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Side Quest Psychotherapy

A Comprehensive, Neuroaffirming Autism & ADHD Evaluation for Adults — With a Full Sensory and Interoceptive Workup

Comprehensive Diagnostic Assessment · College Park, MD & Telehealth (MD, VA, FL)

The Comprehensive Diagnostic Assessment is Side Quest Psychotherapy’s most thorough evaluation pathway. You’re here because you want a full, in-depth understanding of how your brain works—not just confirmation of diagnosis, but a multi-domain clinical picture.

This neuroaffirming evaluation integrates structured clinical interviews, validated psychometric measures, developmental history, and review of prior records to produce a comprehensive diagnostic formulation with DSM-5-TR and ICD-10 codes—suitable for diagnostic clarity, treatment planning, medication access, and formal documentation across clinical, academic, and workplace settings.

Conducted by Jenna Stone, LCSW-C, 
a licensed clinician with advanced training in neurodevelopmental assessment, including MIGDAS-2 and DIVA-5 diagnostic interview protocols. Available in-person in College Park, MD and virtually throughout Maryland, Virginia, and Florida.

Get Evaluated Today!

WHO THIS IS FOR

Is the Comprehensive Diagnostic Assessment Right for You?

This evaluation is designed for people who want — or need — the full picture. Here are the most common reasons people choose the Comprehensive Assessment over the Focused Diagnostic Interview.

Sensory processing, interoception, and nervous system regulation significantly shape how neurodivergent people experience hunger, fullness, and food. A comprehensive evaluation clarifies how autism or ADHD may be influencing recovery — and gives your treatment team the diagnostic context they need to adapt their approach.

ARFID and feeding differences frequently overlap with autism and ADHD. Sensory processing patterns, attention differences, and interoceptive signals all influence how food is experienced and tolerated. This evaluation examines those connections in depth.

Autism, ADHD, and OCD commonly co-occur and interact in ways that shape how anxiety and compulsions present. A comprehensive evaluation helps differentiate these patterns, clarify how they overlap, and identify how treatment approaches may need to be adapted for a neurodivergent presentation.

Many neurodivergent adults have long histories of masking, misunderstanding, or sustained adaptation to environments that weren't built for them. A comprehensive evaluation helps differentiate trauma responses from underlying neurodivergent patterns — and understand how they interact — rather than collapsing one into the other.

Many adults have spent years masking or compensating in ways that effectively conceal their neurodivergence from others — and sometimes from themselves. A comprehensive evaluation maps how your brain actually works and makes sense of patterns that may have been overlooked, misattributed, or misdiagnosed.

Prescribing providers often require formal diagnostic documentation before initiating ADHD medication. The comprehensive report provides structured clinical findings — including measure scores, diagnostic conclusions, and functional impact analysis — that support those conversations and give prescribers the context they need.

For autistic and AuDHD clients, medication decisions are often more nuanced than in straightforward ADHD presentations. Sensory processing differences, interoception, demand sensitivity, and sleep patterns all influence how someone responds to stimulants and non-stimulants. Clear diagnostic context also helps differentiate autistic burnout from conditions such as major depression — patterns that can appear similar but arise from different mechanisms — so prescribers can make decisions within the correct neurological framework rather than treating burnout as a primary mood disorder.

Workplace accommodations, university disability services, and disability applications often require formal diagnostic documentation that includes functional impact analysis and specific recommendations. The comprehensive report is written to meet those standards — with DSM-5-TR and ICD-10 codes, domain-specific findings, and concrete accommodation language built in.

If your institution or disability office has specific documentation requirements, we're happy to discuss those during the free consultation before you commit to anything.

Many adults begin exploring their own neurodivergence after a child receives an autism or ADHD diagnosis. This evaluation can help you understand whether those same patterns apply to you — and give you documentation that reflects your own history and presentation.

THE SIDE QUEST APPROACH

What Makes This Evaluation Different

This evaluation meets the diagnostic standards required for formal clinical documentation — including DSM-5-TR and ICD-10 criteria, structured clinical interviews, and validated rating scales with established psychometric properties. The neuroaffirming framework shapes how findings are interpreted and communicated, not whether they meet diagnostic threshold.

A note on cognitive testing

This evaluation does not include cognitive ability testing such as IQ or processing speed measures. For autism and ADHD diagnosis in adults, the research literature consistently supports diagnostic validity from structured clinical interviews, standardized rating scales, and developmental history — the same foundation used by major diagnostic frameworks including the DSM-5-TR and NICE guidelines. Cognitive testing is not required for autism or ADHD diagnosis.

If a neuropsychological battery is clinically indicated for other reasons — learning disability documentation, academic accommodations requiring a cognitive baseline, or differential diagnosis involving cognitive concerns — that can be discussed during your consultation.

Many people pursuing evaluation have layered clinical histories that include trauma, OCD, eating disorders, chronic stress, or years of burnout from sustained masking. This evaluation is built for that complexity. Rather than forcing these experiences into a single explanation, the process examines how multiple neurological, psychological, and environmental factors interact. Where relevant, prior evaluation records are reviewed and integrated into the clinical picture.

Many adults seeking evaluation have spent years developing strategies that conceal or compensate for neurodivergent traits — strategies that can effectively mask a presentation in standard clinical contexts. This assessment intentionally evaluates masking, camouflaging, and adaptive coping so that diagnostic conclusions reflect how your brain actually functions, not just how well you've learned to perform.

Some assessments rely heavily on abstract tasks administered under controlled conditions. This evaluation focuses on how attention regulation, executive functioning, sensory processing, and social communication actually show up in daily life — at work, in relationships, under stress, and across the environments where your neurodivergence has the most impact.

