Neuropsychiatric Assessment Services | Gifted, Twice Exceptional (2e), ADHD, Dyslexia, Learning Differences, Autism

Comprehensive Neuropsychiatric Assessments for Complex Presentations

Understanding Through Story

Assessment isn't just about collecting data—it's about making sense of your experience. My evaluations are designed to clarify how your mind works, why certain things have felt harder than they should, and what supports will actually help. The goal is understanding that leads to meaningful change.

Types of Assessments

Neurodevelopmental Assessment of Giftedness and Twice-Exceptionality (2e)

This assessment explores cognitive complexity - the full range from areas of exceptional strength, such as high cognitive abilities, creative thinking, specialized talents, to areas of difficulty. This is your spiky profile: understanding the peaks and valleys that make you who you are.

The Assessment Process:

1. Pre-Assessment Materials

Completion of self-report and observer rating scales, plus a developmental questionnaire exploring your:

Social and emotional functioning
Behavioral patterns
Executive functioning
Sensory processing

2. Developmental Analysis (2 hours)

An in-depth exploration of your developmental history from early childhood through the present. You may be asked to provide:

Baby books, early development records
Report cards and school records
Parent/family observations and feedback
Any previous testing or evaluations
Examples of early work or evidence of cognitive complexity/exceptionality:
- Writing samples
- Musical performances or compositions
- Artwork or design projects
- Mathematical work, proofs, or problem-solving
- Science projects, research, or experimental work
- Programming, engineering, or technical creations

Why this matters: Giftedness and 2e are developmental patterns, not snapshot diagnoses. Understanding how your abilities emerged, how you were perceived and responded to, and how you adapted over time provides critical context for understanding who you are now.

3. Standardized Cognitive and Academic Assessment

Individualized, non-prescriptive testing to evaluate:

Intellectual ability and reasoning skills
Executive functioning
Processing strengths and differences
Academic achievement
Learning differences or disabilities

4. Portfolio Review

Analysis of areas of uniqueness and exceptionality, including past and current creative work, projects, or outputs that demonstrate:

Evidence of cognitive complexity/exceptionality across development (e.g., writing samples, musical performances, artwork, mathematical work, science projects, programming, technical creations)
Thinking patterns and complexity
Depth of interests and intensities
Expression of abilities in real-world contexts
Asynchronous development

5. Integrative Interpretation

A comprehensive written report and feedback session that synthesizes all components to provide:

Your cognitive and developmental profile - the complete picture of your strengths and challenges
Understanding of asynchronous development - how different abilities developed at different rates and how this has shaped your experience
Impact on social and emotional development - how your cognitive profile has influenced relationships, identity, and sense of self
Diagnostic impressions when indicated (ADHD, autism, anxiety, learning disabilities, etc.)
Tailored recommendations for personal, academic, and professional support moving forward

What Makes This Gifted/2e Assessment Different:

This assessment focuses on understanding the whole person - not just test scores, but how cognitive complexity and asynchronous development have shaped your life trajectory, relationships, identity, and way of being in the world.

The goal is clarity, validation, and a framework for understanding yourself - whether that includes formal diagnoses or simply recognition of your unique cognitive architecture.

Who This Is For:

Adults and teens who:

Suspect they may be gifted or twice-exceptional
Have felt "different" their whole lives without understanding why
Display exceptional strengths or skills in some areas, even while struggling in others
Have existing diagnoses (ADHD, autism, anxiety, learning disabilities) but feel something is still missing
Want to understand their cognitive profile and how it has shaped their development
Seek validation and a framework for moving forward

Comprehensive Neuropsychiatric Assessment with Full Report

This is my primary offering for individuals seeking clarity about ADHD, autism, learning differences, and other forms of neurodivergence.

What's included:

Developmental history interview (1.5–2 hours)
Standardized cognitive and/or achievement testing (up to 4 hours)
Behavioral observation
Digital rating scales
Collateral input from people who know you well
Full neuroaffirming report
Virtual feedback session to review findings

The report itself is written directly to you (or your teen)—not just about you. It's structured in a clear, bulleted format that focuses on your strengths and differences, telling your story in a way that makes sense. Detailed tables, scores, and technical data are included in an appendix for those who want the numbers, but the heart of the report is about understanding your profile and what you need to thrive.

This report is appropriate for school and workplace accommodations and includes actionable, individualized recommendations.

Comprehensive Neuropsychiatric Assessment with a Memorandum of Evaluation

This is a streamlined option for diagnostic clarification only. The assessment process remains the same as described above, but instead of a comprehensive report, you will receive a memorandum of evaluation. This document provides diagnoses but does not include assessment data, interpretive summaries, or recommendations.

Not accepted for school or workplace accommodations.

Comprehensive Psychiatric Evaluation (without testing)

A 90-minute biopsychosocial interview focused on conditions such as depression, anxiety, and OCD. No standardized testing involved. May be scheduled as a one-time consultation or second opinion.

Neurodevelopmental differences (ADHD, autism, learning differences) are not identified through this type of evaluation.

What Makes My Reports Different

Neuroaffirming & strength-based. My reports are written in accessible language, directly to the person being assessed. They focus on understanding patterns—not deficits—and frame differences as variations in neurodevelopment, not disorders to be fixed.

Story-driven, not just data-driven. While comprehensive testing and scores are included, the narrative centers on your lived experience. The goal is for you to see yourself clearly, perhaps for the first time, and to understand why things have unfolded the way they have.

Actionable recommendations. I don't just identify diagnoses—I provide concrete guidance on accommodations, supports, therapeutic approaches, and strategies tailored to your specific profile.

Holistic integration. As a psychiatric nurse practitioner, I evaluate how brain-based differences, mental health, and physical factors intersect. When clinically indicated, I may order targeted lab work or offer pharmacogenetic testing to inform treatment decisions.

What to Expect

Who should be involved: Assessment is collaborative and draws on multiple perspectives. You'll be asked to identify someone who has known you across your lifespan—this might be a parent, long-term teacher, childhood friend, or other significant person who can speak to your developmental history.

For adults, partners, close friends, or colleagues may also provide valuable input.

For individuals under 18, parents or guardians participate in the intake interview.

Timeline: From initial intake to receiving your report typically takes 6–8 weeks, depending on testing complexity and report type. Longer timelines may occur during holidays and practice closures.

Getting started: The process begins with a free 15-minute consultation call where we'll discuss your concerns and determine if assessment is the right next step.

Investment: I am a private-pay or out-of-network practice and do not participate with insurance networks. I can provide documentation for reimbursement if your plan includes out-of-network benefits. Pricing is discussed during your consultation call and varies based on the type and scope of assessment.

Ready to Get Started?

Schedule a free 15-minute consultation to discuss your needs and how I can help.