This might be for you if
- You have long wondered whether ADHD explains how hard it is to focus, plan or finish things
- You lose track of time, appointments or belongings more than the people around you seem to
- Staying organized at work or at home takes far more effort than it looks like it should
- You were never evaluated as a child and the question has stayed with you
- You have been treated for anxiety or low mood and suspect that is not the whole picture
Why adults look into ADHD testing
Attention-deficit/hyperactivity disorder (ADHD) is not only a childhood condition. The National Institute of Mental Health describes it as a persistent pattern of inattention, hyperactivity and impulsivity, or some mix of these, that makes it hard to function in at least two areas of life, such as at home, school or work.
That source gives several reasons a person may reach adulthood without a diagnosis. Teachers and parents may not have recognized it. A supportive environment may have helped you do well in spite of it. Or a milder form may have been manageable until the demands of adult life grew. It adds that symptoms in girls and women are especially likely to have been missed in childhood.
What an ADHD evaluation looks at
The CDC states that there is no single test to diagnose ADHD and that diagnosis is a process with several steps. For adults, the National Institute of Mental Health describes what a provider looks for and how:
- Symptoms that began in childhood. Adults must have shown symptoms before age 12, so an evaluation relies heavily on reports of past behavior
- Symptoms across more than one part of life, such as home and work, that get in the way of daily functioning
- Interviews, rating scales or symptom checklists
- Sometimes, with your permission, a conversation with a partner, family member or friend who knows you well, or a look at old school reports
- Your mood and your current and past medical conditions, to rule out other explanations
Other things can look like ADHD
- The CDC notes that sleep disorders, anxiety, depression and certain types of learning disabilities can have similar symptoms
- If no one who knew you as a child is available, or you have no old records, tell us at your consultation
What an evaluation can and cannot tell you
We cannot tell you ahead of time what an evaluation will find. It may conclude that you have ADHD, that something else better explains what you have noticed, or that more than one thing is going on.
An evaluation does not come with a prescription. Locascio Wellness does not prescribe medication, and decisions about medication belong to a prescriber. We cannot say whether your prescriber will accept a report, so if that is why you want one, ask your prescriber exactly what they need before you book.
The same goes for a school, employer or testing agency. Requirements differ, and we cannot promise that any organization will accept a report. Ask whoever requested the evaluation what it must cover and who must sign it, and share that with us. If your questions are more about social communication or sensory experiences, see our autism evaluation page. This page is for adults; we also evaluate children and teens, as our child ADHD evaluation page explains.
How an online ADHD evaluation works
The evaluation is carried out entirely by secure video, and there is no office to visit. You need a phone, tablet or computer, an internet connection and a private place where you can talk freely. You must be physically located in Pennsylvania, West Virginia or Arizona during your appointments.
The National Institute of Mental Health lists a mental health assessment and diagnosis among the services that can be provided virtually. ADHD is one of several psychological evaluations we offer this way.
An evaluation usually involves an intake appointment, then one or two sessions, then time for the written report. At the moment, the report is usually ready about a month after the first evaluation appointment, so tell us about any deadline.
An evaluation is not emergency care. If you are in crisis, call or text 988, or call 911. Locascio Wellness does not provide emergency or crisis services.
Cost and getting started
Evaluations are private-pay and are not billed to insurance. The cost depends on what your evaluation involves, and a sliding scale is available, so please tell us if cost is a barrier. Our page on what evaluations cost explains more.
- Send a short requestThe quickest way to ask is our short evaluation request form. It asks for the type of evaluation, age group, state and timing, and no health details. We reply to set up a free 15-minute consultation.
- Talk it throughYou can also choose a consultation time yourself on our booking page, or call 267-573-9817. We talk about what you need, who is asking for it and any deadline.
- Get the cost in writingBefore anything is scheduled, you receive the cost in writing. You have the right to a Good Faith Estimate. See insurance and fees for how payment works.
- Meet by video and review your findingsWhen the evaluation is complete, the findings are explained in plain language, with time for your questions, and you receive a written report.
After your evaluation
Whatever the evaluation finds, you leave with a clearer picture of how your attention works and what may help.
The National Institute of Mental Health lists psychotherapy, such as cognitive behavioral therapy, among the common treatments for ADHD in adults. Therapists on our team work with adults on focus, organization and follow-through, as our ADHD therapy page explains. Therapy is a separate service from an evaluation, and it is always your choice.
