Many adults with neurodevelopmental conditions were never identified in childhood.1 2 3 Not because the signs weren’t there, but because the criteria weren’t built to catch them: calibrated for the disruptive child, usually a boy, not for the person who learned to compensate and had their difficulty read as anxiety, as personality, or as simply needing to try harder. The better someone coped, the less likely anyone was to look closer.
That persistence got them this far. But what comes next shouldn’t require the same endurance. The path to a clinical answer asks you to advocate for one referral at a time, for one condition at a time, across providers who each see a piece but never the full pattern. You explain your history again. You wait weeks for an appointment that may not lead anywhere. You leave with a partial answer, or no answer, and a quieter version of the same question: is this even worth pursuing, or am I making this into something it’s not?
That doubt is not a personal failure. It is the predictable result of a system that was never designed to evaluate the intersection. ADHD and autism can present together and overlap with each other and with conditions like anxiety and personality disorders, producing a clinical picture that no single-condition assessment can resolve. NeuroClarity was built around that reality: one clinician-conducted process that examines the conditions most likely to overlap and hide behind each other in adults, so you leave with an explanation that accounts for the whole picture, and clear direction on what to do about it.
One Process. One Clinical Picture.
The conditions most commonly misidentified in high-achieving adults are ADHD, autism, and anxiety. They rarely present alone. We assess for all three together because the clinical picture only makes sense when you stop separating what the brain never separated.
No referral chains. No repeating your history across providers who each see a fragment. One cross-trained clinician reviews your intake, designs the assessment, conducts the session, and writes the report. The person interpreting your results is the same person who heard your story. The separation was always a system constraint.
You receive a formal clinical diagnosis alongside a report that explains what’s present, how it interacts, and what to do next. It is written to be understood by you and usable by any therapist, employer, or institution you bring it to.
Telehealth Is Not a Compromise.
Telehealth-based psychological assessment is a validated clinical model supported by peer-reviewed research4 5 and professional guidelines.6 It applies the same clinical rigor, with fewer barriers to access.
Telehealth-delivered psychological assessment is an established clinical model. Studies comparing it with in-person assessment report good agreement and reliability across a range of conditions.7 The American Psychological Association’s Guidelines for the Practice of Telepsychology set competency and protocol standards for the clinicians who conduct it.6
Our protocols are calibrated specifically for adults with high-masking profiles, strong verbal ability, and a history of performing well enough that previous providers saw no reason to look further. Telehealth does not reduce the clinician’s ability to observe these patterns. It removes the barriers that prevented many adults from reaching a qualified clinician in the first place.
NeuroClarity clinicians serve individuals in 43 states via telehealth. Your access to a thorough clinical process is not limited by where you live, the length of local waitlists, or the shortage of clinicians experienced in how these patterns present in adults.
Jaye Turrietta, PsyD, BCBA-D
Clinical Director · NM License PSY #1664
Dr. Turrietta is a licensed psychologist and board-certified behavior analyst whose clinical work focuses on the intersection of ADHD, autism, and anxiety in adults, particularly those whose verbal ability, professional competence, and practiced social performance have historically made these conditions less visible in clinical settings. Her assessment methodology combines standardized psychometric measures with a developmental lens trained on the patterns that high-masking adults have spent years building around. She founded NeuroClarity to make that level of clinical attention available to the adults the traditional system was not designed to find. Every assessment conducted by the NeuroClarity team reflects her methodology and clinical standards.
Begin when you are ready.
The NeuroClarity team is available to answer any questions you have about the evaluation, the process, or whether it is the right fit for you. Schedule a 15-minute call below if it would be helpful.
References
- 1.Staley BS, Robinson LR, Claussen AH, et al. Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment, and Telehealth Use in Adults — NCHS Rapid Surveys System, United States, October–November 2023. MMWR. 2024;73(40):890–895. https://www.cdc.gov/mmwr/volumes/73/wr/mm7340a1.htm
- 2.Brugha TS, McManus S, Bankart J, et al. Epidemiology of Autism Spectrum Disorders in Adults in the Community in England. Arch Gen Psychiatry. 2011;68(5):459–466. https://doi.org/10.1001/archgenpsychiatry.2011.38
- 3.Grosvenor LP, Croen LA, Lynch FL, et al. Autism Diagnosis Among US Children and Adults, 2011–2022. JAMA Netw Open. 2024;7(10):e2442218. https://doi.org/10.1001/jamanetworkopen.2024.42218
- 4.Brearly TW, Shura RD, Martindale SL, Lazowski RA, Luxton DD, Shenal BV, Rowland JA. Neuropsychological Test Administration by Videoconference: A Systematic Review and Meta-Analysis. Neuropsychol Rev. 2017;27(2):174–186. https://doi.org/10.1007/s11065-017-9349-1
- 5.Parks AC, Davis J, Spresser CD, Stroescu I, Ecklund-Johnson E. Validity of In-Home Teleneuropsychological Testing in the Wake of COVID-19. Arch Clin Neuropsychol. 2021;36(6):887–896. https://doi.org/10.1093/arclin/acab002
- 6.American Psychological Association. Guidelines for the Practice of Telepsychology. 2024. https://www.apa.org/about/policy/telepsychology-revisions
- 7.van der Merwe M, Atkins T, Scott AM, Glasziou PP. Diagnostic Assessment via Live Telehealth (Phone or Video) Versus Face-to-Face for the Diagnoses of Psychiatric Conditions: A Systematic Review. J Clin Psychiatry. 2024;85(4):24r15296. https://doi.org/10.4088/JCP.24r15296