Autism and ADHD overlap in exactly the places adults notice most: attention, energy, routine, other people. The community increasingly calls the combination AuDHD; clinically, it is simply both conditions, diagnosed together. And when they co-occur, the traits do not line up side by side. They interleave. Which is why the same day of your life can be read two entirely different ways, depending on which evaluation you happened to book.
Read as ADHD
Interest-driven attention: the executive system engages when stimulation is high and stalls when it is not.
Starting feels impossible. So does stopping.
Read as autism
Monotropic attention: a mind that commits deeply to one channel and pays a real cost to switch away from it.
Starting feels impossible. So does stopping.
Read as ADHD
Interest-driven attention: the executive system engages when stimulation is high and stalls when it is not.
Read as autism
Monotropic attention: a mind that commits deeply to one channel and pays a real cost to switch away from it.
Read as ADHD
Attention drifts mid-conversation, cues get missed, and the effort goes into staying present.
People are exhausting, even people you love.
Read as autism
Social processing runs manually. Reading tone, timing, and expectation is work, and masking that work is more work.
People are exhausting, even people you love.
Read as ADHD
Attention drifts mid-conversation, cues get missed, and the effort goes into staying present.
Read as autism
Social processing runs manually. Reading tone, timing, and expectation is work, and masking that work is more work.
Read as ADHD
Structure compensates for executive load, but sustaining structure is itself an executive task.
Routine is what works, and the hardest thing to keep.
Read as autism
Sameness regulates the nervous system. Disruption costs more than it looks like it should.
Routine is what works, and the hardest thing to keep.
Read as ADHD
Structure compensates for executive load, but sustaining structure is itself an executive task.
Read as autism
Sameness regulates the nervous system. Disruption costs more than it looks like it should.
Read as ADHD
An under-stimulated attention system goes looking for input.
The room is too loud and too boring at once.
Read as autism
A sensory system that filters less lets more of the room in.
The room is too loud and too boring at once.
Read as ADHD
An under-stimulated attention system goes looking for input.
Read as autism
A sensory system that filters less lets more of the room in.
A NeuroClarity evaluation is not an autism evaluation stapled to an ADHD evaluation. It is one clinician-led process in which both questions, and the conditions commonly mistaken for either, are investigated against the same history.
How we assess for autism
Self-paced clinical interview
60+ points of qualitative data on social communication, sensory patterns, masking, routines, and developmental history, captured at your own pace before the live session.
ADOS-2, Module 4
Structured observation for verbally fluent adults, adapted for telehealth administration.
ABAS-3
Adaptive functioning: how patterns show up in daily life, not just in testing.
SRS-2
Social communication and repetitive-behavior traits, from your view and an informant’s.
How we assess for ADHD
Self-paced clinical interview
40+ points of qualitative data on attention, executive function, and impulsivity, and how each plays out across work, home, and relationships.
DIVA-5
Structured diagnostic interview covering all 18 DSM-5 ADHD criteria, in childhood and adulthood.
CAARS 2
Self- and observer ratings of attention, impulsivity, and emotional regulation.
BRIEF2A
Everyday executive function, rated by you and by someone who knows you.
Conners CPT 3
A performance-based attention component: one input among many, never a verdict.
Your evaluation can also hear from the people who know you. During intake you can invite them by the perspective they hold: someone who knew your early years, someone who shares your daily life, someone who knows you outside the home. Each completes a structured interview matched to their relationship with you, woven into the same record your clinician reads. Consent-first, and included in the flat fee. Many evaluations skip outside perspectives or stop at one rating form; here they are part of the design.
Where you meet DSM-5 criteria for both, your report says both.
Full scoring for each condition, and the differential reasoning behind every conclusion, not a primary label with a footnote.
Sometimes it is. In one clinical sample, two-thirds of adults later found to be autistic had previously been given at least one other psychiatric diagnosis, most often a personality disorder, depression, or anxiety.1 In a separate study of more than 1,200 autistic adults, a quarter reported a prior diagnosis they believed had missed the mark, women nearly twice as often as men.2
That is why this evaluation examines the adjacent conditions too: anxiety, mood, trauma, and the other patterns that overlap with both autism and ADHD. If the evidence points somewhere else, your report says so, with the reasoning shown. A non-diagnosis here is not a dead end. It is a clear clinical answer about where to look next.
At practices that offer a combined autism-and-ADHD evaluation at all, it typically runs $1,500 to $2,000. Sequenced separately, it becomes two intakes, two fees, and a season of waiting in between. NeuroClarity investigates both questions in one process, for one $690 flat fee, with the full report included.
One flat fee covers the entire process from intake through final results.
$690 / Flat Fee
or up to 12 monthly 0% interest payments of $57.50*
A “Superbill” (medical receipt) is available upon request for potential out-of-network reimbursement with your insurance provider. *Subject to qualification at checkout.
Yes. Since DSM-5 (2013), autism and ADHD can be formally diagnosed together; the earlier rule that made them mutually exclusive was removed and remains removed in DSM-5-TR. When you meet full criteria for both, your NeuroClarity report includes complete DSM-5 scoring for both conditions. Neither is treated as a footnote to the other.
Often, yes. That is one of the most common ways adults arrive here. An existing ADHD diagnosis is part of your history, not a starting-over point: your clinician reviews it, examines what a single-condition assessment was never designed to look for, and evaluates the full picture around it. Many adults leave with their ADHD diagnosis confirmed and the rest of the pattern finally explained.
