Private Pay Psychiatry
in Washington DC
More Time. More Flexibility. More Individualized Psychiatric Care.
Reminder: I do not accept insurance, but I can help you with reimbursement.
TL;DR: Why Choose Private-Pay Psychiatry?
At Proactive Psychiatry, I use a private-pay, out-of-network model because it gives me greater flexibility to provide the kind of psychiatric care I believe many adults are looking for: thoughtful evaluations, individualized medication management, longer-term treatment planning, and attention to the factors that can influence mental health beyond a diagnosis alone.
Rather than structuring appointments around insurance reimbursement requirements, my goal is to structure care around you, your symptoms, your goals, and the complexity of your situation.
For adults seeking private-pay psychiatry in Washington, DC, especially those navigating ADHD, anxiety, depression, burnout, sleep problems, or complicated medication histories, this model can create more room for a comprehensive and collaborative approach.
Private-pay psychiatric care may be a good fit if you value:
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More time for evaluation and discussion
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Individualized medication decisions
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Greater continuity with the same provider
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Transparent pricing
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An integrative approach that considers sleep, nutrition, exercise, metabolic health, stress, and lifestyle
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More detailed evaluation of adult ADHD and overlapping conditions
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Treatment focused on optimizing function, not simply reducing symptoms
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The ability to use out-of-network insurance benefits when available
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Superbills that may be submitted to your insurance company for possible reimbursement
Private-pay care is not necessarily the right choice for everyone. If you have access to an excellent in-network clinician who provides the level of care you need, using your insurance may make more financial sense.
The purpose of private-pay care is not simply to avoid insurance. It is to create a different model of psychiatric care.
Why Doesn't Proactive Psychiatry Accept Insurance?
One of the most common questions people ask is:
Why would a psychiatric practice choose not to accept insurance?
The answer is largely about how care is structured.
Insurance-based healthcare is built around specific billing codes, documentation requirements, reimbursement rates, networks, and rules regarding what services are covered.
Those systems serve an important purpose and make medical care more accessible for millions of people.
But they can also influence how psychiatric practices are designed.
In many traditional medication-management settings, appointments may become increasingly brief and focused primarily on questions such as:
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Is the medication working?
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Are there side effects?
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Do we need to change the dose?
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When should we follow up?
Those are important questions.
But they are not always enough.
Mental health symptoms often exist within a much larger system involving sleep, relationships, physical health, stress, nutrition, exercise, substances, hormones, metabolic health, work demands, executive functioning, and previous treatment experiences.
My private-pay model gives me more flexibility to explore those factors when they are clinically relevant.
What Private-Pay Psychiatry Allows Me to Do Differently
The primary advantage of private-pay care is not simply longer appointments.
It is greater flexibility in how care is delivered.
Depending on your needs, treatment may include consideration of:
Your psychiatric symptoms
We may look closely at symptoms involving:
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Attention
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Executive functioning
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Anxiety
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Depression
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Mood
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Motivation
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Emotional regulation
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Sleep
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Burnout
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Stress tolerance
But symptoms are only one part of the picture.
Your medication history
Medication treatment is rarely as simple as finding a drug associated with a diagnosis.
I want to understand:
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What medications have helped previously?
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What medications have failed?
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What side effects occurred?
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How long did the medication last?
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Was the dose too strong or too weak?
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Did it affect sleep?
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Appetite?
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Anxiety?
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Motivation?
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Sexual functioning?
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Exercise?
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Emotional range?
Small differences can significantly affect how a medication works for an individual.
A More Individualized Approach to Medication
Psychiatric medications within the same category can behave very differently.
For example, two stimulant medications may both treat ADHD but differ considerably in:
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Duration
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Onset
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Smoothness of effect
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Rebound symptoms
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Appetite suppression
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Anxiety
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Cardiovascular effects
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Sleep disruption
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Emotional effects
The same is true of antidepressants, anxiety medications, mood stabilizers, and other psychiatric treatments.
My approach is generally to find the lowest-complexity treatment strategy that produces the best balance of benefit, tolerability, and long-term sustainability.
Sometimes that means medication.
Sometimes it means changing medication.
Sometimes it means recognizing that medication alone is unlikely to solve the underlying problem.
Private-Pay ADHD Treatment in Washington, DC
Private-pay psychiatric care can be particularly valuable for adults seeking ADHD treatment in Washington, DC.
