Neurodiversity-Affirming Adult Diagnostic Assessments

specializing in Adult Autism and ADHD in high masking, African American, BIPOC, AFAB, Non-binary, LGBTQIA2S+, Queer, Quirky, Creative, high achieving, over functioning, and Burnt Out Adults who missed diagnosis earlier in life

Why Seek an Autism or ADHD Assessment or Consultation as an Adult?

For many late-identified or late-diagnosed neurodivergent adults, pursuing an autism or ADHD assessment isn’t about needing permission to know yourself.

You already know.
You’ve always known in your body, in your patterns, in the ache of being misread or misunderstood.

This process isn’t about validation from systems that got it wrong.
It’s about reclaiming yourself.

It’s about putting down old stories “too much,” “too sensitive,” “lazy,” “unmotivated,” “dramatic,” “bad at life” “behind” “not good enough” and replacing them with truth, clarity, autonomy, empowerment, self-trust, and compassion.

who this is for

- Masked your way through school, work, and relationships to appear “fine,” while quietly unraveling inside
- Were labeled “gifted,” “sensitive,” “spacey,” “too much,” or “lazy,” and wondered why the world felt like it came with a rulebook you never got
- Were the “encyclopedia kid” who was high achieving, could track complex ideas, but struggled with things others found “simple”
- Experienced emotional burnout, shutdown, or chronic overwhelm but pushed through until something gave out
- Were misdiagnosed with anxiety, depression, OCD, trauma, BPD, or vague mood or personality concerns. But those labels never fully explained the depth of internal overwhelm, the emotional spirals after social confusion, the way tasks pile up into impossible mountains, or the deep spiritual exhaustion of trying to hold it all together.
- Were praised for being high-achieving, social, empathic, articulate, or adaptable and told you were “too smart” or “too functional” to be autistic or have ADHD
- Struggled with executive dysfunction, overstimulation, sensory differences, or time, especially under pressure or in transitions
- Felt like you're always trying to “figure out” how to be a person in the world, scripting conversations, mimicking others, overanalyzing interactions
- Felt gaslit, unseen, or misunderstood by professionals who didn’t recognize how your culture, race, gender, disability, or neurotype shape your lived experience
- Have been socialized to over-mask, perform, accommodate others, and internalize distress, often at the cost of your own regulation, health, and wellbeing
- Have cycled through burnout or crisis, eventually arriving at a reckoning point with your identity and nervous system
- Have a deep sense that you are different, and that difference is not a flaw, and just never fully named in the right language
- Found your way here through a self-identification journey, community learning, online content, or connecting the dots between your traits and those of neurodivergent loved ones
- Have long-standing confusion about your social or sensory experiences, or a disconnect between how others perceive you and how life feels from the inside
- Are seeking to make sense of your past, understand your present, or move forward with more ease, empowerment, and access to support
Maybe you have been told that you’re just anxious and that if you just tried harder, used the planner, did the therapy right, or thought more positively, things would be fine. And maybe none of it helped because maybe they were trying to treat the burnout, the anxiety, the panic, or the “mood swings” without ever seeing the neurodivergent wiring underneath it all, accompanied by the sensory pain, communication mismatch, and the fatigue of always translating yourself.

This isn’t your fault. You are not broken. There’s nothing wrong with you. You weren’t “missed” because you were invisible. You were missed because the lens was too narrow. You deserved better. And it’s not too late.

Whether you're exploring this for the first time, seeking formal documentation to access support, or longing for confirmation of what you’ve always known deep down, your self-knowledge is valid and so is your curiosity.

You deserve care that affirms your identity, honors your lived experience, and meets you with compassion instead of pathologizing. You don’t need to prove you're struggling enough to be worthy of understanding. If you’re ready to know yourself more deeply, reconnect with truth, and explore what supports you best, this process is for you.

Self-Identification is Valid. So is Seeking Clarity & Support.

Self-identification and identity exploration are deeply valid and often necessary powerful acts of autonomy, especially for those who have been marginalized by systems that pathologize difference and perpetuate harm. You don’t need a piece of paper to know yourself. You do not need a diagnosis to know yourself. AND you do deserve the support, clarity, validation, meaningful language, accommodations, and care that can come with a comprehensive, neuro-affirming assessment.

