ADHD Testing & Autism Evaluations for Adults in Middlesex, NJ
In-person in Middlesex, NJ | Virtual throughout New Jersey and Florida
You have spent your whole life feeling like you are working twice as hard as everyone else just to keep up. You have been called too sensitive, too intense, too much, or not enough. You have struggled in ways that do not quite fit the explanations you have been given. And some part of you has always wondered if there is something more going on.
It is not too late for answers. At True Reflections Mental Health Services, we offer comprehensive, neurodiversity affirming ADHD testing and Autism evaluations for adults of all ages in New Jersey and Florida. Whether you are in your twenties and finally ready to understand yourself, or in your fifties and only now discovering the concept of neurodivergence, you deserve a thorough, affirming evaluation that sees the full picture.
Is This Evaluation Right for You?
An adult ADHD or Autism evaluation at True Reflections Mental Health Services may be right for you if:
You have always felt different but never had the language to explain why
You struggle with focus, organization, time management, or follow-through despite genuine effort
You are socially exhausted by interactions that appear effortless to others
You have been diagnosed with anxiety or depression but those diagnoses have never fully explained your experience
You mask so effectively that others have no idea how hard everything actually is
You received a late ADHD or Autism diagnosis recently and want a comprehensive evaluation to fully understand your profile
You suspect you may be autistic or have ADHD but have never been evaluated as an adult
You are a woman who was told everything was fine for years and you are done accepting that answer
What You Will Receive From Your Evaluation
A comprehensive written report. Your full evaluation report (15 to 30 pages depending on the package) documents your complete neurodevelopmental profile, including your strengths, your challenges, and how your brain works across work, relationships, and daily functioning. You will understand not just what you struggle with, but why.
A formal ADHD or Autism diagnosis, if criteria are met, on official True Reflections Mental Health Services letterhead. This documentation is accepted by employers, medical providers, and educational institutions.
Workplace and academic accommodation recommendations. Under the Americans with Disabilities Act, adults with a documented diagnosis are entitled to request reasonable workplace accommodations such as flexible scheduling, remote work, written instructions, reduced sensory stimulation, and extended deadlines. Adults in school are similarly entitled to academic accommodations like extended exam time and note-taking support. Your report gives you the documentation to request either with confidence.
A personalized feedback session. This is not a report dropped into a portal and left unexplained. We sit down together to go through your results in plain language, at your pace, with time for every question you have.
A clear path forward, including guidance on therapy, coaching, community resources, self-advocacy strategies, and next steps tailored to your unique profile and life circumstances.
A diagnosis is not just a label. For many adults, it provides relief, self-compassion, and a framework for finally understanding a lifetime of experiences that never quite fit. It also ensures that any therapy or support you pursue going forward is matched to how your brain actually works, which can make an enormous difference after years of treatment that never addressed the root cause.
Why Adults Are Missed and Why That Matters
Most adults who come to True Reflections Mental Health Services were never identified as children, not because their ADHD or Autism was not there, but because diagnostic criteria and clinical training were built around how these conditions present in young boys in school settings.
Adults who masked successfully, who were quiet rather than disruptive, who compensated with intelligence and effort, or who presented as anxious or depressed rather than hyperactive, were systematically overlooked. Many spent decades in therapy for anxiety or depression without anyone considering an underlying neurodevelopmental difference. An accurate evaluation changes that, reshaping how you understand your entire history.
Specializing in ADHD and Autism in Women
If you are a woman who has always felt different, struggled without clear answers, or been told everything is fine despite knowing it is not, this is for you.
Women with ADHD often present as inattentive rather than hyperactive, appearing organized on the outside while drowning on the inside. Their struggles are frequently internalized as anxiety, depression, perfectionism, or low self-worth rather than recognized as ADHD. Autistic women often develop highly sophisticated masking strategies, sometimes from childhood, mirroring the social behavior of others so convincingly that their Autism goes undetected for decades.
You may have been diagnosed with anxiety, depression, or borderline personality disorder without treatment ever addressing the root of your experience. You may be exceptionally good at appearing fine on the outside while struggling enormously on the inside. Janine Kelly, LCSW, C-NDAAP has dedicated significant clinical training to understanding how ADHD and Autism present in women, including identifying masking and the female inattentive ADHD profile. If a previous evaluation left you without answers, a re-evaluation may finally provide the clarity and validation you have been looking for.