Adult ADHD frequently involves far more than difficulty concentrating.
People may struggle with:
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Task initiation
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Procrastination
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Time blindness
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Working memory
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Organization
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Impulsivity
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Emotional regulation
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Motivation
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Inconsistent productivity
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Hyperfocus
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Sleep problems
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Anxiety
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Burnout
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Relationship difficulties
Many high-functioning adults compensate for ADHD for years before those systems begin to break down.
That can happen during:
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Graduate school
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Career advancement
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Entrepreneurship
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Parenthood
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Relationship changes
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Increased workload
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Chronic stress
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Major life transitions
A thoughtful ADHD evaluation should therefore involve more than asking whether someone has trouble paying attention.
It should explore how that person's brain functions across different environments and demands.
Learn more about Adult ADHD Treatment in Washington, DC.
ADHD Medication Is More Than Choosing a Stimulant
Medication can be extremely effective for ADHD.
But optimizing ADHD treatment involves more than deciding between Adderall and Vyvanse.
For example, I may consider:
Duration
Does the medication cover the actual period during which you need executive-function support?
Onset
Does it start working when you need it to?
Rebound
Do you experience irritability, fatigue, anxiety, hunger, or mood changes as it wears off?
Sleep
Is the medication contributing to delayed sleep onset or poor sleep quality?
Anxiety
Is anxiety a separate condition, a consequence of untreated ADHD, or worsened by the medication?
Nutrition
Are appetite suppression or irregular meals contributing to fatigue or medication variability?
Caffeine
Is caffeine amplifying stimulant side effects?
Cardiovascular health
Blood pressure, heart rate, exercise, and overall cardiovascular risk may influence medication decisions.
Lifestyle
Sleep deprivation, chronic stress, alcohol, cannabis, exercise patterns, and work demands can all change how ADHD symptoms appear.
This is why I approach ADHD treatment as a process of optimization rather than simply prescribing a medication.
An Integrative Approach to Psychiatry
I practice from an integrative psychiatry perspective.
That does not mean rejecting conventional medicine.
Medication is often extremely helpful, and evidence-based psychiatric treatment remains central to my practice.
Integrative psychiatry simply means asking a broader question:
What factors may be contributing to how this person feels and functions?
Depending on the situation, that may include:
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Sleep quality
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Exercise
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Nutrition
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Metabolic health
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Alcohol or cannabis use
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Caffeine
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Stress
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Relationships
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Work demands
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Medical conditions
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Medication interactions
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Supplements
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Laboratory testing when clinically appropriate
The goal is not to order unnecessary tests or recommend dozens of supplements.
The goal is to identify modifiable factors that may meaningfully improve mental health and cognitive function.
Private Pay vs. Insurance-Based Psychiatry
Neither model is inherently right for everyone.
The differences are primarily about how the practice is structured.
Insurance-Based Psychiatry
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Provider participates with selected insurance networks
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Care may be influenced by insurance reimbursement structure
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Copays and deductibles vary
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Provider choices may depend on insurance network
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Claims are typically submitted by the practice
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Appointment length varies widely
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Treatment may focus primarily on diagnosis and medication
Private-Pay Psychiatry
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Patient pays the practice directly
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Greater flexibility in how appointments are structured
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Pricing is known in advance
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Patient chooses provider independently of network participation
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Patient may submit a superbill for out-of-network reimbursement
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Practice can intentionally design longer or more comprehensive visits
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Greater flexibility to incorporate broader clinical factors
There are excellent clinicians practicing in both models.
The question is simply which model gives you access to the type of care you want.
Is Private-Pay Psychiatry Worth It?
That depends on what you are looking for.
Private-pay psychiatric care may be particularly valuable if you:
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Have a complicated medication history
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Have tried multiple ADHD medications without finding the right fit
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Want more time to discuss treatment decisions
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Have ADHD combined with anxiety, depression, insomnia, or burnout
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Want a more integrative approach
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Want continuity with the same psychiatric provider
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Prefer transparent pricing
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Have out-of-network mental health benefits
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Have felt rushed during previous psychiatric appointments
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Want to understand the reasoning behind your treatment plan
On the other hand, if you already have an excellent in-network provider who understands your needs, staying within your insurance network may be the better financial decision.
I do not believe private-pay care is automatically better.
I believe it makes a particular style of psychiatric care possible.
What Does “Out of Network” Mean?
Private-pay and out-of-network are closely related, but they are not exactly the same thing.