- Clarity about why certain experiences, struggles, or sensitivities have shown up across your life
- Language to describe what you've always known about yourself but didn’t have words for
- Tailored recommendations and accommodations to support your day-to-day well-being and self-advocacy at work, school, or in relationships
- Relief in shifting from “what’s wrong with me?” to “this makes sense now”
- Healing from years of misattunement, internalized shame, or feeling “too much” or “not enough”
- Permission to unmask, reconnect with your body, and cultivate a lifestyle that fits your rhythm
- Reframe what seemed like “flaws” as parts of your neurodivergence
- Make peace with a life of feeling “too much” or “not enough”
- Connect with your strengths, sensory needs, communication style, and cognitive patterns
- Explore supports that honor your nervous system and lived experiences
- Integrate parts of yourself that were dismissed or pathologized
- Reclaim your story and plant seeds for your future

What This Process Is (and Isn’t)

The assessment process is a relational, trauma-aware, culturally- affirming, and neurodiversity centered process, not a checklist or interrogation.

This process meets you where you are. You don’t have to perform distress. You don’t need to prove you’ve struggled “enough.” You are already enough. We’ll go gently, with care, consent, and compassion, at your pace to explore how your brain works, what energizes, recharges, soothes, and stimulates you, how you have been impacted by systems not built for your nervous system and processing differences, and what might support you in reclaiming clarity, peace, passion, neuro-affirmation, and self-understanding.

This is a space where:

You don’t have to prove or perform your distress
Your complexity, interests, and nuance are respected
Your sensitivity is not a symptom to be “fixed,” but a signpost of your depth and attunement.
You can unmask, feel safe enough, and be met as you are
Your communication style, cultural lens, and rhythm are honored
Your needs aren’t pathologized
Your identity is seen in context
Your story is held with care

This is not:

a cold, clinical checkbox process that flattens your complexity.
a system that rewards trauma or punishes passion, movement, joy, curiosity, sensitivity, or differences in processing or communicating.
about labeling who you are. It’s about creating a map and understanding your story so you can stop blaming yourself, affirm your needs, and start making choices rooted in self-respect, sensory soothing, safety, nervous system care, and embodied truth.

- Is late diagnosed multiply Neurodivergent , AuDHD
- Has lived through high-masking, burnout, and misdiagnosis
- Knows what it means to be the quirky kid in gifted class falling apart inside
- Understands what it’s like to wonder why life feels so fast and so loud
- Has walked through the fog of feeling “too much,” “too sensitive,” or “not enough”
- Brings care, attunement, clinical expertise, and lived understanding to your process
- Has life experiences navigating systemic inequities, masking, and the complexities of intersectional identities that profoundly shape her approach as a clinician.
- Is dedicated to providing thorough, compassionate, and culturally affirming assessments that honor the unique strengths, resilience, passion, pain, survival, integrity, choice, challenges, and stories of each client, offering a compassionate space for understanding and growth.
- Has advanced training as an Autism Clinical Specialist and a Neuropsychotherapist, in addition to other areas of expertise and advanced clinical training.

