Adult ADHD Evaluations in San Antonio
When you’ve spent years wondering why certain things have always felt harder than they should.
Understanding ADHD starts with more than what you’re experiencing today. We look at your history, including childhood experiences and long-standing patterns, to better understand what may be contributing to the difficulties you’re experiencing now.
Serving adults in San Antonio and throughout Texas virtually.
ADHD Is More Than a Checklist
An ADHD evaluation isn’t just about matching your current experiences to a list of symptoms.
We look at the bigger picture, including your childhood history, patterns over time, how things have shown up across different parts of your life, and the ways you may have learned to compensate along the way.
We also consider other factors that can affect attention, organization, emotional regulation, and follow-through. Looking at the full picture helps us better understand where these difficulties come from and what might actually be helpful moving forward.
Sometimes the most helpful question isn’t just, “Do I have ADHD?” It’s “What’s actually been going on all this time?”
What We Look At
ADHD can look different from person to person, which is why I don’t want to reduce your experience to a checklist.
We’ll look at what you’ve noticed in your life now, what things were like growing up, and the ways you’ve learned to manage or compensate along the way.
“Why is it so hard for me to just get started?”
We may look at procrastination, getting started on tasks, staying organized, managing time, or following through even when you genuinely want to.
“Why can I focus so well sometimes and completely lose it other times?”
We’ll look at attention, distractions, interest, mental effort, and what happens when something feels repetitive or demanding.
“Was this always part of me?”
Your childhood and developmental history matter.
We’ll look at what teachers, parents, caregivers, and you may have noticed earlier in life, rather than only looking at how things feel now.
“Why does everything seem to take so much effort?”
We’ll also look at the ways you may have learned to compensate, overprepare, rely on routines, or work harder than other people may realize.
“What else could be affecting me?”
Attention and executive functioning can be affected by many things, so we’ll consider the broader picture and how different experiences may overlap.
“Why can I do something one day and completely struggle with it the next?”
Inconsistent performance can be frustrating and confusing. We’ll look at what may affect your ability to start, focus, follow through, or manage tasks from one day to the next.
I don ’t believe an ADHD evaluation should feel like checking boxes and waiting for a score.
My approach is neurodiversity-affirming and individualized because no two people experience ADHD, attention difficulties, or executive functioning challenges in exactly the same way.
I take time to understand your full story, including your current concerns, childhood history, patterns over time, strengths, and the ways you may have learned to adapt or compensate.
I also keep the bigger context in mind. Things like stress, sleep, anxiety, or life experiences can affect how attention and executive functioning show up, so it’s helpful to understand what else may be going on around the concerns you’re bringing in.
Most importantly, I see the person before the symptoms. The goal isn’t to reduce you to a diagnosis or a score. It’s to help you better understand your own experience and what may be contributing to it.
My hope is that you leave the evaluation with more clarity, a better understanding of yourself, and a clearer sense of what may help next.
My Approach
What the Process Looks Like
Start with a consultation
We’ll talk about what’s been going on, what led you to consider an ADHD evaluation, and what you’re hoping to understand. This is also a chance to make sure an evaluation makes sense for what you’re looking for.an evaluation feels like the right fit.
Complete questionnaires & gather information
You’ll complete several questionnaires and provide information about your current concerns and history. Some questions will also focus on childhood and earlier experiences, since understanding what things looked like over time is an important part of an ADHD evaluation.
Clinical interview & evaluation
We’ll spend time talking through your experiences in more detail and looking at how attention, executive functioning, and related concerns have shown up across your life. I’ll bring everything together rather than relying on a single questionnaire or score.
Feedback & results
We’ll meet to review the findings, talk through what they mean, and discuss recommendations based on what we learned. You’ll also have the opportunity to ask questions and make sure the results actually make sense to you.
Next steps
Whether the evaluation supports an ADHD diagnosis or points us in another direction, we’ll talk about what may be helpful from here.
An ADHD evaluation is about more than what you’re noticing right now. We’ll take time to look at the story behind those concerns and how they’ve shown up across your life.
Your experience now
What has been feeling difficult lately, and how those concerns are affecting work, school, relationships, and everyday life.
Your childhood & developmental history
What things were like growing up, including attention, organization, behavior, school experiences, and patterns that may have been noticeable earlier on.
How you’ve learned to manage
The routines, reminders, over-preparing, masking, or other strategies you may have developed to keep yourself on track.
Your strengths
The things that come naturally to you, what you’re good at, and the ways you’ve learned to work with your own brain.
Your goals for the evaluation
What you’re hoping to understand, what questions you’ve been carrying, and what you want to be able to do with the information afterward.
What We Explore Together
Considering an ADHD Evaluation?
ADHD evaluations are offered as a private-pay service and are not billed through insurance because my insurance contracts do not cover ADHD evaluations provided by master’s-level clinicians.
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