Late Diagnosis in Men: A Different Kind of Missed
Men are missed too, just differently. Men with Autism who are highly verbal, academically successful, or socially functional in structured environments are frequently told they cannot be autistic because they make eye contact, have friends, or held a job for years. Men with ADHD who channeled their hyperactivity into sports, work, or constant activity often make it into adulthood without a diagnosis because they never looked the way ADHD is supposed to look.
What many late-diagnosed men describe instead is a persistent sense of working harder than everyone around them to maintain what looks, from the outside, like an ordinary life: relationships that feel confusing or exhausting, professional environments that are draining in ways hard to explain, and a constant background hum of anxiety or restlessness that has never had a name.
AuDHD: When ADHD and Autism Exist Together
AuDHD describes having both Autism and ADHD at the same time. The two conditions co-occur far more often than previously understood, yet adults are frequently diagnosed with one while the other goes entirely unrecognized, since ADHD can mask autistic traits and Autism can make ADHD present differently than expected.
At True Reflections Mental Health Services, every adult evaluation looks at the full picture, whether you are wondering about ADHD, Autism, AuDHD, or simply searching for an explanation for a lifetime of experiences that have never quite fit.
Why I Do This Work
I know what it feels like to spend your whole life working harder than everyone around you without understanding why. I struggled all throughout school. I was bright, I was trying, and still something always felt harder than it should have been. I did not get accommodations. I did not get answers. I just kept pushing through and quietly wondering what was wrong with me.
As an adult, that pattern continued in ways I could not explain. Tasks that seemed simple for other people took me significantly longer to complete. I would finish a social interaction and feel completely depleted, needing time alone to recover before I could do anything else. I did not know at the time that what I was experiencing was autistic burnout from years of masking. I just thought I was not as capable as everyone else around me.
It was not until I received my own ADHD and Autism diagnosis as an adult that so much of my life finally made sense. And my first feeling was not relief. It was grief. Grief for all the years I had spent masking and overworking and believing I just was not trying hard enough, when what I actually needed was support that matched how my brain works.
That experience is the reason I do this work. Since my diagnosis, I have strategies and accommodations in place that make my daily life genuinely easier and far less exhausting. When you sit across from me in an evaluation, I am not just running through a checklist. I am thinking about how different your life might look with the right framework, the right language, and the right support finally in place. If you have spent years wondering why everything feels harder than it looks like it should be, I want to help you find out.
Why Choose True Reflections MHS for Your Adult ADHD or Autism Evaluation?
Certified Neurodiversity Affirming Assessment Practitioner (C-NDAAP). This certification designates advanced training in conducting evaluations through a neurodiversity affirming framework, including the female presentation and masking (see "Specializing in ADHD and Autism in Women" above). Your results are interpreted through a strengths based lens, not a deficit based one, so the goal is understanding your unique profile rather than pathologizing who you are.
Lived experience. Janine received her own ADHD and Autism diagnosis later in life, after years of struggling through school and early adulthood without answers or accommodations. She knows firsthand what it feels like to be intelligent and capable and still fall short in ways that make no sense, not because of effort or ability, but because your brain was never given the tools it needed. Getting clarity on your profile is not just about a piece of paper; it is about finally understanding yourself in a way that makes the past make sense and the future feel more possible.
A collaborative process. Every adult evaluation begins with a real conversation, unfolds at your pace, and ends with a feedback session where your results are explained clearly, compassionately, and in full. You are an active participant in this process, not a passive recipient, and you will not leave wondering what any of it means.
No long waitlist. Many evaluation practices in New Jersey have waitlists stretching six months to over a year. At True Reflections Mental Health Services, adult evaluation appointments are typically available within one to two weeks of your inquiry. You have already waited long enough for answers.
The Evaluation Process
Step 1: Intake appointment. A 45 to 50 minute conversation covering your history, current challenges, and your goals for the evaluation.
Step 2: Testing sessions. You attend one to two sessions of two hours each, depending on the package selected, with assessments chosen based on your unique profile and referral questions.
Step 3: Report preparation. A comprehensive written report documents your full neurodevelopmental profile, diagnosis if criteria are met, and individualized recommendations for work, daily life, and overall wellbeing.
Step 4: Feedback session. A 45 to 50 minute appointment to review results in plain language, answer every question, and confirm next steps.
