Services
Neurodiversity-Affirming, Collaborative, Therapeutic Assessments
The fees below reflect the actual scope of this work, not an industry-standard rate. Drawing on 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, as well as 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).
Targeted Autism Evaluation
$6,500 flat fee
For adults who already strongly suspect they're autistic — often after years of self-research, community connection, or recognizing themselves in others' experiences — a targeted evaluation offers a more focused path to formal clarity. This evaluation follows the same neurodiversity-affirming, trauma-informed approach as any evaluation in this practice: your own understanding of yourself is treated as valid data from the outset, not something to be overridden by testing. The battery here is intentionally briefer than a comprehensive evaluation, scoped specifically to the question of autism. It includes cognitive testing to understand your broader profile, along with a more limited set of personality and social-emotional measures — enough to support a clear diagnostic picture without the full depth of a comprehensive evaluation. As with any evaluation here, the process includes real-time collaboration and discussion, not just administration of tests followed by a verdict. What you receive at the end is a concise 2-3 page letter of documentation, covering diagnostic findings, personalized recommendations, and guidance for accommodations where relevant — written to be shared with providers, employers, schools, or others who need confirmation of your diagnosis and what it means for supporting you going forward.
(Re)Evaluations
$18,500 flat fee
Not every evaluation is driven by an academic question. Many older adolescents and young adults come to a re-evaluation seeking diagnostic clarity — around things like ADHD, autism, or other differences — and just as importantly, seeking to make sense of their own experience. Academic testing is included here only when accommodations remain necessary for school or work going forward; even then, the academic piece is secondary — it supports continued accommodations, but it is not the primary question being asked. A re-evaluation follows the same full process and the same neurodiversity-affirming, trauma-informed approach as a comprehensive evaluation, aimed at the same goals: collaborative identification of your specific questions, individualized testing, real-time discussion during the assessment itself, and an extended feedback process to work through what the findings mean — the process is holistic throughout, regardless of what ultimately goes into each piece of writing. What differs is the shape of what you receive in writing. Rather than a single comprehensive report, you receive a brief, formal report scoped for school or workplace use — documenting current testing results and the functional basis for continued accommodations — along with a concise 2-3 page letter of documentation as needed for other providers or institutions. The fuller picture lives in your personal letter: written in plain, accessible language, it speaks directly to your specific questions, and integrates neuropsychological, psychological, social-emotional, and personality findings into one coherent account — the same holistic understanding a comprehensive evaluation would offer, brought together in a form built to answer your questions rather than to sit in an institutional file.
Brief Assessment-Based Therapy
($24,500 flat fee)
A comprehensive evaluation in this practice is a brief therapeutic intervention as much as it is an assessment — the two are not sequential, but the same process. It unfolds over time, not in 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 your specific questions for the evaluation to answer. 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 themselves structured as therapeutic encounters: rather than a one-way collection of data, each session holds objective testing results and your own subjective experience together in real time, so that a clearer understanding of yourself begins to take shape well before any 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 — typically 10 to 15 hours across multiple sessions — where this integration of therapy and assessment becomes most central. This isn't a single meeting to deliver results; it's dedicated time to process what the findings mean, work through what they bring up, ask questions, and revisit anything that feels unclear or unexpected, with the same therapeutic attention that shaped the testing itself. You leave this phase with a personal letter that speaks directly to your specific questions, in plain, accessible language, and a comprehensive written report with formal findings and recommendations — the core deliverable reflecting the full scope of what this evaluation involves. 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. Where possible, this is followed by a warm handoff to another therapist — whether one you're already established with or a new provider — to help carry the findings forward into whatever comes next, with support already in place rather than a report in hand and nowhere to bring it.
Individual Therapy (Adults)
I hold a limited number of spots for individual therapy with adults, offered through the same collaborative, trauma-informed, neurodiversity-affirming lens that shapes my assessment work. Many clients come to this work after a new diagnosis — their own or a loved one's — looking for support making sense of what it means and unlearning years of masking, self-doubt, or being pathologized by systems that didn't understand them. Others are simply looking for a therapist who won't treat their neurodivergence as the problem to be solved. Because I intentionally keep this caseload small, availability is limited — reach out to ask what's currently open.
Parent Support
I also offer consultation for parents and caregivers navigating what it means to raise a neurodivergent child. This isn't traditional parent training built around compliance or "fixing" behavior — it's a collaborative process grounded in the same neurodiversity-affirming framework I bring to assessment, focused on helping you understand your child's inner world and build a home environment that actually fits how your family is wired. I draw heavily on attachment theory in this work, with a particular focus on building and repairing secure attachment patterns across the whole family system — not just regulating your child's nervous system, but recognizing that yours is in the mix too, and that lasting change usually comes from steadying the relationship, not just managing the behavior. Whether you're processing a recent diagnosis, questioning approaches you've been told to use, or trying to find your own footing as a parent under a lot of pressure, this work is meant to meet you where you are.
Ketamine Assisted Psychotherapy
Brief ketamine-assisted psychotherapy combines carefully administered ketamine with focused therapeutic support to catalyze shifts in perspective and emotional processing. Following a comprehensive evaluation, this trauma-informed approach may be offered to certain clients in collaboration with their established therapist to help gently navigate stuck patterns, access emotional material at a manageable pace, and support healing from depression, anxiety, trauma, and overwhelm. By creating a safe container and a window of neuroplasticity, this treatment enables meaningful breakthroughs within a condensed timeframe.
I only offer KAP to clients who have either first completed a full evaluation with me, or are currently in therapy with me — the assessment gives us the clinical clarity and context to know whether this is an appropriate and safe path to explore together. When it's relevant, it's usually not something I lead with; it tends to come up organically as part of our feedback and consultation process, once we have a fuller, shared picture of what someone is carrying and what kind of support might actually move the needle. For neurodivergent clients in particular, this sequencing matters: KAP works best when it's grounded in real understanding of someone's inner landscape, rather than applied as a generic intervention, and the extended consultation model gives us the room to figure out, together, whether it belongs in your care.