The strategies that used to work for you have stopped working. The all-nighters that powered you through college, the adrenaline of a fast-approaching deadline, the morning coffee and the longer-than-it-should-be commute that let you mentally rehearse the day: those systems carried you through your twenties, and somewhere in the past few years they stopped carrying you. The work has gotten more complex, the stakes have gotten higher, the recovery from a sleepless night takes three days instead of one, and the systems are buckling under what they used to handle without much effort.

You start a task you've done a hundred times and can't make yourself begin. You sit down to write an email and forty minutes later you've reorganized your desk, opened seven browser tabs about something else, and the email is still blank. You set deadlines for yourself that come and go, you tell yourself you'll do better tomorrow, and tomorrow becomes a week, and a week becomes a quarter, and the project you were excited about three months ago is now the thing you're dreading.

Your work life is built on visible competence and invisible chaos. People who work with you think you're fine, or better than fine, because the output happens, eventually, often impressively, almost always at the last possible moment. What they don't see is the cost: the weekends you spent catching up, the morning panic about a meeting you forgot to prep for, the hours between 11pm and 2am when you finally have the focus to do what you should have done at 2pm.

Your home life carries the rest. Your partner has learned that what you say you'll do and what ends up getting done are two different things, and they've adapted by quietly taking over the logistics: appointments, school forms, bills, the ongoing mental list of when the dog needs his medication and when the car needs its oil change. They might not say anything anymore, but the imbalance is there, and it's been corroding the relationship in a way that neither of you has fully named.

You've probably been treated for anxiety, depression, or both, and both are real. But the treatment touched the edges and never reached the engine: the focus problem, the time-blindness, the inability to convert intention into action no matter how much you care about the outcome. You've started to suspect ADHD might be underneath it, and the suspicion has been with you long enough that it's starting to feel like cowardice not to find out.

The story you've been telling yourself about all of this hurts more than anything else: that you're lazy, undisciplined, not as capable as people thought. That story has been going on for years, and it's exhausting.

You stop wondering. The question that's been with you for years (do I have ADHD or is something else going on) gets answered through a structured clinical assessment. The diagnostic impressions are documented in writing. Whether the answer is ADHD, something adjacent, or something else, you walk away with clinical clarity instead of another month of suspicion.

The story that's been the loudest part of all of this (lazy, undisciplined, not as capable as people think) gets a different explanation, one that comes from a clinician who's just spent two hours assessing your specific picture. The story doesn't disappear overnight, but each future forgotten thing stops going automatically into the same old pile.

You bring the report home and your partner finally has clinical language for what they've been seeing for years. The conversation about the forgotten dentist appointments, the unreturned calls, the bills you said you'd handle can start somewhere different than it usually does. Where it goes from there is up to you both. What you don't have to keep doing is having the conversation from inside the lazy-or-don't-care frame.

You walk into your next annual review with clinical language for what your manager has been calling "inconsistent." Whether you choose to share the report or just use the framework to think differently about the feedback, the meeting doesn't have to land the same way it has every year. "Has so much potential" has a different meaning when you understand the structural reason the potential hasn't been getting realized.

You take the report to a prescriber and the medication conversation has structure instead of you trying to advocate for your symptoms from scratch. Whether stimulant medication is appropriate for your situation, and whether it works if you try it, is between you and your prescriber. The final prescribing decision rests with the medical provider. What changes is that you stop being one of many patients describing vague concerns and become a patient bringing a clinical document.

The next career conversation, with your manager, your partner, or yourself, has a clear-eyed read on what your specific brain does well and doesn't. The job decisions you've been making blind start to have criteria. The workbook offers strategies you can try (body doubling, externalized deadlines, breaking tasks down to the smallest possible first step) and the report itself becomes a starting point for working with a therapist or coach who specializes in adult ADHD.

The assessment takes place over secure, HIPAA-compliant video in a single two-hour appointment. We talk through your current symptoms, how things have been since you were a kid, and how all of it shows up at work, at home, and in your relationships. The conversation follows a structured framework while staying conversational, meaning I work through a defined set of topics but let your specific story shape the questions.

The framework I use is called the DIVA-5, the standard tool used in research and specialty clinics to evaluate adult ADHD. It walks through focus, follow-through, restlessness, impulsivity, and how those have shown up across different parts of your life through specific real-life examples instead of abstract questions. I also ask about anxiety and depression, since those often go hand-in-hand with ADHD and can muddy the picture if we don't look at them together.

