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ADHD Evaluation
A comprehensive 90-to-100 minute psychiatric evaluation that includes assessment for ADHD when that is your concern — for adults, adolescents and children.
Why this exists
Stand-alone psychological testing is frequently quoted at $1,500 or more, and ADHD-focused clinics often start around $750. In both cases the testing is only the first bill: you still need a physician to make a diagnosis, consider everything else that can look like ADHD, and prescribe if prescribing is appropriate.
Dr. Sachs is a psychiatrist. Diagnosing ADHD is a clinical assessment he performs himself, inside the same $549 evaluation that covers anxiety, depression or anything else you bring to it.
Stimulant treatment is ordinary practice here. Some clinicians are reluctant to prescribe stimulant medication for ADHD at all, which leaves patients diagnosed but untreated. Dr. Sachs is not — where the evaluation supports it and it is the right treatment for you, he prescribes it and explains the reasoning, the monitoring and the alternatives.
Worth saying plainly. An evaluation is not a guarantee of an ADHD diagnosis or of a particular medication. Sometimes the answer is that something else explains the symptoms — and finding that out is exactly what the appointment is for.
$549
90–100 minutes. No separate testing fee.
The appointment
No waiting room, no clipboard, no stranger taking your history before the physician arrives.
You complete intake forms and any rating scales at home, and send along prior records if you have them.
90 to 100 minutes by secure video with Dr. Sachs — history, symptoms, and everything that could be contributing.
Findings are discussed with you in the same appointment, including what was ruled out and why.
If treatment is appropriate it can begin right away, with 20-minute follow-ups at $145.
ADHD questions
Usually not. ADHD is diagnosed clinically, and a thorough psychiatric evaluation is the appropriate first step for most people. If formal neuropsychological testing would genuinely add something in your case, Dr. Sachs will tell you so and explain why.
Yes. Many adults reach a point — a new job, a degree, a child's diagnosis — where the pattern finally makes sense. Part of the evaluation is looking carefully at your history going back to childhood, which is how an accurate adult diagnosis is made.
Yes. Dr. Sachs is separately board-certified in Child & Adolescent Psychiatry, so children, teenagers and adults are all seen in this practice.
Only if it is clinically appropriate. Treatment can begin at the evaluation when it is indicated, but no appointment guarantees a particular medication. Controlled substances are prescribed according to Virginia and North Carolina law and sound clinical judgment.
Then you have an answer, which is worth as much as a diagnosis. Anxiety, depression, sleep disorders and thyroid problems can all look like ADHD. You leave the evaluation with a clearer explanation and a plan either way.
Any prior evaluations, report cards or performance reviews that show a long-standing pattern, a list of current medications, and — for children and teens — input from a teacher if you can get it.
Next step
One 90-to-100 minute appointment at $549, usually available within one to two weeks.
Most new patients are offered an appointment within 1–2 weeks.
