Comprehensive Diagnostic Evaluations
Trauma-informed diagnostic evaluations for ages 5 and up, available in Texas only, in-person in San Antonio and New Braunfels, or online.
When You Need to Understand What's Actually Going On
When you've been struggling with focus, emotions, relationships, learning, or patterns that never seem to fully shift, you may have spent a lot of time trying to figure out what's actually going on. Sometimes you've already been given a diagnosis. Sometimes you've completed checklists or brief screenings and still don't feel like they explained what you were experiencing.
My evaluations go beyond a surface-level screening. Using a trauma-informed approach, the goal is to understand the full picture: mental health, neurodevelopment, nervous system patterns, learning differences, and the experiences shaping how you function, cope, and move through the world. The goal isn't simply to name a diagnosis. It's to understand how the pieces fit together and give you information you can actually use.
A Trauma-Informed Approach to Evaluation
Unlike brief screenings or one-size-fits-all evaluations, my assessments are thorough and relational. I look at the full context, not just the symptoms. That means I consider:
- Your personal, cultural, and family background
- Education and work history
- Medical and mental health history
- The impact of trauma, moral injury, burnout, or chronic stress
- Environmental and systemic factors that may be contributing to what you're experiencing
You bring your history, and I take all of it into account — not just the parts that fit a checklist.
What I Evaluate
Neurodevelopmental Differences
Learning Disorders / Learning & Achievement Concerns
Trauma-Related Conditions
Mood Disorders
OCD + Related Concerns / BFRBs
Substance Use Disorders
Our Evaluation Process
Start with the 30-minute New Client Consultation. It is a standalone first conversation, not a diagnostic evaluation, final evaluation recommendation, or testing appointment, and the fee is not credited toward the evaluation. From there, I’ll determine the appropriate evaluation pathway and scope through the evaluation process. The applicable deposit is due when the evaluation is booked and is applied to the total evaluation fee.
Most evaluations are completed within a week, start to finish, once the evaluation itself begins. You will not be left waiting in uncertainty for weeks on end.
- 01
Clinical Interview(s)
Unhurried, in-depth conversations to hear your experiences, symptoms, and concerns, in your own words, at your own pace. - 02
Standardized Assessments
Evidence-based tools chosen for accurate, reliable results. - 03
Behavioral & Emotional Questionnaires
Self-report measures and, when helpful, collateral input from family or colleagues. - 04
Records Review
School transcripts, medical history, prior testing, or legal/occupational documents, when relevant. - 05
Collateral Interviews (Optional)
With your permission, conversations with family members, educators, or healthcare providers to round out the picture. - 06
Your Comprehensive Report
A detailed, plain-language written report that's clear, strengths-based, and actually usable, not a stack of jargon you need a translator for.
- Findings and diagnostic impressions explained without jargon
- Your capabilities and protective factors, named alongside the challenges
- Specific recommendations tailored to your needs, environment, and goals
- Documentation that can inform therapy, coordinate medical care, support school or workplace accommodations (IEP/504), or guide your own understanding and next steps
What Happens With the Report Afterward
The report is entirely yours. You're free to use it however feels right, whether that's a school, a workplace, or simply for your own understanding of yourself. If you're working with a prescriber, I'm also glad to provide the report directly to them, to support the care you're already building.
Why an Evaluation Matters
A diagnosis is useful when it helps explain what you're experiencing and what to do next. Understanding why you experience what you experience opens the door to the right resources, strategies, and support, and for a lot of people, a comprehensive evaluation brings real relief: validation, and the experience of someone actually getting it right, maybe for the first time in a long time.
I don't hand you a report and send you on your way. If you want, we can also:
- Review your results together in detail, so you actually understand them, not just receive them
- Talk through next steps for therapy, coaching, or medical care
- Get referrals to trusted professionals and services
- Schedule follow-up consultations as you put new supports in place
Whether you're seeking clarity for yourself, your child, or for educational, occupational, or treatment-planning reasons, my goal is to make this process respectful and thorough. What you get at the end is an actual explanation of what you have been experiencing, and recommendations that fit your specific situation — not just a diagnosis code.
If you're also exploring therapy for your child or family, learn more about kids + families therapy.
Investment
Full pricing detail lives on the Fees & Investment page. Deposits are applied toward the total evaluation fee. All evaluations include a comprehensive written diagnostic report with individualized recommendations and a 30-minute report review session; ages 5+. I evaluate children, teens, and adults.
ADHD Evaluation
$1,200
$400 deposit. May include clinical interviewing, standardized ADHD measures, collateral information when appropriate, and differential diagnostic assessment.
Autism Evaluation
$1,800
$500 deposit. May include comprehensive clinical interviewing, standardized autism-related measures, collateral information when appropriate, and differential diagnostic assessment.
AuDHD Evaluation
$2,400
$600 deposit. Integrated evaluation of autism and ADHD, with broader differential assessment when clinically indicated.
Comprehensive Diagnostic Evaluation
$2,000–$3,500
$600 deposit. Individualized for complex, overlapping, or multiple diagnostic questions. The final fee depends on scope, assessment battery, records/collateral requirements, and diagnostic complexity.
Leave With Answers, Not Just a Label
If you're considering an evaluation, start with the 30-minute New Client Consultation. We'll talk about what you're hoping to understand, and I'll explain the evaluation pathway and next scheduling step from there.