You may have done well in school, built a successful career, managed a household, or developed elaborate systems for keeping yourself on track—and still feel as though everyday life requires far more effort than it should.
Maybe you can focus intensely on something interesting but struggle to begin routine tasks. You may lose track of time, procrastinate until urgency takes over, forget things unless they're directly in front of you, or feel perpetually behind despite working very hard to stay organized.
For many women, questions about ADHD emerge only after the demands of life begin to exceed the strategies that previously worked. Changes in work, relationships, parenting, caregiving, or hormonal transitions may make longstanding patterns more difficult to compensate for.
An ADHD assessment can help determine whether ADHD is part of the explanation—and develop a more complete understanding of the factors affecting how you function.
ADHD doesn't always match the picture people have in mind when they think about the disorder. Some women reach adulthood without being identified because their difficulties were less disruptive to others, because they developed effective ways to compensate, or because their struggles were attributed to anxiety, depression, stress, personality, or simply needing to “try harder.”
Academic or professional success doesn't rule out ADHD. Intelligence, structure, perfectionism, urgency, anxiety, and a great deal of effort can sometimes help someone meet expectations while obscuring how difficult it is to do so.
For some women, those strategies become less effective when circumstances change. Increased professional demands, parenting, caregiving, reduced external structure, or hormonal transitions may make difficulties with attention, organization, working memory, emotional regulation, or task initiation more apparent.
The question isn't simply whether you have ADHD symptoms. It's whether ADHD best explains the pattern of difficulties you've experienced across your life.

ADHD assessment involves more than determining whether you report enough symptoms on a questionnaire. Dr. Ashley considers how patterns of attention, activity level, impulsivity, and executive functioning have developed over time, how they affect your life now, and what else may be contributing to the difficulties you're experiencing.
Current symptoms are considered alongside childhood and developmental history, including how difficulties may have changed as expectations, environments, and responsibilities changed.
Assessment considers areas such as attention, organization, working memory, time management, task initiation, follow-through, self-monitoring, and other aspects of executive functioning.
Anxiety, depression, sleep, stress, trauma, hormonal changes, autism, and other psychological or contextual factors may overlap with ADHD symptoms or affect how they are experienced.
The assessment also considers the strategies you've developed, environments in which you function particularly well, and strengths that may have helped you compensate for areas of difficulty.
The goal is to understand the pattern—not to begin with ADHD as the assumed answer.
Questionnaires & Background Information
Before your appointment, you'll complete questionnaires about your current functioning, developmental and mental health history, ADHD symptoms, executive functioning, and other areas relevant to your assessment.
In-Depth Clinical Interview
You'll meet with Dr. Ashley to explore your experiences across different periods and settings in your life. This includes looking not only for ADHD symptoms, but also at the strategies you've developed, areas of impairment, and factors that may make difficulties better or worse.
Standardized Assessment
You'll complete evidence-based measures selected to help evaluate ADHD and relevant areas of functioning. Additional measures may be included when needed to better understand overlapping or alternative explanations for your experiences.
Additional Information When Helpful
With your permission, information from a parent, partner, or another person who knows you well may be incorporated when it would add useful developmental or functional context. Relevant records may also be reviewed when available.
Feedback, Written Report & Recommendations
You'll meet with Dr. Ashley to review the findings and have an opportunity to ask questions. You'll receive a comprehensive written report documenting the results, diagnostic conclusions when applicable, and individualized recommendations for next steps.
You won't simply receive a diagnosis—or be told that you don't have one. The goal is for you to understand what the assessment found, how the findings fit together, and what that information means for you.

The ADHD assessment fee is $1,750 and includes assessment materials and testing, clinical interview, feedback session, and a comprehensive written report with individualized recommendations.
Most ADHD assessments are completed within approximately 6–8 weeks, depending on scheduling and timely completion of assessment materials.
ADHD assessments can often be completed entirely through secure, HIPAA-compliant telehealth. Some individual circumstances or assessment questions may require in-person testing. In-person assessment is available in Edina, Minnesota.
AJR & Co. is an out-of-network practice and does not bill insurance directly. Superbills are available for possible out-of-network reimbursement.

Dr. Ashley provides virtual psychological assessment in PSYPACT-participating jurisdictions, with additional licensure in Hawaii. Many assessments can be completed entirely through a secure, HIPAA-compliant telehealth platform; however, some assessment questions or measures may require in-person testing. In-person assessment is available in Edina, Minnesota.
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