OpenHealth Q&A

Get answered by medical professionals

Navigating the Process for an ADHD Evaluation

8/8/2025, 4:20:35 AMMale25-34

I’m a 20-year-old currently living with my parents in California. My only mental health concern has been a substance use disorder, for which I've been receiving treatment with suboxone/sublocade for over a year and a half. My primary psychiatrist has recommended that I seek an external evaluation for ADHD. However, I’ve encountered significant obstacles: the clinics they suggested charge more than $10,000 for a complete assessment. My college doesn’t provide testing services, and the psychiatrists or psychologists I've reached out to have lengthy waiting periods, often stretching for several months. Feeling quite discouraged, I'm finding it hard to make any progress, as each avenue I explore seems to present new challenges. Does anyone have recommendations on how to navigate this situation?

Internal MedicineEndocrinology

Answers (1)

Cony

8/8/2025, 4:21:01 AM

OpenHealth AI

I'm sorry to hear about the challenges you're facing in seeking an ADHD evaluation. It's understandable to feel discouraged given the obstacles you've encountered. Let's break down some steps that may help you navigate this situation more effectively.

Main Points:

  1. Explore Alternative Evaluation Options: There are potentially more affordable and accessible ways to seek an ADHD evaluation.
  2. Utilize Community Resources: Look for local mental health resources that might offer sliding scale fees or lower-cost assessments.
  3. Prioritize Self-advocacy and Support: Seek assistance from your current treatment team and support networks.

Explanation:

ADHD evaluations can indeed be costly and time-consuming, especially in higher-cost areas such as California. However, there are steps you can take to potentially reduce these burdens and find the support you need.

Next Steps:

  1. Contact Local Community Health Clinics: Look for mental health centers or community health clinics in your area that may offer ADHD evaluations at a reduced cost or on a sliding scale based on income. These clinics often offer services to those in need of mental health support.

  2. Check University Counseling Services: If you're enrolled in college, consider reaching out to nearby universities’ psychology or counseling programs. Graduate students often provide assessments under supervision at a significantly lower cost.

  3. Telehealth Services: Research online platforms that specialize in ADHD assessments. Several telehealth providers offer remote evaluations that might be more affordable and have shorter waiting times.

  4. Utilize Support from Your Psychiatrist: Talk to your primary psychiatrist about your struggles in finding a timely evaluation. They may have additional resources or recommendations for specific clinics that could work with you more effectively.

  5. Stay Informed and Organized: While you search for resources, keep a record of potential clinics, their wait times, and any contacts you've made. This will help you stay organized and motivated in your search.

  6. Seek Peer Support: Joining online or local support groups for individuals with ADHD can provide insights into others' experiences and recommendations for evaluation options.

It's important to remain persistent and seek support from those around you. Finding the right evaluation doesn't have to be an isolating journey—consider reaching out to your network. If you have any further questions or need more specific information, feel free to ask!

Related Questions

Understanding Tuberculosis Exposure Risk

A 26-year-old male, who neither drinks alcohol nor smokes, seeks to understand the implications of exposure to tuberculosis (TB). As an anesthesia technician, I became concerned after I encountered a TB-positive patient about a month ago. I had to enter the patient’s room several times to perform blood gas tests. On my first entry, I mistakenly wore my N95 mask incorrectly due to the hectic nature of attending to multiple rooms. From my research, it appears that TB is quite transmissible; direct exposure can pose a serious risk of infection. Transmission usually requires prolonged contact with an infected individual, particularly in a close or face-to-face setting. In this case, the patient was lying face down and appeared to be sleeping when I entered. I have already undergone testing for TB, but I am eager to deepen my understanding of the risks involved in these situations.

COPDInternal MedicineEndocrinology
Male25-34
25 minutes ago

24M | Unexplained Fainting Incident

**Note:** I previously shared this story, but it was inexplicably removed. I’m a 24-year-old male without any medical diagnosis or prescription medications. While I do consume alcohol occasionally, I hadn’t been drinking before this happened. Around 3 a.m., I got up from bed to use the restroom. As soon as I began to urinate, I suddenly felt a wave of dizziness. The next moment I was aware of was regaining consciousness in the bathtub, startled awake by the sensation of something dripping on me—only to discover it was my own blood. This was my first experience with fainting. When I came to, confusion set in. I was disoriented and couldn’t comprehend why I was being dripped on while in what I thought was my “bed.” Strangely, I also imagined that I was lying on a collection of marbles (which I actually don’t own)—this turned out to be the shattered glass of my shower door lying around me. I’m uncertain whether I lost consciousness first and then fell, or if the fall caused my brief blackout. It took me a few moments to understand why I was in the bathroom at all. I’m not sure how long I was out; I only remember it was around 3 in the morning when I initially got up, and about the same time when I regained consciousness. I dialed 911, and the ambulance arrived promptly. They checked my vitals, performed an EKG and measured my blood sugar, finding nothing unusual. At the emergency room, they repeated the vital checks, conducted a CT scan, drew blood, and took x-rays—yet still no abnormalities were detected. I had several cuts on my face and left arm (curiously, this is the arm that would have been turned away from the door), along with bruising around my ribs. Since the incident, I’ve been suffering from headaches and pain in my ribs. I received stitches on both my face and arm. The nurse suggested I could have stronger pain relief, but I opted for just Toradol. They eventually discharged me, stating, "We’re unsure what caused this, but return if it happens again." What might have triggered such an incident? How can I safeguard against it reoccurring if they remain uncertain about the cause?

