Neurodiversity Affirming ADHD & Autism Evaluations in Middlesex, NJ
In-person & Online in New Jersey
Virtual in Florida
ADHD AND AUTISM ASSESSMENTS IN MIDDLESEX, NJ
(Virtual in Florida)
At True Reflections Mental Health Services, we offer thorough ADHD evaluations for individuals aged 4 and older, including adults, as well as Autism assessments starting from 2.5 years old through adulthood. Our services are available in-person in Middlesex, NJ, and virtually for residents of New Jersey and Florida.
As someone diagnosed neurodivergent later in life, I'm deeply committed to offering ADHD & Autism evaluations for people of all ages. Diagnosing children can facilitate getting them the necessary academic accommodations and support. Likewise, diagnosing adults can lead to workplace accommodations and offer clarity about lifelong struggles. It provides answers, helping individuals understand themselves better and embrace their differences.
My neurodiversity-affirming approach emphasizes the strengths and abilities of each client. Recognizing that ADHD and Autism are not limitations. But rather aspects of a diverse and multifaceted human experience. I have extensive training in identifying masking in girls and women with ADHD and Autism who get undiagnosed or misdiagnosed.
ADHD & Autism Assessment Process
The ADHD and Autism evaluation is a comprehensive assessment designed to provide a clear and individualized understanding of how a person thinks, learns, communicates, and functions in daily life. This process examines sensory processing, cognitive and psychological functioning, visual and auditory memory, language, social functioning, emotional and behavioral functioning, and adaptive or daily living skills in order to develop a detailed neurodevelopmental profile that guides diagnosis, recommendations, and intervention planning.
Sensory processing is evaluated to understand how an individual notices, interprets, and responds to sensory input such as sound, touch, sight, taste, smell, movement, and body position. Differences in sensory processing can lead to feeling overwhelmed, avoiding certain environments, or seeking out sensory input in ways that can interfere with learning, play, and routines in children, as well as work, relationships, and daily functioning in adults.
Cognitive and psychological functioning is assessed to examine intellectual abilities, attention, executive functioning skills such as working memory, planning, inhibition, and cognitive flexibility, as well as processing speed and broader thinking patterns like learning style and perception. In addition, visual and auditory memory are evaluated to understand how well an individual can take in, retain, and recall information that is seen or heard. These areas are essential for tasks such as following directions, learning new material, problem-solving, and completing tasks efficiently. Strengths and weaknesses in these areas play a significant role in academic performance, workplace functioning, and responsiveness to supports and interventions.
Language skills are also an important part of the evaluation. Receptive language refers to how well a person understands spoken and written language, including listening comprehension, such as following directions and understanding conversations or stories, and reading comprehension, such as identifying main ideas, making inferences, understanding vocabulary in context, and drawing conclusions from written material. Written expression can also be assessed to understand how effectively a person communicates their thoughts and ideas in writing, including their ability to organize information, use appropriate vocabulary and grammar, construct sentences, and develop clear and coherent responses. Difficulties in language can impact learning, social interaction, behavior regulation, and the ability to follow instructions across settings.
Social functioning is evaluated to understand how an individual forms and maintains relationships, interprets social cues, engages in perspective-taking, and adapts behavior across different social contexts. These skills are central to navigating peer relationships, workplace dynamics, and everyday interactions, and are a core area of difference in autism.
Emotional functioning focuses on how a person recognizes, experiences, and manages emotions, including emotional awareness, regulation, intensity, mood, and coping strategies. Emotional difficulties are common in both ADHD and Autism and can significantly impact behavior, learning, relationships, and overall well-being.
Behavioral functioning involves examining observable behaviors across settings, including patterns of hyperactivity, impulsivity, and responses to demands or environmental triggers, as well as the use of adaptive coping strategies. Understanding these behavior patterns helps identify effective supports, environmental modifications, and intervention strategies.
