Adult ADHD Evaluations in Louisville, KY

Our 4-Step Adult ADHD Evaluation Process

We follow a streamlined yet thorough process tailored to busy adult schedules.

• Step 1: Initial Intake and Semi-Structured Interview Your evaluation begins with a comprehensive 90-minute intake session ($350). Dr. Hilchey conducts a semi-structured clinical interview exploring childhood history, current symptoms, work/relationship impacts, and mental health background. This establishes a clear clinical picture and guides testing selection. Dr. Hilchey will recommend the battery of tests and provide a fee arrangement for the cost of everything moving forward.
• Step 2: Administration of Research-Backed Tests Using advanced Q-Global and Q-Interactive platforms, we administer standardized adult measures assessing attention, executive functioning, impulsivity, and cognitive efficiency. Self-report scales, performance-based tasks, and optional collateral input (from partners or colleagues) provide a multi-faceted view.
• Step 3: Comprehensive Final Report Written by Dr. Hilchey Dr. Hilchey personally synthesizes all data into a detailed, professional report. This document clarifies diagnosis, explains symptom patterns, rules out alternative explanations, and offers individualized recommendations for work, relationships, and daily functioning.
• Step 4: Feedback Session We schedule a dedicated feedback meeting to review results in depth. Dr. Hilchey walks through the report, answers questions, discusses implications, and collaborates on next steps, whether therapy, coaching, medication referral, or accommodations.

At Grace Psychological Services, we specialize in ADHD testing in Louisville, providing expert comprehensive ADHD evaluations tailored to your needs. Led by Dr. Olivia Hilchey, our practice offers state-of-the-art neuropsychological testing for accurate attention-deficit/hyperactivity disorder diagnosis. Dr. Hilchey utilizes Q-Interactive, a cutting-edge digital platform that enhances precision and efficiency, incorporating state-of-the-art iPads for ease of use and quicker scoring to get the results to you quicker. These evaluations may include IQ testing to provide a holistic view of cognitive strengths and challenges, while ruling out other diagnoses that mimic ADHD symptoms, such as anxiety or learning disorders.

We offer two flexible options (pricing depends on whether additional IQ/achievement testing is needed):

• Focused Version: 4 to 6 hours focused on core symptoms. Suitable for diagnostic confirmation or medication referral support.
• Longer Comprehensive Version: 6 to 8.5 hours across sessions for in-depth cognitive profiling. Ideal for workplace accommodations, disability claims, or thorough treatment planning.

Researched Tests Used in Our Evaluations

Our adult ADHD evaluations follow evidence-based guidelines from the DSM-5 criteria for diagnosis, which require persistent symptoms of inattention and/or hyperactivity-impulsivity that impair functioning, have been present since childhood (even if not diagnosed), and occur in multiple settings such as work and home. While there are no formal clinical practice guidelines specifically for adult ADHD diagnosis from the American Psychiatric Association equivalent to the AAP’s pediatric guidelines, leading experts and organizations like CHADD emphasize a comprehensive assessment including clinical interviews, self-report rating scales, collateral information, and measures of executive functioning to confirm ADHD and rule out other conditions such as anxiety, depression, or trauma.

We select research-backed, standardized tools aligned with these principles to assess core ADHD symptoms, executive functioning, cognitive strengths/weaknesses, and potential co-occurring issues. Common tests include:

• WAIS-IV (Wechsler Adult Intelligence Scale – Fourth Edition) — Primary IQ/cognitive measure for adults; identifies patterns like lower working memory/processing speed often seen in ADHD.
• WIAT-III or WIAT-4 (Wechsler Individual Achievement Test – Third/Fourth Edition) — Assesses academic/vocational skills in adults; used to identify achievement gaps or learning issues co-occurring with ADHD (if relevant to evaluation).
• Conners 4 (Conners 4th Edition) — ADHD-specific rating scale with adult applicability in some contexts; evaluates core symptoms (inattention, hyperactivity/impulsivity), impairments, and co-occurring issues via self- or observer-report (though primarily youth-focused, often referenced alongside adult tools).
• Brown EF/A Scales (Brown Executive Function/Attention Scales) — Targets executive function and attention deficits for adults (ages 19+); screens for impairments linked to ADHD beyond core symptoms, including DSM-5 aligned items and clusters like activation, focus, effort, emotion, memory, and action.
• Other ADHD Assessments — Additional scientifically backed tests may be used if needed for accommodations (such as workplace or university supports) or to further clarify the diagnosis in complex cases. Our testing psychologist, Dr. Hilchey, will determine if other ADHD-specific tests are necessary based on your unique situation and the goals of the evaluation.

These tools, combined with our clinical expertise, ensure a thorough, guideline-aligned evaluation that differentiates ADHD from other conditions and informs personalized recommendations for work, relationships, and daily life.