Who carries out the evaluation
Evaluations are carried out by Dr. Anthony Locascio, who holds a Doctor of Psychology degree (PsyD) and is a Licensed Professional Counselor in Pennsylvania, West Virginia and Arizona. He is completing licensure as a psychologist, so every evaluation is supervised and every report is co-signed by Jace St. Cyr, a licensed psychologist (Pennsylvania license PS020275).
He has carried out more than 300 psychological evaluations, most of them with children and teens.
Questions people ask
Can adults get an ADHD evaluation online?
Yes. At Locascio Wellness, ADHD evaluations for adults are carried out entirely by secure video. You must be physically located in Pennsylvania, West Virginia or Arizona during your appointments. The evaluation ends with your findings explained in plain language and a written report.
How much does an ADHD evaluation cost, and does insurance pay?
Evaluations at Locascio Wellness are private-pay and are not billed to insurance. The cost depends on what the evaluation involves, and a sliding scale is available if cost is a barrier. You receive the cost in writing before anything is scheduled, and you have the right to a Good Faith Estimate.
How is ADHD diagnosed in adults?
The CDC says there is no single test for ADHD. According to the National Institute of Mental Health, a provider looks for symptoms that began before age 12 and that affect more than one area of life. An evaluation may include interviews, rating scales or checklists, information from people who know you well, and questions about mood and health to rule out other explanations.
Will I get medication after the evaluation?
No. Locascio Wellness does not prescribe medication, and an evaluation does not come with a prescription. Decisions about medication belong to a prescriber, such as your doctor. We cannot say whether a prescriber will accept our report. If that matters to you, ask your prescriber what documentation they need before you book, and share that with us.
Could it be anxiety, depression or poor sleep and not ADHD?
It could be, and a person can have more than one thing going on. The CDC notes that sleep disorders, anxiety, depression and certain learning disabilities can have symptoms similar to ADHD. That is why an evaluation asks about mood, health and history as well as attention. We cannot predict what yours will find.
Do you evaluate children and teens for ADHD?
Yes. We also evaluate children and teens for ADHD. A parent or guardian arranges the evaluation and takes part. This page is written for adults, so send the evaluation request form or call 267-573-9817, and tell us your child's age and who is asking for the evaluation.
Guides to read before you decide
- What Happens in a Psychological Evaluation?The usual stages of a psychological evaluation, from the first conversation to the written report, and how an evaluation differs from therapy.Read article
- Are Online Psychological Evaluations Accepted?Colleges, employers, testing agencies and Social Security each set their own documentation rules. What the official guidance says, and what to ask first.Read article
- What Documentation Do You Need for Testing Accommodations?What federal ADA guidance says testing agencies may ask for when you request extra time or other accommodations on an admissions or licensing exam.Read article
- Workplace Accommodations for ADHD, Autism and Mental Health Conditions: How to AskHow reasonable accommodation at work is handled under the ADA for ADHD, autism and mental health conditions: asking, documentation and privacy, in general terms.Read article
- College Disability Accommodations: What Documentation You NeedHow accommodations work in college compared with high school, what documentation a disability services office may ask for, and what to ask before an evaluation.Read article
- Psychological Evaluation vs. Psychiatric Evaluation: What Is the Difference?How a psychological evaluation differs from a psychiatric evaluation, who carries out each one, and how to tell which one you have been asked to get.Read article
- ADHD or Anxiety in Adults: How They Overlap and How They DifferADHD and anxiety can both cause poor focus, restlessness and sleep trouble in adults. See how they differ, why they can occur together, and how evaluation helps.Read article
- ADHD and Autism Together in Adults: What Overlaps and What DiffersADHD and autism can occur together. See what overlaps, what differs, why adults are often recognized with one first, and what an evaluation of both considers.Read article
- How Long Does a Psychological Evaluation Take?How long a psychological evaluation takes from first appointment to written report, what can change the timing, and how to plan around a deadline.Read article
Sources
- National Institute of Mental Health: ADHD in Adults: 4 Things to Know
- Centers for Disease Control and Prevention: Diagnosing ADHD
- National Institute of Mental Health: Getting Mental Health Support Virtually
- Centers for Medicare & Medicaid Services: What is a good faith health insurance estimate?
- 988 Suicide & Crisis Lifeline
Published by Locascio Wellness. Last updated October 9, 2026. Clinically reviewed by Anthony Locascio, PsyD, LPC. This page is general information, not medical advice or a diagnosis.