Adaptive functioning, or daily living skills, is assessed to understand how independently an individual manages everyday tasks such as self-care, communication, safety awareness, and routines at home, school, work, and in the community. These skills are essential for independence and are often used to guide recommendations, determine needed supports, and inform long-term planning, including educational, vocational, and life skills development.
I understand that everyone is unique and the assessments used during the Comprehensive ADHD & Autism Evaluations are personalized. Some of the assessments that may be used during the ADHD & Autism Evaluation are:
Brown Executive Function/Attention Scales (Brown EF/A Scales)
Delis-Kaplan Executive Function System (D-KEFS)
Sensory Profile
Delis-Rating of Executive Functions (D-REF)
The Comprehensive Assessment of Interoceptive Awareness-3rd Edition
Conners 4th Edition (Conners 4)
Behavior Assessment System for Children (BASC-3)
Developmental Neuropsychological Assessment-2nd Edition (NEPSY-II)
RCADS (Revised Children’s Anxiety and Depression Scale)
Developmental Coordination Disorder Questionnaire (DCDQ'07)
Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, Second Edition (MIGDAS-2)
Social Responsiveness Scale, Second Edition (SRS-2)
Clinical Assessment of Pragmatics (CAPs)
A Language Processing Skills Assessment (TAPS-4)
Wechsler Individual Achievement Test | Fourth Edition (WIAT-4)
California Verbal Learning Test, Third Edition (CVLT-3)
Wide Range Assessment of Memory and Learning, Third Edition (WRAML-3)
Reynolds Adaptable Intelligence Test (RAIT)
Reynolds Intellectual Assessment Scales, 2nd Edition (RIAS-2)
My Unique Approach to ADHD & Autism Evaluations
My approach to ADHD and Autism evaluations is built on the foundation of personalized care and support. Unlike traditional evaluations that can often feel impersonal and clinical, my evaluations are designed to be a deeply personal and supportive journey. I believe that an evaluation should be more than just a clinical assessment; it should be a journey of self-discovery, understanding, and growth. Here’s how I make the ADHD & Autism evaluation process uniquely personal and supportive:
Safe and Comfortable Environment: Your Comfort is My Priority
I strive to create an environment that feels safe and welcoming. From the moment you walk into my office, I want you to feel at ease. The office space is designed to be comfortable and calming, and I am dedicated to making your experience as positive as possible.
Getting to Know You and Listening to Your Story
The evaluation process begins with an intake appointment where I take the time to get to know you. This is not just about gathering information, but about building a relationship. I want to understand your background, experiences, and what brings you to seek an evaluation. This initial meeting is a safe space where you can share your story, your concerns, and your goals. This meeting is conversational and designed to make you feel at ease. I encourage you to talk about your day-to-day life, your difficulties, and your successes.
Encouraging Expression: Your Feelings Matter
I understand that discussing ADHD or Autism can evoke a range of emotions. I encourage you to express your feelings openly, whether it’s anxiety, relief, confusion, or hope. I am here to help you process these emotions. By validating your feelings and experiences, I aim to create a space where you feel heard and understood.
Customized Assessments: Tailored to Your Needs
The Comprehensive ADHD & Autism evaluation uses a combination of standardized tests and assessments. I carefully select tools and methods that are most relevant to your specific situation. Whether it's assessing cognition, communication, sensory processing, or social-emotional, each component is chosen to provide a comprehensive picture of your strengths and difficulties. This tailored approach ensures that that I address your unique needs and concerns.
Collaborative Approach: Working Together
I believe that the best outcomes are achieved through collaboration. I work closely with you, and if appropriate, with your family members, educators, or other professionals involved in your care. This collaborative approach ensures that I gather a wide range of perspectives and insights, enriching my understanding of your unique situation.
Holistic Perspective: Looking at the Whole You
The ADHD & Autism evaluation process considers not just your symptoms, but your whole self. I look at how symptoms may impacts your life in various domains, including school, work, relationships, and personal well-being. This holistic perspective helps us to understand how different aspects of your life intersect and influence each other, leading to a more comprehensive and accurate evaluation.