Assessment Tools Used in Adult Evaluations
Every evaluation is individualized. Tools that may be used include:
Camouflaging Autistic Traits Questionnaire (CAT-Q)
Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, Second Edition (MIGDAS-2)
Social Responsiveness Scale, Second Edition (SRS-2)
Conners Adult ADHD Rating Scales (CAARS)
Brown Executive Function/Attention Scales (Brown EF/A Scales)
Delis-Kaplan Executive Function System (D-KEFS)
Delis-Rating of Executive Functions (D-REF)
Behavior Assessment System for Children, Fourth Edition (BASC-4)
Sensory Profile
The Comprehensive Assessment of Interoceptive Awareness, Third Edition
Beck Anxiety Inventory (BAI)
Beck Depression Inventory, Second Edition (BDI-2)
California Verbal Learning Test, Third Edition (CVLT-3)
Wide Range Assessment of Memory and Learning, Third Edition (WRAML-3)
Reynolds Intellectual Assessment Scales, Second Edition, Normative Update (RIAS-2 NU)
Wechsler Individual Achievement Test, Fourth Edition (WIAT-4)
Clinical Assessment of Pragmatics (CAPs)
A Language Processing Skills Assessment (TAPS-4)
Not all tools are used in every evaluation. Janine selects the most clinically appropriate instruments based on your age, presentation, and the specific referral questions being addressed.
Evaluation Fees
Comprehensive ADHD & Autism Evaluation with IQ Testing: Includes a 20 to 30 page comprehensive report with recommendations and accommodations for work and daily life. Fee: $3,900 | $500 deposit required to schedule.
Comprehensive ADHD & Autism Evaluation with IQ Testing (Memorandum Only): Includes a memorandum of evaluation on True Reflections MHS letterhead. No full report. Fee: $2,900 | $500 deposit required to schedule.
ADHD or Autism Evaluation: Includes a 15 to 20 page comprehensive report with recommendations and accommodations for work and daily life. Fee: $2,900 | $500 deposit required to schedule. Additional $350 for IQ testing.
ADHD or Autism Evaluation (Memorandum Only): Includes a memorandum of evaluation on True Reflections MHS letterhead. No full report. Fee: $1,900 | $500 deposit required to schedule. Additional $350 for IQ testing.
Payment Plans Are Available
You do not have to pay the full amount upfront. A $500 deposit secures your appointments, with the remaining balance divided across the evaluation process so the financial commitment is spread over several weeks rather than due all at once.
$500 deposit upon onboarding, which secures your intake and testing appointments and begins the scheduling process
Half of the remaining balance due at the intake appointment
The final half of the remaining balance due the morning of the first testing day
*Example: For a $2,900 evaluation, payments would be $500 at scheduling, $1,200 at intake, and $1,200 the morning of the first testing day.
True Reflections MHS does not bill insurance directly. A Superbill is provided after the feedback session for potential out-of-network insurance reimbursement.
Frequently Asked Questions
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A: Absolutely. A significant focus of True Reflections Mental Health Services is supporting adults who suspect they may be neurodivergent but have never had the opportunity to find out. ADHD testing and Autism assessments for adults are available using tools specifically validated for adult populations. It is never too late for answers.
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A: Yes. Re-evaluations are valid, increasingly common, and often necessary. This is particularly true for women, who are frequently missed in evaluations conducted without specialized training in the female presentation of ADHD and Autism. If a previous evaluation did not feel accurate or complete, you have every right to seek a second opinion.
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A: True Reflections Mental Health Services is an out-of-network provider and does not bill insurance directly. A Superbill is provided after the feedback session for potential out-of-network reimbursement. Relevant CPT codes: 90791, 96136, 96137, 96130, and 96131.
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A: Even without a formal diagnosis, the evaluation provides tremendous value. You will receive a detailed profile of your cognitive strengths and challenges, emotional and behavioral functioning, sensory processing, and individualized recommendations for support. All of this remains clinically meaningful regardless of a formal diagnosis.
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A: No referral is needed. You can request an appointment directly through our website at any time.
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A: The full process from intake through the feedback session typically takes 4 to 6 weeks depending on scheduling availability.
Serving Adults Throughout New Jersey and Florida
In-person adult ADHD testing and Autism evaluations are available at the True Reflections MHS office in Middlesex, NJ, serving adults throughout Central New Jersey including Bridgewater, Bound Brook, Piscataway, Edison, Somerset, Westfield, Scotch Plains, Plainfield, Metuchen, New Brunswick, Hillsborough, Somerville, and surrounding communities. Virtual evaluations are available to adults throughout New Jersey and Florida.
Looking for ADHD and Autism evaluations for children and teens? Visit our Children and Teens Evaluation page at truereflectionsmhs.com/adhd-autism-evaluation-children-teens-nj.
Still have questions? Reach out at info@truereflectionsmhs.com