You start every week with the intention of staying on top of things, and by Wednesday the wheels are already coming off. The inbox you cleared on Monday has forty unread messages. The project you planned to chip away at daily hasn't been touched. You've paid one bill but forgotten three others, and you only realize it when the second notice arrives. None of this is new. This has been repeating for as long as you can remember, and the only thing that changes is how exhausted you are from fighting it.

The hard part is the effort that nobody sees: the productivity systems you've built and rebuilt, the apps you've downloaded and abandoned, the morning routines that worked for two weeks and then collapsed. You watch other people manage their lives with what looks like minimal effort, and you can't understand what they have that you don't.

At work, your output swings between impressive and inexplicable. When something captures your interest, you can focus on it for hours without breaking. When it doesn't, you struggle to sustain attention for ten minutes. You've learned to front-load the interesting work and push the routine tasks until they become emergencies, which means your career follows a cycle of coasting and crisis that you can feel but can't seem to break.

The people closest to you bear the weight of what your brain drops. Your partner picks up the pieces you leave behind, the appointment you forgot, the errand you said you'd handle, the plan that slipped out of your head within an hour of making it. They might not say anything anymore, but the dynamic is clear: one of you is carrying the logistical load of the household, and it's not you. If you have kids, the stakes feel higher. Missing a school event or forgetting a permission slip registers as a parenting failure that stays with you.

You might have a therapist who's been working with you on anxiety, and the anxiety is real, but it sits on top of something else. The racing thoughts, the chronic overwhelm, the sense that your brain has more tabs open than it can handle, those don't fully respond to anxiety treatment because anxiety may not be the root cause. You've started to wonder whether ADHD is underneath it all, but you haven't known how to find out without committing to a lengthy, expensive evaluation process.

The story you tell yourself about all of this is the most damaging part. You've internalized the idea that you're disorganized because you don't care enough, that you're late because you don't respect other people's time, that you can't follow through because you lack discipline. That narrative has been shaping your self-image for years, and you can't replace it until you know what the right explanation is.

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.

You stop adding every missed deadline and forgotten errand to the lazy-undisciplined column. The story you've been telling yourself since middle school (that you're not trying hard enough, that you lack discipline, that you're not as capable as people think) has a different explanation. The next time you forget something, the meaning of the forgetting changes, even if the forgetting itself doesn't stop right away.

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.

The end-of-year review stops being the meeting you dread for two weeks beforehand. The same feedback you've been getting (great when engaged, slow to start, brilliant on the projects that catch you) has an explanation that doesn't end with "try harder." You walk into the meeting knowing what's underneath the feedback, which changes what you hear and what you say back.

The report becomes the document you bring to your psychiatrist or primary care provider. The medication conversation finally has a clinical foundation. The anxiety treatment that helped some but didn't reach the underlying focus problem can be recalibrated around what's underneath it, if your prescriber decides that's appropriate. The final prescribing decision rests with your medical provider, but the conversation starts from a different place.

The career questions you've been making decisions on blind start to have criteria. You know which work conditions consistently fail you (open-ended deliverables, self-directed timelines, work that requires you to invent your own structure) and which ones consistently work (external deadlines, project-based assignments, a teammate counting on you). The workbook gives you strategies to try on your own, or to take into therapy or coaching. The work going forward has a starting point you didn't have before.

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 over secure video. A structured clinical conversation covering your current experience, your history, and how your symptoms affect your work, relationships, and daily functioning.

A comprehensive written report delivered securely within 7 to 10 business days. Includes diagnostic findings, functional impacts, compensatory strengths, and specific recommendations. Written clearly enough for you to use and clinically detailed enough for a prescriber or therapist to act on.

An ADHD tools workbook with strategies for focus, time management, organization, and emotional regulation. Useful immediately, whether or not the assessment confirms ADHD.

If ADHD is confirmed, the report gives you a documented starting point for medication conversations with a prescriber or ADHD-specific therapy and coaching. If it's not confirmed, the report explains what is driving your symptoms and recommends next steps. You leave either way with a clearer understanding of what's happening and what to do about it.

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.

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 Delaware? Yes. I'm licensed to provide telehealth services to adults throughout Delaware. 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? Yes. The report is formatted for clinical use. Many prescribers, including psychiatrists, nurse practitioners, and primary care physicians, accept a thorough clinical assessment as part of their evaluation process. Prescribing decisions are made by the medical provider.

How is this different from online ADHD screenings? Online screenings are brief tools that suggest whether ADHD might be present. This is a comprehensive clinical assessment using the DIVA-5, a validated diagnostic interview, conducted by a licensed clinician. It's a structured diagnostic evaluation. The written report documents your history, symptoms, functional impacts, and diagnostic findings.

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 documented clinical baseline, and provides you with a clear picture of your 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 $900 flat fee covers the assessment, report, and workbook.

When will I receive my report? Within 7 to 10 business days after your appointment.

I provide online adult ADHD assessments to residents throughout Delaware, including Wilmington, Dover, Newark, Middletown, Bear, Smyrna, Milford, Seaford, Georgetown, Lewes, Rehoboth Beach, Bethany Beach, Hockessin, Pike Creek, Claymont, and all surrounding communities.

If you live anywhere in Delaware, I can work with you.

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