Proactive Psychiatry does not participate directly with insurance networks.
You pay the practice directly for your appointment.
Depending on your insurance plan, however, you may have out-of-network mental health benefits.
If you do, your insurance company may reimburse you for part of the cost after you submit documentation.
Coverage varies considerably from one insurance plan to another.
Before scheduling, you may want to ask your insurer about your:
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Out-of-network deductible
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Coinsurance
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Mental health benefits
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Reimbursement rate
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Requirements for submitting claims
What Is a Superbill?
A superbill is a detailed receipt that contains information your insurance company may require when processing an out-of-network claim.
It may include information such as:
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Provider information
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Diagnosis codes
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Service codes
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Appointment date
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Amount paid
You can submit the superbill to your insurance company if you have out-of-network benefits.
Receiving a superbill does not guarantee reimbursement.
Your insurance company determines whether services are covered and how much they reimburse.
Can I Use an HSA or FSA for Psychiatric Care?
Mental healthcare expenses are commonly eligible medical expenses for Health Savings Accounts and Flexible Spending Accounts when applicable under your plan.
Many patients therefore choose to use HSA or FSA funds to pay for psychiatric appointments.
You should confirm eligibility with your individual plan administrator if you are uncertain.
Does Private Pay Mean Insurance Is Never Involved?
Not necessarily.
You may choose to use insurance for:
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Prescription medications
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Laboratory testing
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Imaging
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Other medical services
For example, I may prescribe a medication while you continue using your pharmacy insurance benefit to pay for it.
That means insurance formularies and prior-authorization requirements can still affect prescription coverage even when psychiatric appointments themselves are private pay.
Does Private Pay Improve Privacy?
Paying privately can reduce some insurance-related administrative involvement because the practice is not submitting routine appointment claims directly to your insurer.
However, private pay should not be interpreted as absolute secrecy from insurers or other healthcare entities.
For example, if you submit a superbill for reimbursement, use insurance for prescriptions, or authorize records to be shared, information may enter those systems.
Your medical record is still maintained according to applicable healthcare privacy and recordkeeping requirements.
Private Psychiatric Care for Busy Professionals
Many of the adults I work with are professionals, entrepreneurs, executives, healthcare professionals, students, or other high-performing individuals.
They may function extremely well in certain areas while quietly struggling with:
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Executive dysfunction
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Chronic procrastination
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Overwork
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Burnout
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Anxiety
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Difficulty disconnecting
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Inconsistent productivity
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Sleep problems
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Emotional exhaustion
Success does not exclude ADHD, anxiety, depression, or other mental health conditions.
In fact, high-functioning individuals often develop sophisticated strategies that allow them to compensate for symptoms for years.
Treatment should recognize both the strengths and the difficulties.
The goal is not simply to make someone more productive.
It is to help create a life that is more sustainable.
Beyond Symptom Reduction
Traditional medical treatment often asks:
Are your symptoms better?
I think another question matters just as much:
Is your life functioning better?
That may mean improvements in:
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Work
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Relationships
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Sleep
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Exercise
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Energy
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Emotional regulation
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Organization
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Confidence
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Stress tolerance
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Ability to rest
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Ability to follow through
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Overall quality of life
A medication can technically improve a symptom while still being the wrong medication for a particular person.
My goal is therefore not simply symptom reduction.
It is better overall functioning with the least treatment burden necessary.
Collaborative Psychiatric Care
I believe people should understand their treatment.
When possible, I want you to know:
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Why I am considering a medication
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What alternatives exist
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What benefits we are looking for
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What side effects to monitor
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What would make us increase or decrease a dose
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How long we should evaluate a treatment
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What our next step would be if it does not work
Psychiatric treatment should not feel mysterious.
It should be a collaborative process.
Transparent Pricing
Private-pay care also means knowing the cost of your appointment before you schedule.
There are no surprise bills from the practice months later because an insurance company determined that a service was not covered.
Current appointment fees and service options are available on the Proactive Psychiatry Pricing page.
Who Is Private-Pay Psychiatry Best For?
My practice may be a particularly good fit for adults seeking care for:
ADHD
Including evaluation, medication management, executive dysfunction, ADHD-related anxiety, sleep problems, and burnout.
Anxiety
Including generalized anxiety, high-functioning anxiety, anxiety occurring alongside ADHD, and anxiety affected by lifestyle or medication factors.