While your documents and final report is yours to keep and may be used to pursue accommodations or provide to anyone who supports you, we do not conduct:
- SDI, state, or federal disability evaluations
- Military or forensic assessments
- Research or Government related or funded evaluations or studies
- Court-mandated or forensic evaluations
- Evaluations for or billed by insurance
We offer diagnostic clarity, insight, support, and HIPAA compliant evaluations, not legal opinions.
To obtain a comprehensive picture of life experiences, psychiatric diagnostic evaluation, behavioral observation, a qualitative interview protocol, and quantitative standardized assessment measures are utilized to conduct a thorough diagnostic evaluation and support your self understanding and functioning.
We will use the most relevant, helpful, and neurodivergent affirming measures from the ones listed below. Additional assessment measures may be utilized as appropriate.
- Narrative Life History Form
- Review of Client's Developmental, Medical, and Psychosocial History and Collateral Information
- Behavioral Observations During Sessions
- Clinical Interviews
- Substance Use Questionnaire
- Mood Disorder Questionnaire (MDQ)
- Depression Anxiety Stress Scales – Short Form (DASS-21)
- Difficulties in Emotion Regulation Scale (DERS)
- Self-Compassion Scale - Short Form (SCS-SF)
- Diagnostic Interview for ADHD in Adults, Fifth Edition (DIVA-5)
- Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, 2nd Edition (MIGDAS-2)
- SASSI Questionnaire (Survey of Autistic Strengths, Skills, and Interests – Adult Version)
- Social Responsiveness Scale, 2nd Edition (SRS-2) – Adult Self-Report & Other Rater
- ReportSensory Processing Measure, 2nd Edition (SPM-2) – Adult Self-Report & Other Rater Report
- Adult ADHD Self-Report Scale for DSM-5 (ASRS V1.1)
- Executive Skills Questionnaire–Revised (ESQ–R)
- Wender Utah Rating Scale for ADHD 18+ (WURS)
- Multidimensional Assessment of Interoceptive Awareness – Version 2 (MAIA-2)
- Adult ADHD Masking Measure (AAMM)
- Weiss Functional Impairment Scale - Self Report (WFIRS-S)
- Adult ADHD Spectrum Self Test
- Barratt Impulsiveness Scale (BIS-11)
- Barkley Adult ADHD Rating Scale-IV (BAARS-IV)
- Behavior Rating Inventory of Executive Function–Adult Version (BRIEF-A)
- Monotropism Questionnaire
- Ritvo Autism Asperger Diagnostic Scale–Revised (RAADS–R)
- Empathy Quotient – 40 item version (EQ-40)
- Autism-Spectrum Quotient (AQ)
- Camouflaging Autistic Traits Questionnaire (CAT-Q)
- Toronto Alexithymia Scale (TAS)
- Social Avoidance and Distress Scale (SADS)
- Adult Repetitive Behaviors Questionnaire-3 (RBQ-3)
- Comprehensive Autistic Trait Inventory (CATI)
- Adult Systemizing Quotient–Revised (SQ-R)
- Modified GQ-ASC (AFAB, female, & nonbinary)
- The Extreme Demand Avoidance Questionnaire for Adults (EDA-QA)
Self Assessment measures will be sent prior to evaluation meetings, additional measures/tests will be administered and possibly provided during the assessment process.

Option 1: Diagnostic Confirmation Documents & Letters

This option includes a thorough assessment and diagnosis confirmation letter or document only. We will be using assessment measures both before and during our meeting times.

Length: 1–2 pages
Includes:
- Verifies formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
Best for:
- Personal records or basic proof of diagnosis.
- You want a simple, official confirmation to keep for your records or share
Additional Fees:
Evaluation sessions and optional collateral or feedback sessions are paid per session, separate from the price of the requested document .
30 min $160
50 min $265
70 min $371
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed.
Length: ~2–4 pages
Includes:
- Confirmation of formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
- Explanation of criteria met (brief, non-granular)
- Functional impact noted
- Masking/ Cultural considerations briefly noted
Best for:
- Documentation with brief context, without the depth of an overview or report
- You want more detail than option 1a
Additional Fees:
Evaluation sessions and optional collateral or feedback sessions are paid per session, separate from the price of the requested document .
30 min $160
50 min $265
70 min $371
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Length: ~3–10 pages
Includes:
- Verification of formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
- Reason for Referral
- Strengths
- Evaluation measures and subtests noted
- Masking & Cultural considerations:Short subsection(s) noting key themes
- Functional impact summary
- Diagnostic Impression
- General guidance/ recommendations (non-individualized tips/resources)
Additional Included documents:
- none -Other add-on documents (option3) may be purchased separately if needed
Best for:
- Focused context and general recommendations without a full technical report and details of lived experience meeting each criteria.
- More ideal for a single diagnosis verification.
Additional Fees:
Evaluation sessions and optional collateral or feedback sessions are paid per session, separate from the price of the requested document .
30 min $160
50 min $265
70 min $371
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed

Option 2: Formal Assessment with Diagnosis and Written Reports

These options include both the assessment and comprehensive written documentation, designed for clients who need deeper diagnostic insight, recommendations, and/or accommodation letters.

