NeuroDiversions

Fee Schedule

Neurodiversity-Affirming, Collaborative, Therapeutic Assessments and Interventions

The fee for a comprehensive evaluation reflects the actual scope of this work, not an industry-standard rate. Drawing on more than a decade of client data, the average evaluation involves between 50 and 90 billable hours — spanning clinical interviews, testing administration and scoring, review of prior records, report writing, and the extended consultation and feedback process that is central to how I practice. My approach is grounded in Collaborative/Therapeutic Assessment (an approach developed by Stephen Finn and colleagues), which treats the evaluation itself as a therapeutic intervention rather than a one-way measurement process — this means more time spent in dialogue with clients and families around what the findings mean, not less. Because I integrate neuropsychological, psychological, and personality assessment with brief therapeutic work, each evaluation is built around the individual rather than a standardized package, and the fee is calculated accordingly. It also does not include the additional case conceptualization, consultation with other professionals, and coordination of care that goes into getting an evaluation right — time that supports the quality of the work but isn't separately billed. I recognize this represents a significant investment, and I've developed a sliding scale to help make this care accessible to more people (see Access and Equity, below).

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Assessment-Based Therapeutic Intervention

$24,500 (Flat fee)

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A comprehensive evaluation in this practice unfolds as a process, not a single appointment, and is grounded in a neurodiversity-affirming, trauma-informed approach throughout. It begins with an initial consultation to understand what brought you here and to collaboratively identify the questions the assessment should answer — questions that come from you as much as from me. From there, testing draws on a broad, individualized battery spanning neuropsychological, psychological, social-emotional, and personality domains, selected specifically to address your questions rather than applied as a standard package. Because the approach is neurodiversity-affirming, differences in attention, learning, sensory processing, or social communication are understood as variations to be described accurately, not deficits to be corrected — testing is paced to your needs, with accommodations built in rather than treated as exceptions. A trauma-informed stance shapes the same process: history-taking avoids re-traumatizing questioning, safety and choice are prioritized throughout, and findings are held with awareness of how past experience can shape both symptoms and how a person relates to being evaluated at all. Testing sessions are structured as assessment interventions in their own right: rather than a one-way collection of data, each session includes real-time discussion of emerging patterns, so that insight begins to develop well before a formal report is written. This is supplemented by a careful review of prior records and, where relevant, conversations with other providers or family members involved in your care. The process culminates in an extended feedback phase — not a single meeting to deliver results, but time to process what the findings mean, ask questions, and revisit anything that feels unclear or unexpected. You leave this phase with two complementary pieces of writing: a personal letter that speaks directly to the specific questions you brought to the evaluation, in plain, accessible language, and a comprehensive written report with formal findings and recommendations. The report becomes part of your medical record and is written to stand up to the uses you may need it for — school or workplace accommodations, disability documentation, or communication with other treatment providers. Feedback is followed by a warm handoff, and — where it fits your needs — a brief course of therapy to help translate insight into change. Brief, assessment-based therapy in the weeks following an evaluation gives you space to work through what's landed, try out new strategies while the material is still fresh, and enter any next steps — whether that's ongoing therapy, formal accommodations, or simply a clearer sense of yourself — with support already in place rather than a report in hand and nowhere to bring it.

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Individual Therapy(Adult) and Parent Support

$350 (Hourly)

All three of these services are billed at an hourly rate of $350. Individual therapy and parent support are typically scheduled for 90–120 minutes rather than the standard 50-minute therapy hour, which means a typical session runs $525–$700. I've structured sessions this way deliberately:

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• Room to actually settle in. Fifty minutes rarely allows enough time to arrive, get regulated, get into meaningful material, and land somewhere grounded before ending — especially for processing that involves trauma, attachment work, or altered states (in the case of KAP).

• Less rushed pacing. Longer sessions mean less pressure to move quickly through material that deserves care and time, particularly for neurodivergent clients who may need more time to process or communicate.

• Fewer sessions overall. Many clients find that longer, less frequent sessions accomplish more than a higher volume of short ones — which can also mean less time and cost spent on scheduling, commuting, or transitioning in and out of session.

Ketamine Assisted Therapy

$350 (Hourly)

KAP sessions are structured differently than a standard therapy hour and typically run 2–4 hours, longer than individual therapy or parent consultation sessions. This reflects how KAP sessions are actually built: time to settle in and prepare beforehand, the ketamine experience itself (typically 40–90 minutes), and dedicated time afterward to rest, reorient, and integrate what came up — all under direct clinical support throughout. Consistent with the same integration-focused model that shapes my assessment feedback process, I don't rush the integration phase to fit a fixed clock; making real sense of what surfaced during a session is often where the most meaningful work happens, and it deserves the time it takes.

Preparation and integration sessions that don't involve ketamine administration are billed separately at standard hourly rates. KAP is typically only offered to clients who have completed a full evaluation with me, or to current clients already in ongoing care, and always in collaboration with your prescribing medical provider and, where applicable, your established therapist.