By the end of the appointment, we have a thorough picture of how your brain works and whether ADHD is driving the symptoms you've been living with. I take the next 7 to 10 business days to score the interview, write up the findings, and deliver your written report.

A two-hour diagnostic interview conducted over secure video. We walk through your current symptoms, childhood history, functional impacts across work, home, and relationships, and screen for co-occurring conditions that can mimic or overlap with ADHD.

A comprehensive written report delivered within 7 to 10 business days. The report includes diagnostic findings, functional impacts, your strengths and compensatory strategies, and personalized recommendations. It's written in plain language you can understand and clinical language a prescriber or therapist can work with.

An ADHD tools workbook with practical strategies for focus, organization, time management, and emotional regulation that you can start using right away, regardless of whether ADHD turns out to be the answer.

If the assessment confirms ADHD, the report becomes your entry point to medication conversations with a psychiatrist, nurse practitioner, or primary care physician. You can also share it with a therapist or ADHD coach so they're working from a specific clinical baseline.

If the assessment doesn't confirm ADHD, the report explains what is and isn't driving the symptoms you've been experiencing and recommends what to pursue next. Either way, you walk away with answers.

Flat fee: $900. This includes the two-hour diagnostic interview, two hours of clinician scoring and report writing, and the ADHD tools workbook. Payment is due at booking; this is a private-pay service.

Report delivered securely by email within 7 to 10 business days after your appointment.

One session, one report, a clear answer and a path forward.

This assessment is not designed for: children or teens, formal workplace or academic accommodations, disability determinations (SSDI, SSI, private disability claims), court-ordered or forensic evaluations, or a full neuropsychological evaluation. Each of those requires a different type of assessment. If you need any of them, I'll provide referral options.

Can I do this assessment online from anywhere in New York? Yes. I'm licensed to provide telehealth services to adults throughout New York. The assessment takes place over a secure, HIPAA-compliant video platform.

Will I get a clear answer about ADHD from this assessment? Yes. If your symptoms meet DSM-5 criteria for ADHD, the report documents diagnostic impressions of ADHD with clinical rationale, including how the criteria are met. If they don't meet criteria, the report explains what the assessment found, what else may be driving the symptoms, and recommended next steps.

Can my doctor use this report for medication decisions? Many prescribers, including psychiatrists, nurse practitioners, and primary care physicians, accept a thorough clinical assessment as part of their decision-making process for ADHD medication. The final prescribing decision rests with the medical provider.

How is this different from online ADHD quizzes? Online quizzes are brief screening tools that suggest whether ADHD might be present. This is a comprehensive clinical assessment conducted by a licensed clinician, using the DIVA-5, a validated diagnostic interview mapped to DSM-5 criteria. It's a thorough, structured diagnostic evaluation that results in a written report with clinical findings, functional impacts, and recommendations.

What can I use the report for, and what is it NOT for? The report supports prescriber conversations about ADHD medication, gives a therapist or ADHD coach a specific clinical baseline, and provides you with a detailed understanding of your own ADHD profile.

Important: this report is NOT designed to support:

• Formal workplace accommodations (ADA requests for extra time, schedule changes, or other modifications at your job)

• Academic accommodations (extra time on tests, note-taking support, or other modifications at school or in college)

• Disability determinations (SSDI, SSI, or private disability insurance claims)

• Court-ordered or forensic evaluations

Each of those typically requires a full neuropsychological evaluation, which is a more extensive process involving multiple appointments and standardized cognitive testing. If you need an evaluation for any of those purposes, please tell me before booking and I'll refer you to a qualified provider.

Do you accept insurance? No, this is a private-pay service. The flat fee covers the full assessment, report, and workbook.

How soon will I get my report? Within 7 to 10 business days after your appointment.

I provide online adult ADHD assessments to residents throughout New York, including Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Yonkers, White Plains, New Rochelle, Mount Vernon, Hempstead, Babylon, Huntington, Smithtown, Albany, Buffalo, Rochester, Syracuse, Schenectady, Binghamton, Poughkeepsie, Newburgh, Saratoga Springs, Ithaca, and all surrounding communities.

If you live anywhere in New York, I can work with you.

Online Adult ADHD Assessment in Florida, Washington D.C., Connecticut, Delaware, New Jersey, New York