2a) Neurodiversity-Affirming Adult Diagnostic Assessment Summary — $1,800
Length: ~8–20 pages Includes:
- Synthesis of evaluation findings Verification of formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
- Reason for Referral
- Strengths
- Evaluation Measures & Subtests used (names + purpose/rationale; summarized results—no data tables)
- Masking & Cultural considerations: Dedicated brief sections
- Functional impact summary
- Diagnostic Impression
  - Expanded description
- Diagnostic Criteria Structured Review: Structured Table (each diagnosis)
  - criterion-by-criterion mapping of symptoms and lived experiences for diagnostic criteria, neuro-affirming lived examples per criterion/domain
- General guidance/ recommendations (non-individualized tips/resources)
Additional Included documents:
- Brief Diagnostic Verification Letter (option 1a)
Best for:
- Informative documentation for planning and provider sharing, without data tables or personalized referrals and recommendations.
Additional Fees:
Evaluation sessions are included in the price. Optional collateral sessions and feedback sessions are separate, fee paid per session:
30 min $160
50 min $265
70 min $371
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Length: often 25+ pages
Includes:
- Synthesis of evaluation findings
  Verification of formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
- Reason for Referral
- Strengths
- Evaluation Measures & Subtests administered and selection rationale
- Additional tests as clinically appropriate (within defined scope)
- Tables/graphs of test results with data and plain-language interpretation
- Masking & Cultural considerations: Dedicated sections
- Burnout/Meltdown/Shutdown: Dedicated sections
- Functional impact section
- Mental Status Examination (MSE) Section
- Diagnostic Impression
  - Expanded description of symptoms/behaviors that meet criteria
- Diagnostic Criteria Structured Review: Structured Table (each diagnosis)
  - criterion-by-criterion high-level mapping of symptoms and lived experiences for diagnostic criteria, neuro-affirming lived examples per criterion/domain
- Cross-context recommendations (personal, academic, workplace, medical) and expanded resources
- Referrals as appropriate (multi-disciplinary/community supports)
  
  Additional Included documents:
  - Brief Diagnostic Verification Letter (option 1a)
  - Reasonable Accommodation Letter tailored to 1 primary context/ setting (ie. work and/or school, medical setting/doctor’s appointment, housing, or travel)- additional documents are add-on services
  Best for:
- Formal documentation requiring data visuals, measure rationale, and detailed criteria mapping, without a full life-history narrative.
Additional Fees:
Evaluation sessions are included in the price. Optional collateral sessions and feedback sessions are separate, fee paid per session:
30 min $160
50 min $265
70 min $371
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Length: Full evaluation report (complete process 35+ pages)
Includes:
- Synthesis of evaluation findings
  Verification of formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
- Reason for Referral
- Strengths
- Evaluation Measures & Subtests administered and selection rationale
- Additional tests as clinically appropriate (within defined scope)
- Tables/graphs of test results with data and plain-language interpretation
- Masking & Cultural considerations: Dedicated sections
- Burnout/Meltdown/Shutdown: Dedicated sections
- Functional impact section
- Diagnostic interviews with relevant life history sections
  - (developmental, medical, personal/social, academic,occupational, substance use, legal, mental health history, psychosocial)
- Mental Status Examination (MSE) Section
- Diagnostic Impression
  - Expanded description of symptoms/behaviors that meet criteria
- Diagnostic Criteria Structured Review: Structured Table (each diagnosis)
  - criterion-by-criterion high-level mapping of symptoms and lived experiences for diagnostic criteria, neuro-affirming lived examples per criterion/domain
- Cross-context recommendations (personal, academic, workplace, medical) and expanded resources
- Referrals as appropriate (multi-disciplinary/community supports)
Additional Included documents:
- Brief Diagnostic Verification Letter (option 1a)
- 1-2 Reasonable Accommodation Letters tailored to context (ie. work and/or school, medical setting/doctor’s appointment, housing, or travel)
Best for:
- First-time or comprehensive evaluations
- You want/need a full narrative, integrated data, and bundled letters across settings
- You are seeking accommodations for 2 settings
Additional Fees:
Evaluation sessions are included in the price. Optional collateral sessions and feedback sessions are separate, fee paid per session:
30 min $160
50 min $265
70 min $371
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed

Option 3: Add-on Letters & Other Documents

These options include add-on documentation, letters, and services to support advocacy, access, and diagnosis/disability verification for assessment and therapy clients.

