Adult ADHD Testing and Evaluation in Texas

You have probably been wondering about this for years

Almost nobody books an adult ADHD evaluation on a whim. Usually something has been building for a long time. You got through school on adrenaline, deadlines, and a good memory. Then the job got bigger, or the second kid arrived, or the systems that used to hold everything together quietly stopped working.

From the outside you may not look disorganized at all. That is often the problem. The exhaustion comes from the effort it takes to look organized, and nobody sees that part.

Some people arrive here by a different route: their child was evaluated, they sat through the feedback session, and they recognized themselves in most of it.

A lot of our adult evaluations start with a child’s

ADHD tends to run in families, so this happens constantly. A parent sits in on their child’s feedback session, hears the description of how that child’s attention actually works, and goes quiet. Then they ask, carefully, whether adults can be tested too.

They can, and we do it in the same practice, to the same standard, ages 6 through 55. That matters more than it sounds. When we have evaluated both people, we can talk about what the pattern means for the family: which strategies will realistically work in your house, what to expect as your child gets older, and how to keep an adult’s own diagnosis from turning into guilt about their kid’s.

What an adult evaluation actually involves

Every evaluation is conducted by Dr. Kiersten Sippio, PsyD, a neuropsychologist who completed a two-year postdoctoral residency in neuropsychology. It includes:

• A diagnostic interview covering how attention, memory, and follow-through work in your actual life, not in the abstract.
• Developmental and academic history. A diagnosis requires evidence the pattern began early, which surprises most adults. We will talk about what you remember and who else might remember it.
• Standardized rating scales completed by you and, where possible, by someone who has known you well for a long time. Self-report alone is a weak instrument in adults, and outside perspective changes the picture more often than people expect.
• Objective, performance-based testing of attention and processing, so the conclusion rests on direct data rather than questionnaires.
• Screening for what mimics ADHD. Anxiety, depression, poor sleep, and a genuinely overloaded season of life all produce attention problems that feel identical from the inside.
• A written report and a live feedback session, so you leave understanding what the results mean and what to do next.

What our virtual evaluation can and cannot include

We would rather tell you this before you pay for anything than after.

It can include: a diagnosis of ADHD, a clear picture of how it affects your work and daily functioning, screening for the conditions that mimic it, treatment planning, and a report your prescriber can act on.

It cannot currently include: a complete cognitive battery with a Full Scale IQ. Some measures, processing speed in particular, need an in-person component that our virtual model does not yet support. The same applies to broader learning disorder assessment in written expression and mathematics.

That distinction matters most in one situation. If you need documentation for a high-stakes professional or graduate exam, those bodies usually want the full cognitive battery, processing speed included. Say so on your consultation call and we will tell you honestly whether we can give you what you need. Sometimes the answer will be no, and it is better to hear that in a free fifteen-minute call than three months into an application deadline.

What the answer is actually worth

Adults sometimes ask whether a diagnosis at 41 changes anything. It changes several things.

It gives a prescriber objective data instead of a self-report, which is frequently the missing piece in a stalled medication conversation. It redirects therapy toward executive function and the specific places you lose time, rather than another round of trying harder. It gives you language for a conversation at work. And for a lot of people the largest effect is the quietest one: a rereading of twenty years of personal history that they had filed under laziness.

How it works

1. A free 15-minute consultation. We talk about what you are noticing and whether an evaluation is the right next step. No charge, no pressure.
2. Intake interview and rating scales. Appointments are typically available within one week of that first call.
3. The testing session, from your own home, anywhere in Texas.
4. Report and feedback session about two to three weeks after testing, with Dr. Sippio available by phone afterward to talk through any case she has evaluated.

A comprehensive ADHD evaluation is $2,200. Evaluations are HSA and FSA eligible, and we provide a superbill for possible out-of-network reimbursement. We are in network with Aetna, UnitedHealthcare, Optum, and Blue Cross Blue Shield of Texas.

A report that holds up outside our office

Plenty of adults need more than an answer. They need it documented, because the report is going to be read by someone else: a prescriber who wants objective data before a medication conversation, a physician coordinating care, or a professional body that asks for current, comprehensive documentation. We write every report with that reader in mind: validated measures, a full clinical history, and findings explained in the language other professionals expect.

If you need the report for something specific, say so on your free consultation call. We would rather tell you up front exactly what our evaluation can document, and what it cannot, than have you find out after the fact.