Comprehensive Adult ADHD Evaluations
Clear answers. Thoughtful assessment. Practical next steps.
ADHD can look different in adulthood—and understanding the full picture takes more than a symptom checklist. Black Hills Trauma Therapy offers comprehensive adult ADHD evaluations for individuals in South Dakota and Minnesota seeking greater clarity about attention, executive functioning, and patterns that may have been present throughout their lives.
For adults 18+ • South Dakota & Minnesota • Private pay
Is an ADHD Evaluation Right for Me?
Adults seek ADHD evaluations for many different reasons. You may have wondered about ADHD for years, recently begun recognizing patterns in yourself, or found that strategies that once worked are no longer enough.
An evaluation may be helpful if you experience:
Difficulty focusing, starting tasks, or following through
Chronic procrastination or feeling overwhelmed by everyday responsibilities
Problems with organization, time management, or remembering important things
Restlessness, impulsivity, or difficulty slowing down
Patterns of difficulty at work, school, home, or in relationships
A history of anxiety, depression, or trauma that makes it difficult to understand what is causing your symptoms
Questions about a previous ADHD diagnosis or whether ADHD may better explain lifelong patterns
You do not need to be certain that you have ADHD before requesting an evaluation. The purpose of the evaluation is to understand the whole picture, including whether ADHD—or another explanation—best accounts for your experiences.
What’s Included in Your Evaluation?
A comprehensive ADHD evaluation looks beyond a checklist of symptoms. We’ll explore how attention and executive functioning show up across your life while also considering other experiences or conditions that can look similar to ADHD.
Clinical & Developmental Interview
Explore your current concerns, developmental history, childhood experiences, education, work, relationships, and patterns across your life.
ADHD & Executive Functioning Assessment
Structured interviews and standardized measures examine attention, organization, time management, impulsivity, emotional regulation, and other areas of executive functioning.
Impact on Daily Life
Explore how symptoms affect work, school, relationships, responsibilities, self-care, and other areas of everyday functioning.
Whole-Person Diagnostic Review
Consider anxiety, depression, trauma, sleep, substance use, medical factors, and other experiences that may contribute to or overlap with ADHD symptoms.
Collateral & Records When Helpful
With your permission, information from someone who knows you well or relevant historical records may be incorporated when available.
Written Report & Feedback
Receive a written evaluation report along with a dedicated feedback appointment to review the findings, diagnostic conclusions, and individualized recommendations.
The goal isn't simply to answer “Do I have ADHD?”—it's to help you better understand your patterns and what may help moving forward.
What to Expect
Your evaluation takes place across three appointments, allowing time to understand your history, complete the assessment, carefully integrate the findings, and talk through your results together.
1. Intake Evaluation
60 minutes
We’ll discuss your concerns, history, current functioning, and what you hope to better understand through the evaluation. You’ll also complete questionnaires and background information as part of this process.
2. Assessment
2 hours
We’ll complete a structured ADHD assessment and explore attention, executive functioning, daily-life impact, developmental patterns, and other factors relevant to diagnostic clarification.
After this appointment, I’ll review and integrate the information gathered, score assessment measures, consider relevant differential diagnoses, and prepare your written report.
3. Results & Feedback
60 minutes
We’ll review your results together, discuss whether the findings support an ADHD diagnosis, and talk through recommendations and practical next steps. You’ll also receive your written evaluation report.
Approximately 4 hours of appointment time + comprehensive scoring, clinical integration, and report preparation.
Fees & Payment
Comprehensive Adult ADHD Evaluation — $1,200
The evaluation fee includes all three appointments, standardized assessment, scoring and clinical integration, preparation of your written report, and your results and feedback session.
Private Pay
Adult ADHD evaluations are offered on a private-pay basis. Black Hills Trauma Therapy does not bill insurance directly for this service. A superbill may be available upon request for clients who wish to seek reimbursement through out-of-network benefits. Coverage and reimbursement vary by insurance plan and are not guaranteed.
You are charged by phase rather than paying the full $1,200 upfront.
Intake Evaluation — $250
60-minute clinical and developmental interview.
Assessment & Report — $800
2-hour assessment appointment plus scoring, review of relevant information, diagnostic integration, formulation, and preparation of your written report.
Results & Feedback — $150
60-minute appointment to review your results, diagnostic conclusions, recommendations, and next steps.
Understanding Your Results
An ADHD evaluation isn't about trying to prove or disprove a diagnosis. It's about developing a clearer understanding of your experiences, patterns, strengths, and areas of difficulty.
Your evaluation brings together your developmental history, current symptoms, daily functioning, standardized assessment results, and other relevant information to determine whether ADHD best explains the difficulties you're experiencing.
Regardless of the diagnostic outcome, you'll receive feedback about what we learned and individualized recommendations for next steps.