Length: ~1-2 pages
This letter is a clinical recommendation written by a licensed clinician to document the medical necessity of an Emotional Support Animal (ESA), Service Animal, or Psychiatric Service Animal (PSA). It is intended to support you in accessing accommodations related to housing, travel, public access, or other environments where recognition of the therapeutic role of your animal may be required.
Includes:
- Specified clinical recommendation and rationale explaining how the animal provides relief of symptoms and contributes to your treatment.
- Verification of a qualifying mental health diagnosis that meets the definition of a disability.
- Statement of medical necessity for the animal as a supportive aid for daily functioning and wellbeing.
- References to relevant laws and resources to help contextualize your rights and the role of the recommendation.
Note: This letter does not certify or evaluate the animal itself. It documents that the presence of an animal is medically necessary for symptom relief and ongoing support in relation to your condition.
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
To learn more about this service, click the link below or visit the ESA and service animal evaluation page on our site https://www.yaarahtherapy.org/emotional-support-service-animal-psychiatric-service-animal-evaluations-and-letters
(same as option 1a) included in assessment documentation
Length: 1–2 pages
Includes:
- Verifies formal Diagnosis, including ICD-10/DSM codes
- Verification of client engagement in evaluation
Best for:
- Personal records or basic proof of diagnosis.
- You want a simple, official confirmation to keep for your records or share
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
- tailored to 1 primary context each (work/school/testing/training program)
- May be purchased for more than one setting, separate services each
- 1 letter is already included in diagnostic evaluation options 2b & 1-2 letters are included in diagnostic evaluation option 2c
Fees:
$160 for up to 30 minutes
$300 for 31-70 minutes (Preparation of report/document/form only)
Charges will be processed to the card on file for the client, based on the actual time spent to coordinate, prepare, engage, and complete the service.
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Length: ~1–3 pages
This letter is a clinical recommendation written by a licensed clinician to document the medical necessity of accommodations and advocacy supports in medical settings. It is designed to ensure you have equitable access to healthcare, minimize barriers, and help providers understand your unique needs. The purpose is to support you in receiving safe, respectful, and trauma-informed care across medical appointments, procedures, and specialist visits.
Includes:
- Specified clinical recommendation and rationale describing how accommodations will improve your access to care, reduce barriers, and support your health and recovery.
- Verification of a qualifying mental health diagnosis that meets the definition of a disability (optional, included only if clinically relevant or requested by the client).
- Statement of medical necessity for accommodations or advocacy in healthcare settings.
- Completion of medical-related forms or documentation for accommodations, if applicable.
- References to disability rights and accessibility guidelines to contextualize your rights and support advocacy with healthcare providers.
Examples of Medical Appointment Accommodations and Advocacy Supports:
- Staff briefing prior to visits so the care team is informed of needs and sensitivities without requiring repeated self-advocacy.
- Appointment-related accommodations such as longer appointment times, flexibility with scheduling, or access to telehealth.
- Sensory/environmental modifications like quiet waiting areas, muted lighting, or reduced overstimulation during visits.
- Clear and continuous communication with step-by-step explanations, simple instructions, written information, and patience with processing time.
- Access to a support person present during medical appointments or procedures to provide regulation, advocacy, and safety.
- Support for continuity of care including referrals to specialists, coordination between providers, and access to medications.
- Pain management planning and sedation options, including full sedation when medically necessary to reduce sensory overwhelm and distress during procedures.
- Procedure and comfort planning with detailed overviews, estimated duration, and recommendations for clothing, comfort items, or post-procedure care.
- Recommendations for medical leave and advocacy for provider documentation to support time off, workplace accommodations, or academic adjustments.
- Advocacy to address systemic barriers such as stigma, bias, dismissal of symptoms, or lack of disability-informed practices.
- Pacing and breaks built into medical or therapeutic procedures to prevent overwhelm and allow regulation.
Best For:
- Person with sensory sensitivities, neurodivergence, trauma histories, chronic illness or medical anxiety who need accommodations for safe and manageable care.
- Patients requiring specialist or procedural care who benefit from sedation planning, sensory accommodations, or communication supports.
- Person facing dismissal, bias, or barriers in medical environments who need advocacy to ensure equitable treatment.
- Person navigating complex care or multiple providers who need coordinated advocacy for referrals, medications, or continuity of care.
- Personrequiring leave documentation or advocacy for schools, workplaces, medical appointments, or other institutions to ensure their health and recovery needs are supported.
Note:
This letter or document does not guarantee specific medical treatments, procedures, or medication approvals, as those decisions rest with providers and insurers. It documents the medical necessity of accommodations and provides supportive advocacy to promote safe, respectful, and equitable healthcare access.
Fees:
- $75 for up to 15 minutes
- $160 for up to 30 minutes
Charges will be processed to the card on file for the client, based on the actual time spent to coordinate, prepare, engage, and complete the service.
May be purchased for more than one setting, with separate services completed for each.
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Length: ~1–5 pages
This letter or completed housing/dorm form is a clinical recommendation written by a licensed clinician to document the medical necessity of accommodations within residential or educational housing settings. It is designed to support you in accessing safe, equitable, and supportive living arrangements that account for your health, mental health, and disability-related needs. The purpose is to reduce barriers that interfere with your ability to thrive in your home or campus environment and to uphold your rights under federal and state disability laws.
Includes:
- Specified clinical recommendation and rationale describing how the requested housing or dorm accommodation supports your daily functioning, regulation, and wellbeing.
- Verification of a qualifying mental health diagnosis that meets the definition of a disability.
- Statement of medical necessity outlining why the accommodation is essential for your health and safety.
- Completion of housing/dorm accommodation forms provided by landlords, housing authorities, or universities.