Depression
Especially when symptoms require a broader look at medications, sleep, physical health, metabolic factors, stress, and daily functioning.
Burnout
Particularly among professionals and high-achieving adults who continue functioning despite significant emotional or cognitive exhaustion.
Complex medication management
Including people who:
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Have tried several medications
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Experience unusual side effects
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Have partial responses
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Take multiple psychiatric medications
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Want to simplify their regimen
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Want a clearer medication strategy
Frequently Asked Questions About Private-Pay Psychiatry in Washington, DC
What is private-pay psychiatry?
Private-pay psychiatry means the patient pays the psychiatric practice directly rather than the practice billing an insurance company for the appointment.
Depending on the practice and insurance plan, patients may still be able to submit documentation for out-of-network reimbursement.
Why do some psychiatric providers not accept insurance?
Some psychiatric providers choose a private-pay model because it gives them greater flexibility over appointment length, pricing, scheduling, documentation, and the structure of care.
Other providers participate with insurance networks.
Both models can provide excellent care.
What is the difference between private pay and out-of-network psychiatry?
Private pay describes how you pay the provider.
Out of network describes the provider's relationship with your insurance company.
You may pay a provider privately and then submit a superbill to your insurer for possible out-of-network reimbursement.
Is private-pay psychiatry worth it?
It depends on your priorities.
Private-pay care may be worth considering if you want more time with your provider, have a complex medication history, want individualized ADHD treatment, prefer an integrative approach, or have not found the care you need within your insurance network.
Can insurance reimburse me for seeing an out-of-network psychiatric provider?
Possibly.
Some insurance plans provide out-of-network mental health benefits.
You should contact your insurance company and ask specifically about your deductible, coinsurance, and reimbursement policies.
Do you provide superbills?
When appropriate, documentation can be provided that patients may submit to their insurance company for possible out-of-network reimbursement.
Insurance reimbursement is determined by your individual plan and is not guaranteed.
Can I use my HSA or FSA?
Psychiatric treatment may qualify as an eligible healthcare expense under many HSA and FSA plans.
Check your specific plan if you have questions about eligibility.
Can I still use insurance for medication?
Yes.
Even if your psychiatric appointments are private pay, you may continue using your pharmacy insurance benefits for prescriptions.
Your insurer's medication formulary and prior-authorization requirements may still apply.
Can I receive ADHD medication through a private-pay psychiatric practice?
When clinically appropriate, ADHD treatment may include prescription medication.
Medication decisions are based on an individualized evaluation, medical history, diagnosis, risks, benefits, previous treatment, and applicable prescribing requirements.
Not everyone evaluated for ADHD will necessarily be prescribed a stimulant or other medication.
Why can private-pay care be useful for ADHD?
Adult ADHD frequently overlaps with anxiety, insomnia, burnout, depression, executive dysfunction, medication side effects, and lifestyle factors.
Having enough time to explore those issues can help create a more individualized treatment strategy.
What if I am searching for an out-of-network psychiatrist in Washington, DC?
People searching for an out-of-network psychiatrist in Washington, DC may also consider other licensed psychiatric clinicians.
I am a board-certified Psychiatric-Mental Health Nurse Practitioner with a Doctor of Nursing Practice degree (DNP, PMHNP-BC).
Psychiatric nurse practitioners are licensed psychiatric providers who evaluate mental health conditions, diagnose psychiatric disorders, prescribe medications within their scope of practice, and provide ongoing psychiatric treatment.
I believe it is important for patients to understand exactly who is providing their care and their professional credentials.
Are you a psychiatrist?
A psychiatrist is a physician with an MD or DO degree who specializes in psychiatry.
I am a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with a Doctor of Nursing Practice degree.
My practice focuses extensively on adult ADHD, psychiatric medication management, and integrative approaches to mental health.
Do I need a referral?
Private-pay psychiatric practices generally do not require an insurance referral simply to schedule because the practice is not participating with the insurer for the visit.
Individual circumstances may vary.
Do you provide telehealth psychiatric care in Washington, DC?
Yes. Proactive Psychiatry provides psychiatric care to eligible patients in Washington, DC through telehealth.
Availability and prescribing decisions depend on applicable clinical and regulatory requirements.
How much does private-pay psychiatric care cost?
Pricing depends on the type and length of appointment.
Current fees are listed transparently on the Proactive Psychiatry website.
Is Private-Pay Psychiatry Right for You?