Ongoing Communication: Keeping You Informed
Throughout the evaluation process, I maintain open lines of communication. I provide regular updates and check-ins to ensure you are comfortable and informed about each step. If at any point you have questions or feel uncertain, I am here to support you. My goal is to make you feel like an active participant in your evaluation, rather than a passive recipient.
Comprehensive Feedback Session
The feedback session is a cornerstone of the ADHD & Autism evaluation process. Once the assessments are complete, I don't just hand you a report and send you on your way. Instead, I sit down with you to go over the results in detail. This session is an interactive discussion where I explain the findings, helping you to fully understand your strengths and vulnerabilities.
I recognize that receiving a diagnosis can be overwhelming, and my goal is to provide you with the support you need to process this information. During the feedback session, I take the time to answer all your questions and address any concerns you might have. We explore what the diagnosis means for you personally and discuss practical steps you can take moving forward.
The ADHD & Autism evaluation process is designed not just to diagnose, but to empower. By understanding your unique profile of strengths and vulnerabilities, I can help you and your loved ones create a supportive environment that fosters growth and well-being. Whether it’s through therapy, coaching, or connecting you with community resources, I am committed to supporting you every step of the way.
I believe that understanding ADHD and Autism is a journey, and I am honored to be a part of yours. The ADHD & Autism Evaluation is more than just a diagnosis; it is the beginning of a personalized path towards greater self-awareness and fulfillment.
If you're ready to take the first step on this journey, request an appointment today!
Comprehensive ADHD & Autism Evaluation Process and Fees
First Appointment: Intake. If the evaluation is for a child, the intake takes place with the parent (45-50 minute appointment).
Second Appointment: Testing with child/adolescent/adult (2hr appointment)
Third Appointment: Testing with child/adolescent/adult (2hr appointment)
Final Appointment: Feedback session (45-50 minute appointment)
*Payment for assessment and evaluations may be made in full during the intake process or you may elect to divide payments by the following:
$500 upon onboard to begin scheduling process and secure intake + testing appointments.
Half of the remaining balance after the deposit due at the intake appointment.
The final half of the remaining balance is due the morning of the first testing day.
FEE for Comprehensive ADHD & Autism Evaluation (includes 20-30 page comprehensive report with recommendations and accommodations for home, work and/or school): $3,600 (A $500 deposit is required to schedule an initial intake appointment)
FEE for Comprehensive ADHD & Autism Evaluation (includes diagnosis on True Reflections Mental Health Services letterhead - No report): $2,600 (A $500 deposit is required to schedule an initial intake appointment)
ADHD or Autism Evaluation Process and Fees
First Appointment: Intake. If the evaluation is for a child, the intake takes place with the parent (45-50 minute appointment).
Second Appointment: Testing with child/adolescent/adult (2hr appointment).
Third Appointment: Only required if you opt for IQ testing (1hr appointment).
Final Appointment: Feedback session (45-50 minute appointment).
Payment for assessment and evaluations may be made in full during the intake process or you may elect to divide payments by the following:
$500 upon onboard to begin scheduling process and secure intake + testing appointments.
Half of the remaining balance after the deposit due at the intake appointment.
The final half of the remaining balance is due the morning of the first testing day.
FEE for ADHD or Autism Evaluation (includes 15-20 page comprehensive report with recommendations and accommodations for home, work, and/or school): $2,600 (A $500 deposit is required to schedule an initial intake appointment) *Additional $350 for IQ Testing
FEE for ADHD or Autism Evaluation (includes diagnosis on True Reflections Mental Health Services letterhead - No report): $1,600 (A $500 deposit is required to schedule an initial intake appointment) *Additional $350 for IQ Testing
If you or a loved one are seeking a comprehensive evaluation for ADHD or Autism, schedule an appointment now! I am here to support you on your journey towards understanding, acceptance, and empowerment.