Your evaluation may find that:
ADHD is supported
Your history, symptoms, and functional difficulties are consistent with an ADHD diagnosis.
Another explanation better fits
Sometimes difficulties with attention, motivation, memory, or executive functioning are better explained by factors such as anxiety, depression, trauma, sleep difficulties, substance use, medical concerns, or other conditions.
More than one factor is involved
ADHD can occur alongside other mental health concerns. When appropriate, the evaluation considers how different factors may be interacting.
Additional evaluation may be helpful
Occasionally, the findings suggest that another type of specialized assessment or medical evaluation would provide important additional information.
Your recommendations may include: medication consultation with a medical provider, ADHD-informed therapy, executive-function supports or coaching, workplace or educational supports, medical follow-up, or additional specialized assessment when appropriate.
Therapy is not required after your evaluation. When services outside the scope of the evaluation are recommended, appropriate referrals can be discussed.
Frequently Asked Questions
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No. School records, previous evaluations, or other historical information can be helpful when available, but not having childhood records does not automatically prevent you from completing an evaluation. We’ll discuss other ways to understand your developmental history.
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Not necessarily. Information from someone who has known you well can sometimes provide helpful context, but every person’s circumstances are different. We’ll discuss whether collateral information would be useful and what options are available to you.
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Yes. Adults seeking ADHD evaluations often have other mental health concerns as well. A comprehensive evaluation considers these factors because symptoms can overlap, occur alongside ADHD, or sometimes provide a better explanation for attention and executive-function difficulties.
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No. An evaluation does not guarantee any particular diagnosis. The goal is to determine what explanation is best supported by the information gathered and provide useful recommendations regardless of the outcome.
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No. Black Hills Trauma Therapy does not prescribe medication. If your results support discussing medication, consultation with an appropriate medical provider may be included in your recommendations.
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Your report can provide documentation of the evaluation findings and recommendations when appropriate. However, employers, schools, testing organizations, and other institutions establish their own documentation requirements, so an evaluation cannot guarantee approval of accommodations.
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Telehealth may be available for eligible adults located in South Dakota or Minnesota at the time services are provided. We’ll determine whether telehealth is clinically appropriate for your evaluation and discuss any technology or accessibility needs before beginning.
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Adult ADHD evaluations are private pay. Black Hills Trauma Therapy does not bill insurance directly for this service. A superbill may be available upon request for clients who want to seek possible out-of-network reimbursement. Coverage and reimbursement vary by insurance plan and are not guaranteed.
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The evaluation includes three appointments totaling approximately four hours, plus scoring, clinical integration, and report preparation. The goal is to complete the written report and feedback process within approximately 10–14 days after all necessary evaluation information has been received.
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You will still receive feedback about what was learned during the evaluation and individualized recommendations for next steps. When appropriate, we’ll discuss other factors that may better explain your concerns or whether additional evaluation would be helpful.
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Yes. A written evaluation report is included in the comprehensive evaluation fee. Your report will summarize relevant history, assessment findings, diagnostic conclusions, and individualized recommendations.
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No. Adults may request an ADHD evaluation directly; a referral from another provider is not required.
Meet Your Evaluator
Jaclyn Johnson,
MA, LPCC, LPC-MH, LADC
I’m a licensed mental health counselor with experience helping adults understand the ways trauma, anxiety, depression, life experiences, and patterns of coping can affect how they feel and function.
My approach to ADHD evaluation is collaborative, trauma-informed, and focused on understanding the whole person—not simply adding up symptoms on a checklist. I take time to consider developmental history, executive functioning, daily-life impact, mental health, strengths, and other factors that may contribute to the difficulties you’re experiencing. My clinical background in trauma and complex mental health concerns also informs careful consideration of symptoms that can overlap with or resemble ADHD.
My goal is for you to leave the evaluation with more than a diagnostic answer. I want you to have a clearer understanding of yourself, language for what you’ve been experiencing, and practical direction for what comes next.
Licensed in South Dakota & Minnesota
EMDR Certified Therapist • Trauma-Informed Care
Ready to Learn More?
If you’ve been wondering whether ADHD could help explain lifelong patterns with attention, organization, follow-through, impulsivity, or executive functioning, a comprehensive evaluation can help provide clarity.
Start by completing a brief evaluation inquiry. I’ll review your information to determine whether the Adult ADHD Evaluation service appears appropriate for your needs. If it looks like a good fit, you’ll receive information about scheduling and the next steps.
Submitting an inquiry does not commit you to an evaluation or establish a therapeutic relationship.
Not sure whether this type of evaluation is what you need? You’re welcome to reach out with questions before getting started.
Submitting this form does not guarantee acceptance for an evaluation, commit you to services, or establish a therapeutic relationship.