantly based on provider type and evaluation comprehensiveness. A basic psychiatric evaluation might cost $200-500, while comprehensive neuropsychological testing can range from $3,000-5,000. Many adults find that a thorough evaluation by a psychologist specializing in ADHD, typically costing $800-1,500, provides the best balance of thoroughness and affordability. Always ask about payment plans, sliding scales, or reduced-fee options. Q: Can I get accurately diagnosed through online/telehealth services? Yes, when conducted by qualified providers using evidence-based assessment methods. Legitimate telehealth services conduct thorough interviews, use validated rating scales, and gather comprehensive history. However, be cautious of services promising diagnosis in under 30 minutes or those that seem primarily focused on medication prescriptions. Look for providers who are licensed in your state and follow established diagnostic guidelines. Q: What should I do if the first provider dismisses my concerns? Trust your instincts and seek a second opinion. Many adults, particularly women and high achievers, face initial dismissal. Document why you disagree with the assessment and seek a provider who specializes in adult ADHD. Common red flags include providers who say you "can't have ADHD because you graduated college" or who refuse to consider ADHD because you have anxiety or depression (which often co-occur with ADHD). Q: Do I need to stop taking antidepressants or anxiety medication before testing? Generally, no. Most providers prefer to evaluate you in your typical state, including current medications. Be honest about all substances you use, including caffeine and alcohol, as these can affect symptoms. Some computerized attention tests may require temporary medication adjustments, but this should be discussed with your provider beforehand. Never stop psychiatric medications without medical supervision. Q: How far back do I need to remember childhood symptoms? While DSM-5 criteria require symptom onset before age 12, many adults struggle with childhood memories. Focus on patterns rather than specific incidents. Old report cards, family stories, or school records can help, but aren't mandatory. A skilled evaluator can often identify childhood symptoms through careful questioning about your developmental history and coping mechanisms. Q: What if I'm diagnosed with ADHD but don't want medication? Diagnosis doesn't obligate you to any specific treatment. Many adults successfully manage ADHD through therapy, coaching, lifestyle modifications, and accommodations. Diagnosis provides access to these non-medication supports and helps you understand your brain. You can always revisit medication options later if desired. The key is having accurate information to make informed decisions about your treatment. ### Resources and Next Steps After reading this chapter, you're equipped with the knowledge to begin your ADHD evaluation journey. The path forward requires translating this information into action, which we know is challenging with ADHD. Here's your simplified action plan: This Week: Choose one small step – perhaps documenting symptoms or checking insurance coverage. Set a phone reminder for a specific time to complete this task. Celebrate when done, no matter how small it seems. Next Two Weeks: Research three potential providers. Don't aim for perfection – "good enough" is sufficient. Create a simple comparison (name, wait time, cost) and choose one to contact. If phone calls are difficult, draft an email template you can send to multiple providers. Within a Month: Schedule an evaluation, even if the appointment is months away. Having it on the calendar provides structure and commitment. Use the waiting time to gather documentation and continue symptom tracking. Support Resources: - CHADD (chadd.org): Comprehensive information and provider directory - ADDA (add.org): Adult-focused resources and virtual support groups - Reddit r/ADHD: Peer support and shared experiences - Local ADHD support groups: Check Psychology Today or Meetup - University psychology clinics: Often offer reduced-cost evaluations Financial Resources:** - Open Path Collective: Reduced-fee therapy and assessment - HRSA health centers: Federally qualified health centers with sliding scales - Employee Assistance Programs: May cover initial assessment - Psychology training clinics: Supervised evaluations at reduced cost Remember, seeking ADHD evaluation is an act of self-compassion, not self-indulgence. Whether your journey leads to an ADHD diagnosis or other answers, understanding your brain is the first step toward building a life that works with your neurology rather than against it. The next chapter will help you understand the different types of providers and how to choose the right one for your needs.