Adult autism and ADHD assessment,
in person in the Heights

For adults who have wondered about autism, ADHD, or both, for a long time. In-person interviews in Houston Heights with Joe Lenhoff, LCSW-S, and results that belong to you.

Request a free consultation → See pricing

In person on Heights BlvdFree 30-minute consultAutism and ADHD togetherAdults 18+

Built for adults who were missed

Both questions at once

Many autistic adults also have ADHD, so we assess both when the picture calls for it.

In the room, not on a screen

Many adult assessments are done over video. Ours happen in person, in our office on Heights Boulevard.

Your records stay yours

We don't bill insurance for it, so nothing from it goes on a claim. You decide who sees your letter or report, and a short accommodation letter lets you share only what's needed.

What the MIGDAS-2 actually is

The MIGDAS-2 is a structured conversation built for understanding autism in verbally fluent adults. We talk about your sensory life, the interests you come back to, how you communicate, and how relationships have gone over the years. There are no timed tasks and nothing to perform.

It runs as one in-person interview of about 3 hours in our office at 1533 1/2 Heights Blvd., Rear Building, Houston, TX 77008, with breaks whenever you need them.

You don't have to mask here

Take breaks whenever you want, without explaining why
Stim, fidget, pace, or look away. Eye contact is never expected.
Answer in writing if talking gets harder partway through
Bring headphones, a drink, or whatever helps you stay regulated

What this assessment can and can't do

This assessment works for

Understanding yourself, with real evidence behind it
Workplace accommodations under the ADA
College disability services (each school sets its own rules, so check first)
Sharing with your doctor, prescriber, or therapist
Sorting out how autism, ADHD, trauma, and anxiety fit together for you

This assessment is not for

Extra time on standardized exams like the SAT, GRE, LSAT, MCAT, or bar
Social Security disability claims
Legal, custody, or immigration matters
IQ, learning disability, or memory questions
Anyone under 18

If your goal is in the second column, you need a licensed psychologist or neuropsychologist. We'll tell you that at the free consult, before you pay anything, and share names of people who do that work.

Pricing

One price for an adult autism assessment, an ADHD assessment, or both. The fee is the same whatever the result.

New clients

$950

The assessment with a diagnostic letter.

Current HHT clients

$700

The assessment with a diagnostic letter.

Full written reportOptional. Add it for either price.

$450

What's included

Questionnaires
A 3-hour in-person MIGDAS-2 interview
The DIVA-5 when ADHD is in question
Up to 1 extra hour if needed
A 90-minute feedback session
An accommodation letter

PaymentA $300 deposit holds your interview date. The balance is due 48 hours before the interview, or in up to 3 monthly payments.

Getting startedStart with a free 30-minute consult. You'll get a Good Faith Estimate before you pay anything.

Self-pay onlyNothing is billed to insurance and no diagnosis is sent to an insurer.

For adults 18 and older. Reports can't be used for Social Security, legal, immigration, or standardized-test accommodations. This is a clinical diagnostic assessment by a licensed clinical social worker, not psychological testing.

If plans change

Life happens. Here's how cancelling, rescheduling, or stopping works for an assessment.

Cancel or reschedule 48 hours or more before your interview: a full refund, or one reschedule at no charge.
Less than 48 hours' notice, or a missed interview: we keep the $300 deposit and refund anything else you've paid.
If you stop during or after the interview: you owe the letter price ($950, or $700 for current HHT clients), and you still receive your diagnostic letter.
If you drop the full written report before writing starts: the $450 is refunded.
On a payment plan: after stopping, you never owe more than the letter price.
The yearly first late-cancellation waiver for weekly therapy doesn't apply to assessments.

Common questions

Can a licensed clinical social worker diagnose autism in Texas?

Yes. In Texas, a licensed clinical social worker can diagnose conditions in the DSM-5-TR, which includes autism and ADHD. What we don't do is psychological testing, like IQ or learning disability batteries. Standardized exam boards and Social Security usually require that kind of testing from a psychologist, so we'll tell you at the consult if you need one.

Why don't you bill insurance for this?

Billing insurance puts a diagnosis on a claim and gives the insurer access to your records. Keeping the assessment private pay means nothing from it goes on an insurance claim, and you decide who sees the report.

I already identify as autistic. Is this still for me?

Yes, if you want formal documentation or a clearer picture of how autism, ADHD, and anything else fit together for you. Self-identification is valid, and we won't treat the assessment as a test of whether you were right.

Request a free consultation

Send us a few details and we'll reach out to schedule your free 30-minute consultation.

Name *

Email *

Phone

Wondering about

Main reason for the assessment *

I'm 18 or older. * I'm a current therapy client at HHT.

Please don't include details about what you're going through. We'll talk about that on your consultation call. This form isn't monitored around the clock. If you're in crisis, call or text 988.