- References to relevant laws such as the Fair Housing Act (FHA) and Section 504 of the Rehabilitation Act to help contextualize your rights and the role of the recommendation.
Examples of Housing/Dorm/Hotel Accommodations:
- Priority housing registration to ensure access to the most suitable living environment for your needs.
- Single dorm room to support sensory regulation, sleep, and privacy.
- Room with windows for natural light regulation, circadian rhythm support, and mental health stabilization.
- Lighting accommodations (e.g., dimmable, natural, or soft lighting instead of fluorescent lights).
- Relocation away from overstimulating environments such as loud communal areas, high-traffic hallways, or inaccessible floors.
- Approval of an Emotional Support Animal or Service Animal in housing where pets are not typically allowed.
- Accessible placement to accommodate mobility, chronic illness, or sensory needs.
- Private space for virtual medical or therapy appointments to ensure confidentiality and continuity of care.
- Air purifier or environmental modifications for medical or sensory sensitivities.
Best For:
- College students requesting modifications through a university disability office or housing department.
- Renters needing accommodations under the Fair Housing Act to live in safe, accessible conditions.
- Person with sensory, medical, or mental health needs who would be harmed by standard housing arrangements.
- Families or person seeking to align their living environment with medical and psychological care needs.
Note: This letter or document does not guarantee approval of accommodations, as final determinations are made by the housing provider, institution, or travel entity. It documents the medical necessity of the requested accommodation and provides supportive rationale to advocate for accessibility under disability rights protections.
Fees:
$75 for up to 15 minutes
$160 for up to 30 minutes
$300 for 31-70 minutes (Preparation of report/document/form that takes 31-70 minutes to complete)
Charges will be processed to the card on file for the client, based on the actual time spent to coordinate, prepare, engage, and complete the service.
May be purchased for more than one setting, with separate services completed for each.
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Length: ~1–3 pages
This letter or completed travel-related form is a clinical recommendation written by a licensed clinician to document the medical necessity of accommodations during travel. It is designed to support you in accessing safe, equitable, and supportive travel arrangements that account for your health, mental health, and disability-related needs. The purpose is to reduce barriers that interfere with your ability to travel safely and sustainably, while upholding your rights under federal disability protections and transportation policies.
Includes:
- Specified clinical recommendation and rationale describing how the requested travel accommodation supports your health, functioning, and wellbeing during travel.
- Verification of a qualifying mental health diagnosis that meets the definition of a disability.
- Statement of medical necessity outlining why the accommodation is essential for your safety, regulation, and accessibility.
- Completion of travel-related forms or documentation provided by airlines, travel organizations, schools, or employers.
- References to relevant laws and policies such as the Air Carrier Access Act (ACAA) and ADA travel protections, to help contextualize your rights and the role of the recommendation.
Examples of Travel Accommodations:
1. Priority Boarding and TSA Assistance – Priority boarding and expedited support at security checkpoints to reduce stress, cognitive load, and physical strain. In cases of flight delays, direct assistance with securing priority rebooking is medically advisable.
2. Assistance with Navigation – Guided support through the airport environment (e.g., to departure gates, connecting flights, baggage claim) to minimize overwhelm in crowded, overstimulating, and fast-paced settings.
3. Communication Assistance – Clear, patient, and concise instructions; calm and understanding communication during distress; and access to alternative methods (e.g., non-verbal cues, cue cards, assistive technology like typing responses on a phone).
4. Flexibility with Seating Arrangements – Window seating or priority for an adjacent empty seat to create a quieter, more controlled environment. This reduces exposure to sensory triggers like sudden touches, noise, bright lights, and temperature changes.
5. Additional Consideration for Sensory Needs – Advance notice of schedule changes, direct assistance during delays, and accommodations to avoid overcrowded or noisy areas.
6. Seating accommodations such as bulkhead or accessible seating, or adjacent seating for a caregiver, peer, or support person.
7. Permission for an Emotional Support Animal or Psychiatric Service Animal (depending on airline policy and regulations).
8. Medical equipment support (mobility aids, oxygen, or sensory regulation devices).
9. Travel pacing or break accommodations such as flexible layovers, rest periods during mandatory work or school travel, or access to quiet areas at conferences.
10. Support for virtual participation or partial attendance when travel demands cause excessive strain.
Best For:
- Person with disabilities or mental health conditions who require accommodations for flights, long-distance travel, or group trips.
- Students needing documentation for study abroad, conferences, retreats, or fieldwork travel.
- Employees required to travel for work or professional events who need employer/university approval for accommodations.
- People with sensory, trauma, chronic illness, or mobility-related needs who would otherwise face barriers or unsafe conditions during travel.
Note: This letter or document does not guarantee approval of accommodations, as final determinations are made by the airline, travel provider, or institution. It documents the medical necessity of the requested accommodation and provides supportive rationale to advocate for accessibility under disability rights protections.
Fees:
- $75 for up to 15 minutes
- $160 for up to 30 minutes
Charges will be processed to the card on file for the client, based on the actual time spent to coordinate, prepare, engage, and complete the service.
May be purchased for more than one setting, with separate services completed for each.
One revision/edit request is included for any document, form, report, or letter. Additional revisions are $75 per 15 minutes
Other add-on documents (option3) may be purchased separately if needed
Additional requests for identification of specific resources or referrals outside of the assessment package or in addition to other offerings in option1A, 1B, 1C, and 2A, or consultation time may incur an added fee, typically ranging from $75–$125 depending on the scope of coordination required.
• $75 for a general referral list with multiple likely good-fit providers
• $125 for an expanded, more in-depth list (including specialty match, accessibility notes, or insurance/fee considerations)
- $75 for a general referral list with multiple likely good-fit providers
- $125 for an expanded, more in-depth list (including specialty match, accessibility notes, or insurance/fee considerations)

