

Sound Familiar?
You've been scrolling through TikTok or Instagram and suddenly everything clicks. Those videos about ADHD symptoms or autism traits? They feel like someone's describing your exact experience. Or maybe you've been working with ChatGPT and found yourself hyperfocusing for hours, wondering if this intense focus (or your struggles with executive function) might actually be neurodivergence.
Perhaps your therapist, psychiatrist, or doctor has suggested looking into ADHD or autism testing. You're ready for answers, but you want an evaluation process that truly gets it.
A Different Kind of ADHD and Autism Assessment Experience
Spark and Pivot Counseling now offers comprehensive ADHD, Autism, and AuDHD evaluations designed specifically for neurodivergent adults.
We're neurodiversity-affirming and trauma-informed.
We understand that many symptoms you're experiencing might actually stem from years of masking, trauma, bullying, or discrimination, not just your neurological differences.
We dig deeper to understand the full picture of your experience; and are sensitive to how traumatic experiences or abuse might affect your day-to-day.
We ask the right questions for adults.
Our assessments go beyond standard screeners or sterile diagnostic evaluations. We create space for your real experiences, including how you've learned to cope and adapt over the years.
Also, we only work with adults; so we are familiar with how decades of masking and anxiety may affect your testing experience and your results.
We offer both ADHD and Autism evaluations.
Unlike many practices that specialize in just one, we recognize that many people's symptoms may look like Autism and ADHD; and some folks even have a unique presentation of both (AuDHD).
Providing comprehensive assessment helps you get a complete picture. We will also consider how traits associated with anxiety, OCD, and depression may be related to your experience.
We provide clarity in the path forward.
You won't simply get a diagnosis—you'll understand what it means for your life, your strengths, and your next steps with accommodation and therapeutic recommendations.
There will be a clear roadmap for how to integrate new learning about your identity into your life.

Ready to Understand Yourself Better?
Whether social media opened your eyes to possibilities you'd never considered or a healthcare provider recommended testing, you deserve an evaluation process that honors your experience and provides real answers.
Let's help you understand your unique neurotype in a comfortable, affirming environment.
Book your free 20-minute consultation today with Megan Parks DuBose, and learn more about the testing process, costs (which are less expensive than market average), and more.

Maybe you're on a personal development plan at work - and the feedback about being "late" or "disorganized" is overshadowing your great work. Maybe you feel sensory overloaded with activities you wish you could enjoy. Maybe you're tired of always feeling like an outsider. Whatever your reason for having curiosity about autism or ADHD, getting an answer may an important step in your journey.
Here's the truth:
Nothing is wrong with you. Your brain just works differently, and once you understand how, everything can change.
The Life-Changing Benefits of Getting Answers
An Adult ADHD and Autism Testing Process Built Around Your Strengths
We take a client-centered, strengths-based approach, not the traditional medical model that focuses on what's "wrong" with you. Instead, we're here to help you understand your unique neurotype and connect the dots between your experiences, traits, and the way your brain works.
3-4 Appointments Tailored to Your Needs
Intake Appointment
We get to know you, your history, and what brought you here. In preparation, you'll complete a clinical intake form and some screeners - which we'll review together during intake.
Testing Day(s)
The actual assessment, which we can split into multiple sessions if needed based on your capacity and preferences. Some of this can also be done in your own space and time outside of session.
Report / Feedback
We walk through your results together, discuss your diagnosis, and create a practical plan for moving forward. This is a great opportunity to discuss therapeutic goals and accommodations.
Beyond the diagnosis.
You won't be leaving this process with a label. You'll leave with a clearer understanding of what makes your brain unique and - hopefully - a newfound appreciation for this critical part of your personality.
Additionally, Spark and Pivot Counseling will provide:
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Personalized recommendations for therapy approaches that work best for your neurotype.
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Accommodation suggestions for work, school, or daily life.
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Treatment coordination guidance to help you work effectively with other providers (psychiatrists, occupational therapists, speech therapists, etc.).
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Ongoing support options with our team of therapists who understand neurodivergence.
Meet your evaluator
Cassandra Holt Kimbell, LPC, NCC, Psy-D Candidate
Cassandra gets it. As a Licensed Professional Counselor and current PsyD candidate working toward licensure as a Clinical Counseling Psychologist, she's dedicated her career to understanding neurodivergent experiences.
She specializes in working with creatives and neurodivergent humans—people who think differently, process the world uniquely, and often feel misunderstood by traditional healthcare approaches.
Cassandra is licensed in both Texas and California, bringing years of experience creating judgment-free spaces where clients can explore their authentic selves.
Her approach? Going above and beyond to provide care that actually makes sense for how your brain works. No cookie-cutter assessments or one-size-fits-all recommendations, just real understanding and practical support.

ADHD and Autism Testing Cost
Diagnostic testing costs between $1,000 - $2,000, depending upon your goals and needs. While this is lower than market average for private practice testing, we recognize that this is still a significant investment in your mental health and treatment planning. Below, please find some reasons why Spark and Pivot Counseling may be the right practice for you.
Why Spark + Pivot for Diagnostic Testing?
We know ADHD and Autism inside and out.
These diagnoses present very differently for women, queer folks, and BIPOC individuals compared to what is learned through stereotypes and outdated research. We will take cultural factors, trauma, and masking strategies into account during your evaluation, which should help you feel confident with the final result.
The evaluation process will feel therapeutic - not medical.
We are proud to offer affirming, trauma-informed testing to our clients, knowing that many have had difficult experiences with past providers. One client shared that "the [evaluation] process helped [them] feel more seen than they've ever felt by a provider." This is exactly the level of care that we strive for!
Your report will be personalized and action-oriented.
The final report is highly personalized to your unique needs and is not a cookie-cutter approach like you may find from the telehealth assessment platforms. We draw from multi-disciplinary research and collaborate with a diverse set of providers, so the therapeutic recommendations you receive will look well beyond traditional counseling recommendations.
Payment Options
Spark and Pivot Counseling does not accept insurance or participate in insurance programs. Our approach is to provide mental services without the constraints of insurance company requirements and diagnoses - and to keep your records confidential.
To learn more about accepted payment methods, please visit our Cost page.