Thyroid DisordersCOPDInternal Medicine
Male25-34
55 minutes ago

Swelling Beneath My Chin Near the Jawline

18-Year-Old Male: I'm reaching out to any medical professionals who might provide insights into my situation. I've been using marijuana since I was 14, but now, at 17, I'm making an effort to stop and have been clean for 18 days. Recently, I've discovered an unusual swelling located just beneath my chin, behind my jaw. It causes some discomfort when I move, yet it doesn’t feel painful continuously. I'm somewhat anxious that this could be indicative of a more serious issue, especially considering it's positioned near my chin's lymph nodes. Any advice or information would be greatly appreciated as it might help alleviate my worry.

ArthritisLupusInternal Medicine
Male25-34
1 hour ago

Challenges with Appetite and Discomfort While Eating — Difficulty in Gaining Weight

As an 18-year-old male, I find that I become satisfied after consuming rather minimal amounts of food. This situation presents a considerable challenge, particularly since I only need to have a standard breakfast, lunch, or dinner to feel completely satiated for the remainder of the day. My goal of increasing my weight has made this issue even more complicated. When I limit myself to one meal per day, I often face weight loss or an uncomfortable sensation of fullness that leaves me feeling sluggish. Opting for two meals makes me feel excessively bloated, distracting me from my daily responsibilities. Moreover, I suffer from an unusual issue with my throat, where almost any food I consume causes discomfort, as detailed in the list below. I have contemplated focusing on having just lunch while continuing my weightlifting regimen to maintain my current weight and gradually build muscle. What advice could you offer? Could there be an underlying cause for these symptoms? Lastly, would it be wise for me to consult a healthcare professional? Foods That Cause Discomfort: Bread, flour, pizza, fruits, sugary or starchy items, seed oils, chips, and essentially everything else. Foods That Are Tolerable: Rice, salads, chicken, fish, and vegetables. Overall Symptoms Include: * Quick satiety after normal meals * Challenges in gaining weight * Bloated and lethargic sensations when consuming more than one meal * Persistent throat sensitivity to a wide variety of foods

Thyroid DisordersInternal MedicineEndocrinology
Male25-34
1 hour ago

Seeking Insights: My Journey with Undiagnosed Neurological Symptoms

Hello everyone, I'm a 34-year-old female grappling with neurological symptoms that first appeared in October, and I’m eager to hear from anyone who might have faced similar challenges. My journey began with unexpected migraines, blurred vision, and an ongoing sensation of being off-balance or intoxicated. Gradually, I began experiencing mainly sensory-related symptoms, such as tingling and burning sensations, feelings of extreme heat and cold, sharp pains radiating in my arms and back, as well as discomfort in my hands and toes, alongside intermittent numbness. I also endure varying degrees of weakness and heaviness in my right side, specifically my arm and leg, although I haven’t suffered complete functional loss. The nature of my symptoms is erratic; they fluctuate rather than consistently deteriorate. An MRI revealed mild, scattered lesions in the white matter, which were deemed nonspecific. Further tests from a lumbar puncture returned normal results, showing no markers of inflammation, and the oligoclonal bands were not present. A thorough range of lab tests yielded no significant findings. After evaluating my case, the neurology team suggested a possible diagnosis of MS and administered a three-day course of intravenous steroids. While I noticed a slight improvement in some sensory pain, my symptoms persist and continue to vary day by day. I still experience headaches and pressure in my head along with episodes of blurred vision, but there have been no new deficits since treatment. I am reaching out to connect with others who have had similar experiences. I would like to learn about the insights or diagnoses you encountered and what treatments proved beneficial (such as those related to migraine disorders, dysautonomia, or sensory neuropathy, for example). If you have navigated a similar path, I would greatly appreciate your sharing your story. Thank you!

Multiple SclerosisLupusEndocrinology
Male25-34
2 hours ago