Option 4: Neurodivergent Direction Consultation Meetings

This consultation is a supportive, one-time or short-term meeting with a licensed clinician for adults who are exploring possible autism or ADHD self-identification and want guidance outside of a formal assessment process. It is particularly designed for adults who are not located in California, or who are not seeking a diagnostic evaluation at this time but would like clarity, resources, connection, and affirming direction.

The goal of this consultation is to create a safe enough, neurodiversity-affirming space where you can ask questions, explore your experiences in relation to autism and/or ADHD, and receive guidance about next steps. It is not a diagnostic assessment, but rather an opportunity to gain insight and support in your self-exploration.
- Exploration of criteria and lived experiences related to autism and ADHD.
- Answering specific questions you may have about traits, challenges, or identity.
- Discussion of next steps if you choose to pursue a formal evaluation in the future.
- General list of resources and referrals tailored to your needs, including self-assessment tools, reading material, and support organizations.
- Assistance in locating affirming providers or community connections in your state for therapy, assessment, coaching, or other support.
- Adults outside of California who want neurodiversity-affirming guidance without pursuing a diagnostic evaluation from this practice.
- People curious about autism or ADHD who want to explore their experiences in relation to clinical criteria.
- Anyone seeking referrals or recommendations for affirming assessors or therapists in their local area.
- Neurodivergent Adults looking for resources and validation to guide their next steps in self-understanding.
Fees:
- $265 for a 50-minute consultation
- $371 for a 70-minute consultation
Charges will be processed to the card on file for the client, based on the actual time spent to prepare, engage, and complete the service.
(Option 3g) Additional requests for identification of specific resources or referrals outside of the consultation time may incur an added fee, typically ranging from $75–$125 depending on the scope of coordination required.
- $75 for a general referral list with multiple likely good-fit providers
- $125 for an expanded, more in-depth list (including specialty match, accessibility notes, or insurance/fee considerations

Note:

This consultation is not a diagnostic evaluation and will not result in a formal diagnosis or documentation. Instead, it provides education, resources, and supportive guidance to help you navigate your journey of self-discovery and access affirming care and community.