Not here. Most practices assess these conditions separately: two referrals, two intakes, two fees. NeuroClarity runs one clinician-led process that investigates both, along with the adjacent conditions that are commonly mistaken for either, and returns one integrated report.
Peer-reviewed comparisons of remote and in-person assessment have found comparable results, including a study of 361 adults that found no significant difference in ADOS-2 scores between online and in-person administration.3 The evidence base is largest in children and growing in adults. Two of our clinicians discuss what telehealth evaluation can and cannot see in this recorded conversation.
The NeuroClarity Evaluation focuses its investigation on ADHD, autism (ASD), and generalized anxiety disorder (GAD). In adults, these can look so similar to one another that one is easily mistaken for another, or hidden behind a condition that was identified first. That is why we examine them together, in one clinician-led process, rather than one at a time.
We also look closely at related conditions that can resemble or accompany them, including depression, OCD, PTSD, and personality disorders that can mimic neurodevelopmental conditions in adults who have spent years adapting and masking. Where these are present, we work out whether they better explain what you have been experiencing, whether they sit alongside another condition, or whether they can be ruled out.
A full neuropsychological evaluation typically involves 8 or more hours of in-person testing, often concentrated into a single long day or split across two days, costing $3,000 to $6,000. It evaluates cognitive functioning broadly, including memory, processing speed, executive function, and learning differences.
The NeuroClarity Evaluation works differently. The intake is fully self-paced and most users complete it across a few evenings or a weekend, with a total time investment of around 3 to 5 hours. The live session is scheduled at a time that works for you. Most people finish the full process, from the start of intake to the delivery of results, in two to four weeks, moving at their preferred pace.
Neuropsychological evaluation is the right fit when there are concerns about cognitive functioning beyond diagnostic clarity. The NeuroClarity Evaluation is the right fit when the question is “which of these conditions are present, alone or together, and how should I move forward?”
The deliverable is a clinical picture. If the criteria for a diagnosis are not met, the report explains the reasoning, names what was considered, and provides recommendations based on what was actually found. A non-diagnosis is a clear clinical answer that helps you understand what is and is not driving your experience, so support can be better matched to what was actually found.
After your evaluation, you’ll have access to your results and recommendations in your secure online dashboard. You can return to your dashboard anytime to review the clinical picture, recommendations, and next steps from your evaluation.
In addition, you can download a formal written clinical report, typically 15 to 35 pages, signed by your doctoral-level licensed evaluating clinician. The report includes your clinical history, the assessments administered, clinical findings, formal diagnoses where criteria are met, differential reasoning for adjacent conditions considered, and specific recommendations.
The result is formal clinical documentation that is recognized by therapists, prescribers, employers, and educational institutions when clinical documentation is required.
NeuroClarity is available through secure telehealth in states where our clinicians are authorized to provide services, including New Mexico, Oregon, and PSYPACT-participating states. PSYPACT is an interstate compact that allows authorized psychologists to provide telehealth services across participating states.
Current PSYPACT jurisdictions include Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the Commonwealth of the Northern Mariana Islands. We are continuing to expand availability as our clinicians become authorized in additional states. You can also view the full map of where we serve.
Most people finish the full process, from the start of intake to the delivery of results, in two to four weeks, moving at their preferred pace.
The process is designed to be self-paced. Most users complete the intake across a few evenings or a weekend, with a total active time investment of around 3 to 5 hours. The initial interviews are designed to capture enough depth for your clinician to understand your experience before the live session and come prepared to explore the areas that matter most.
Your live session is scheduled at a time that works for you. After the session, results are typically ready within five business days and accessible through your secure portal at your convenience.
If your case requires a clinical follow-up to clarify the picture, the timeline may extend slightly. Most evaluations do not require this.
Most people finish the NeuroClarity process in two to four weeks, moving at their own pace. If you need a guaranteed one-week turnaround, our priority-tier sister practice, North Evaluations, is built for exactly that: priority intake with a one-hour response, and the full evaluation, report included, delivered within seven days.
The NeuroClarity Evaluation is fully self-pay, which means transparent, predictable pricing with no surprise bills and no copays or deductibles to track. You pay one flat fee for the full evaluation.
Many clients use HSA or FSA funds for eligible clinical expenses like this evaluation. We accept HSA and FSA cards at checkout, but eligibility is determined by your HSA or FSA plan administrator.
After the evaluation, we can provide a superbill upon request. A superbill is an itemized clinical receipt that includes the information many insurance plans require when you submit a claim for possible out-of-network reimbursement. Reimbursement is determined by your insurance plan.
Self-pay also means your evaluation is not submitted to your insurance by NeuroClarity, so it does not become part of your insurance claims history through us. Your clinical information remains protected regardless of how you pay.
Every NeuroClarity Evaluation is conducted by a doctoral-level licensed clinician, PhD or PsyD, experienced in diagnostic evaluation. Each clinician signs and stands behind their own diagnostic findings. We do not use master’s-level clinicians or postdoctoral trainees for diagnostic work.
If you have questions about the process, timing, cost, what the evaluation covers, or whether NeuroClarity is the right fit, you can with our team.
There is no expectation to move forward afterward. The purpose is simply to help you understand the evaluation and decide whether it makes sense for you right now.
You can also explore our resources section, which includes blog posts, podcast recommendations, books, and non-diagnostic self-screeners to help you continue researching at your own pace.
References
The NeuroClarity team is available to answer any questions you have about the evaluation, the process, or whether it is the right fit for you. Schedule a 15-minute call below if it would be helpful.