Adult ADHD and Autism Evaluation, Online Across Texas

Yes, an adult can be evaluated for ADHD and autism at the same time, and when both are real questions, a combined evaluation is usually the better choice than testing one thoroughly and screening the other in passing. Little Dove Psychology offers combined ADHD and autism evaluations by secure video for adults through age 55 who are located in Texas. Evaluations are done by one of our neuropsychologists, Dr. Kiersten Sippio, PsyD, or Dr. Donald Caudle, PhD, and billed to Aetna, Blue Cross Blue Shield of Texas, Optum/UnitedHealthcare, and Oscar Health, or $3,000 self-pay. Appointments are typically available within one week. The practice is rated 5.0 on Google.

Why evaluate for both at once?

ADHD and autism overlap often, and some people have both. They also borrow each other's look. Losing the thread of a conversation can be attention, or it can be the work of reading a social situation in real time. A rigid routine can be a need for predictability, or a system someone built to keep a scattered day from falling apart. From the outside those look the same. A good evaluation sorts out which explanation fits, and that is hard to do when only one of them is on the table.

The most common version of half an answer I hear about goes like this: an adult was evaluated for ADHD years ago, started treatment, and some of it helped, but a piece never fit. A combined evaluation looks at the whole picture in one place, so the findings are integrated into one diagnostic picture instead of two partial ones.

Who usually asks this question?

Plenty of autistic people and plenty of people with ADHD are not identified in childhood, especially bright kids and girls who worked hard to fit in and managed well enough that nobody raised the question. It tends to surface later, when college, a bigger job, or a second child outgrows the effort that used to hold things together.

And sometimes it starts with a child. A parent sits in on their son's or daughter's feedback session, hears a description of how that child's brain works, and recognizes most of it. Then they ask, carefully, whether adults can be evaluated too. They can, in the same practice and to the same standard.

What a combined adult evaluation includes

• A diagnostic interview about how attention, social communication, and daily life actually work for you, not in the abstract.
• Developmental history. Both diagnoses require evidence the pattern began early, so we build that history from what you remember and, where possible, from a parent, sibling, or partner who knew you then or knows you well now.
• Rating scales completed by you and, when appropriate, by someone who knows you well. Outside perspective changes the picture more often than people expect.
• Autism-specific interviews and a structured autism observation.
• Objective attention and executive function testing, plus cognitive measures that are validated for remote administration.
• A look at what else could explain it, such as anxiety or depression, which can imitate either condition.
• A written report and a live feedback session, so you leave understanding what the results mean and what to do next.

What an online evaluation can and cannot include

We would rather tell you up front than have you find out afterward. Processing-speed and motor-dependent measures are not given by video, so we do not report a Full Scale IQ, though meaningful cognitive information still comes from the measures that are appropriate for remote administration. Learning-disorder assessment in written expression and mathematics also needs in-person testing. ADHD and autism themselves can be assessed well online, and your consultation covers exactly what your evaluation will include.

What can the results be?

ADHD, autism, both, something else, or a pattern of strengths and difficulties that does not fit neatly under either label. Each of those is a useful answer, because each points to different help: a medication conversation, therapy aimed at executive function, a different way of setting up work and home, or simply language for something you have been working around for years.

We are psychologists, so we do not prescribe. If the results support a medication conversation, the report gives your prescriber the objective data they need.

Cost, insurance, and timing

A combined ADHD and autism evaluation is $3,000 self-pay. An autism evaluation alone is $2,500 and an ADHD evaluation alone is $2,200. For members of our in-network plans, Aetna, Blue Cross Blue Shield of Texas, Optum (UnitedHealthcare), and Oscar Health, the evaluation is billed to insurance instead, and we verify your benefits and handle any prior authorization before anything is scheduled. Evaluations are HSA and FSA eligible. We do not accept Medicaid or CHIP. More detail is on our Fees & Insurance page.

Evaluation appointments are typically available within one week of your first call, with evening and weekend options. Your written report and feedback session follow about two to three weeks after the final testing session. You need to be located in Texas at each appointment, because testing requires Texas licensure and is not covered by PSYPACT.

How it works at Little Dove

1. A free 15-minute consultation with Dr. Kroll. Dr. Kristin Kroll, PhD, the founder, speaks with every family and adult client herself. We talk about what you are noticing and whether a combined evaluation, a single evaluation, or something else is the right next step.
2. A benefits check. Read us the plan name on your card and we verify your benefits and give you the expected cost before anything is scheduled.
3. Intake interview and rating scales, with appointments typically available within one week.
4. Testing by secure video with Dr. Sippio or Dr. Caudle.
5. Report and feedback session about two to three weeks after the final testing session.

Frequently asked questions about adult ADHD and autism evaluation

Can an adult get an assessment for both ADHD and autism?

Yes. Adults can be evaluated for ADHD and autism at the same time, and when both are real questions a combined evaluation is usually the better choice. Little Dove Psychology offers combined ADHD and autism evaluations by secure video for adults through age 55 who are located in Texas.

Can autism be diagnosed in adults online?

Yes, within a clearly defined scope. We assess autism remotely using a structured observation, interviews, rating scales, and cognitive measures with support for virtual administration. We do not report a Full Scale IQ, because processing-speed and motor-dependent measures are not given by video, and we tell you what your evaluation can and cannot include before you begin.

How much does a combined adult ADHD and autism evaluation cost?

A combined ADHD and autism evaluation is $3,000 self-pay. An autism evaluation on its own is $2,500 and an ADHD evaluation is $2,200. Each includes testing, scoring, record review, interpretation, a written report, and a live feedback session, and evaluations are HSA and FSA eligible.

Does insurance cover an adult ADHD and autism evaluation?

For members of our in-network plans, Aetna, Blue Cross Blue Shield of Texas, Optum (UnitedHealthcare), and Oscar Health, the evaluation is billed to insurance instead of the self-pay rate. We verify your benefits and handle any prior authorization before anything is scheduled. We do not accept Medicaid or CHIP.

Do I need someone from my childhood to take part?

It helps but it is not required. Both diagnoses need evidence that the pattern started early, so we build the developmental history from what you remember and, where possible, from a parent, sibling, or partner. Old report cards help if you have them, but you do not need decades-old records.

I already have an ADHD diagnosis. Can I still be evaluated for autism?

Yes. Bring any earlier evaluation and we will review it. On the free consultation we talk through whether an autism evaluation on its own or a fresh combined evaluation answers your question better.

Who can be evaluated?

Adults through age 55, as well as children 6 and older and teens, who are located in Texas at the time of the appointment. Testing requires Texas licensure and is not covered by PSYPACT, so we cannot evaluate clients outside Texas.

Dr. Kristin Kroll, PhD is a licensed psychologist and the founder of Little Dove Psychology, a virtual group practice based in Austin, Texas (Little Dove Consulting PLLC). Her clinical background includes pediatric hospital settings at Children's Wisconsin and an academic appointment at the Medical College of Wisconsin, and she is the author of Pediatric Psychology in Clinical Practice (Cambridge University Press, 2020). Patterns described on this page are general clinical patterns, not specific cases. This page is general information, not clinical advice. In a crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.