You do not need private-pay psychiatry simply because it exists.
But if you have struggled to find the right psychiatric provider, feel that previous appointments have been too rushed, have a complicated medication history, or want a more individualized approach to ADHD and mental health treatment, it may be worth considering.
My goal at Proactive Psychiatry is to create enough space to understand not only what symptoms you have, but also:
Why they may be happening, how they affect your life, and what combination of treatments is most likely to help.
Private-Pay Psychiatry and Adult ADHD Care in Washington, DC
If you are looking for individualized psychiatric care or adult ADHD treatment in Washington, DC, you can learn more about Proactive Psychiatry, review current pricing, or schedule an introductory consultation.
First, what can you afford?
(Skip this part if you believe your wellness is worth every penny)
If you believe: + You can afford a $6 coffee each morning. + You can afford $200 a week for food and drinks out. + You can afford $60 a month for streaming and subscriptions. but + You cannot afford to make time for your health. + You cannot afford to exercise or pay for a gym. + You cannot afford a therapist. then We need to talk about opportunity cost. Opportunity cost is the forgone profit from a missed opportunity. Our happiness and wellness is our profit. Is a daily $6 latte worth wellness? When we think about what we can afford, perspective is important. For you, how much is health and wellness worth? Does change come without sacrifice? Where we spend our time and money says a lot about what we value. Being unhealthy has a cost. Prioritizing your wellness saves a great deal in the long run.
Treatment Options for
ADHD & Integrative Psychiatry
Proactive Complete℠ offers truly comprehensive and integrative mental health care.
Proactive Express℠ offers abbreviated & affordable mental health care
for medication management & ADHD
Concise Integrative Psychiatry with Proactive Express℠
for ADHD & Medication Management
High-quality care offered with brief appointments.
primarily includes medication management
1.
Initial Evaluation
$ 299 - 30 minutes
In this 30 minute appointment we will get to know each other and come up with a plan. Before your appointment you will complete intake paperwork, questionnaires, and applicable screening tools. After this appointment you can expect to leave feeling empowered with tasks to complete prior to our follow up appointments.
2.
Follow up Appointments
$ 199 - 20 minutes
Follow up appointments are 20 minutes. During this time we will check in on our plan and adjustment as needed. You'll come prepared with and ready to engage collaboratively. We will go over what is working, what isn't, and where we're headed next. Depending on our goals, our follow up appointments may include brief therapy, medication management, and brief check-ins on nutrition, exercise, and sleep. Additional services may be billed separately.
3.
Additional Services
Pricing Varies
Sometimes testing can help us guide treatment. I utilize testing services including genetic and lab testing to help guide our treatment plans. Some testing services are covered by insurance. We will review any tests as part of your appointment. Additional services may also include consultation with other providers, letters for employers, and complex prior authorizations.
Sticker Shock?
I get it! - Remember the value we talked about earlier!
My model of practice enables a highly personalized approach that is truly unique to the field. Top notch care is what you can expect!
+ I do not accept insurance
but I can help you get reimbursed!
Insurance companies often discourage the practice of dedicating time to comprehend the intricacies of each patient. Consequently, we opted not to enter into contracts with any insurance providers.
With Reimbursify I can:
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Verify your out-of-network insurance eligibility*
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Submit the claim to your insurance on your behalf*
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Provide a superbill to submit to your insurance*
A sliding scale is not published, but I happily will review your situation to determine if any discount can be provided.
*Reimbursement cannot be guaranteed, including reimbursement amounts.
Why Cash-Pay?
Better Care. Less Administrative Burden.
Insurance reimbursement models often incentivize shorter visits and higher patient volume.
By remaining a cash-pay practice, I can offer:
✓ Longer appointments
✓ Faster scheduling
✓ Direct access to your provider
✓ Personalized treatment plans
✓ Integrative and lifestyle-focused recommendations
✓ Reduced administrative barriers
✓ Treatment decisions based on clinical judgment rather than insurance requirements
Many patients find the additional time, accessibility, and individualized attention provide significantly greater value than traditional insurance-based care.
Adult ADHD Evaluation
Comprehensive ADHD Evaluation
$250
A comprehensive ADHD assessment for adults.
This appointment is designed to determine whether ADHD is contributing to challenges with:
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Focus
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Organization
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Time management
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Productivity
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Executive functioning
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Emotional regulation
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Academic performance
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Professional performance
Your evaluation may include:
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Detailed psychiatric assessment
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ADHD symptom review
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Diagnostic clarification
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Review of prior treatment history
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Discussion of treatment options
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Initial treatment recommendations
Many patients seek evaluation after years of struggling with symptoms that were previously attributed to stress, anxiety, burnout, or lack of motivation.
Includes:
✓ Comprehensive assessment
✓ Diagnostic discussion
✓ Personalized recommendations
✓ Treatment planning
✓ Opportunity to begin treatment if clinically appropriate
ADHD Medication Management
Follow-Up Appointments
$175
Designed for ongoing ADHD treatment and medication management.
Follow-up appointments may include:
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Medication optimization
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Side effect monitoring
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Progress assessment
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Executive function challenges
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Sleep review
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Lifestyle interventions
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Performance optimization strategies
The goal is not simply prescribing medication.
The goal is helping you function better at work, school, home, and in relationships.
Integrative Psychiatry
Comprehensive Integrative Psychiatry Evaluation
$700
For individuals seeking a deeper, whole-person approach to mental health.
This extended evaluation goes beyond symptom management to explore the biological, psychological, behavioral, and lifestyle factors that may be contributing to your concerns.
Many patients seek integrative psychiatry when they have not achieved the results they hoped for with conventional treatment alone or when they want a more comprehensive understanding of their mental and physical health.
Conditions commonly addressed include:
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Anxiety
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Depression
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Burnout
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Chronic stress
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ADHD
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Sleep difficulties
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Mood disorders
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Cognitive concerns
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Treatment-resistant symptoms
Your evaluation may include:
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Comprehensive psychiatric assessment
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Review of prior diagnoses and treatment history
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Medication review
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Sleep assessment
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Nutrition and lifestyle review
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Stress and resilience assessment
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Discussion of laboratory testing when appropriate
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Personalized treatment recommendations
Includes
✓ 75-minute comprehensive evaluation
✓ Detailed review of psychiatric and medical history
✓ Integrative treatment planning
✓ Medication recommendations when appropriate
✓ Lifestyle and behavioral interventions
✓ Personalized follow-up recommendations
✓ Lab orders when necessary
Integrative Psychiatry Follow-Up
$349
Ongoing appointments focused on implementing and refining your treatment plan.
Follow-up visits may include:
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Medication management
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Symptom monitoring
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Sleep optimization
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Stress management
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Behavioral interventions
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Nutrition and lifestyle recommendations
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Laboratory review and interpretation
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Progress tracking and treatment adjustments
The goal is not simply symptom reduction. The goal is helping you build long-term mental wellness, resilience, performance, and quality of life.
Includes
✓ Personalized follow-up care
✓ Medication management when appropriate
✓ Integrative treatment recommendations
✓ Lifestyle and behavioral coaching
✓ Progress review and treatment optimization
Who Is This Best For?
This program is often chosen by:
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Professionals and executives
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Entrepreneurs
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Healthcare providers
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Individuals with complex presentations
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Patients seeking a more comprehensive approach than traditional medication management alone
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Adults interested in the intersection of mental health, physical health, and performance
Not Sure Which Option Is Right For You?
If you’re deciding between ADHD-focused care and comprehensive integrative psychiatry, schedule a free introductory consultation. We can discuss your goals and determine which approach is likely to be the best fit.
What Happens After I Book?
Step 1
Schedule online.
Step 2
Complete intake paperwork.
Step 3
Attend your appointment virtually.
Step 4
Receive a personalized treatment plan.
Step 5
Follow up as needed based on your goals and treatment plan.
Frequently Asked Questions
Do you accept insurance?
No. Proactive Psychiatry is a cash-pay practice.
This allows for longer appointments, greater flexibility, and more personalized care.
Can you prescribe ADHD medication?
Yes, when clinically appropriate and after a thorough evaluation.
Not every patient requires medication, and treatment recommendations are individualized.
How quickly can I get an appointment?
Many patients are able to schedule within days rather than weeks or months.
Availability varies.
Do you treat adults only?
The practice primarily focuses on adults, but I also see teens 12 years and older.
Do you offer virtual appointments?
Yes.
Appointments are conducted through a secure telehealth platform for patients located in states where I am licensed.
Is ADHD testing included?
Most adults do not require extensive neuropsychological testing to diagnose ADHD.
A thorough psychiatric evaluation is often sufficient.
Additional testing may be recommended in certain situations.