Sensory processing is often treated as a brief screening item in traditional evaluations. Here it is examined in depth. Dedicated validated measures assess sensory processing patterns, interoceptive awareness, and alexithymia — the internal systems that shape how autistic and ADHD individuals experience their bodies, environments, and emotions. For clients navigating eating disorders, ARFID, or OCD, this information is often the most clinically meaningful data in the entire evaluation.

This evaluation is conducted by Jenna Stone, LCSW-C, who holds specialty training in neurodevelopmental assessment — including advanced certification in MIGDAS-2 and DIVA-5 protocols — and brings lived experience as an AuDHD clinician with a PDA profile.

Many clients find that working with a clinician who has strong pattern-recognition abilities and personal familiarity with neurodivergent experience supports the identification of patterns that are sometimes missed in more traditional evaluations — particularly subtle masking, demand sensitivity, autistic burnout cycles, and the complex interaction of multiple neurodivergent traits across contexts.

Many clients also describe the evaluation process as unexpectedly de-shaming. Working with a clinician who is open about their own neurodivergence can make it easier to talk honestly about experiences that may previously have been misunderstood, minimized, or pathologized.

This report is written to be meaningful for both you and the systems that require documentation. It includes DSM-5-TR diagnostic codes and ICD-10 codes formatted for clinical use, a summary of measure scores with clinical interpretation, functional impact analysis across home, work or school, and relational domains, and specific accommodation recommendations written for disability services and workplace use.

Findings are explained clearly and paired with practical recommendations. DSM-5-TR diagnostic criteria are addressed directly, with explicit explanation of how criteria are — or are not — met based on the clinical interview, developmental history, and assessment data.

Not sure if this is what you need? That’s what consultation is for.

It’s a 15-minute conversation — no paperwork, no commitment, no pressure to book anything after.

BOOK A FREE CONSULTATION

THE ASSESSMENT BATTERY

What's Included in the Evaluation

Icon showing a brain, magnifying glass, and compass representing comprehensive diagnostic evaluation

Your evaluation draws from a curated set of validated psychometric tools spanning multiple clinical domains. Every measure is chosen for its reliability with adult populations — with extra weight given to tools developed or normed for late-identified adults, masked presentations, and complex histories.

The specific battery is shaped by what you’re bringing to the evaluation. Your questions, your history, your presentation. That means the process stays flexible without losing its diagnostic rigor. You can also invite someone who knows you well to contribute collateral input — a partner, family member, or close friend.

Our Commitment to Accessibility

We recognize that intake paperwork and assessment forms can be a significant barrier for many neurodivergent people. Demand avoidance, executive functioning differences, and burnout can all make forms difficult to start or complete.

A complimentary body-doubling session is available to support you through the paperwork. When clinically appropriate, Jenna may streamline your battery to keep the process manageable while maintaining diagnostic integrity.

Autism
Diagnostic Interview
MIGDAS-2
Monteiro Interview Guidelines for Diagnosing the Autism Spectrum, 2nd Edition. A strengths-based, conversation-guided diagnostic interview that centers lived experience and captures how autism shows up across the lifespan — including in highly masked adults.
Autism Trait Measures
CATI
Comprehensive Autistic Trait Inventory. A broad-spectrum measure of autistic traits across multiple domains including social interaction, communication, consistency, attention to detail, and sensory sensitivity — designed to capture the full range of autistic experience including in people who present atypically or have been previously missed.
RAADS-R
Ritvo Autism Asperger Diagnostic Scale — Revised. Assesses autistic traits across the lifespan with attention to patterns that often go unrecognized in adulthood, including social relatedness, circumscribed interests, language, and sensory-motor differences.
SRS-2
Social Responsiveness Scale, 2nd Edition. Measures the severity of social communication and interaction difficulties associated with autism, including social awareness, cognition, motivation, and restricted/repetitive behaviors.
RBQ-2A
Repetitive Behavior Questionnaire — Adult version. Examines the presence and impact of repetitive and restricted behaviors, including routines, sameness, and sensory interests — areas that are often underreported in adults who have learned to manage or conceal these patterns.
Masking & Camouflaging
CAT-Q
Camouflaging Autistic Traits Questionnaire. Measures the degree to which a person masks, assimilates, and compensates for autistic traits in social contexts. Particularly important for adults who have been told they "don't seem autistic" — this measure often explains why.
MQ
Monotropism Questionnaire. Assesses monotropic attention style — the tendency toward deep, focused engagement with specific interests — and its impact on attention, transitions, and daily functioning.
Demand Sensitivity & Burnout
EDA-QA
Extreme Demand Avoidance Questionnaire — Adult. Assesses demand avoidance patterns consistent with a PDA (Pathological Demand Avoidance / Pervasive Drive for Autonomy) profile, including avoidance strategies, autonomy needs, and responses to perceived pressure or obligation.
ABM
AASPIRE Autistic Burnout Measure. Evaluates the presence, severity, and functional impact of autistic burnout — a state of chronic exhaustion, skill loss, and reduced tolerance that results from prolonged masking and navigating neurotypical environments.
Sensory Processing & Interoception
AASP
Adolescent/Adult Sensory Profile. Assesses sensory processing patterns across modalities and identifies sensory processing styles — low registration, sensation seeking, sensory sensitivity, and sensation avoiding — as they show up in daily life. Particularly relevant for eating disorder and ARFID presentations and environmental sensitivity.
SPM-2
Sensory Processing Measure, 2nd Edition. Measures how the nervous system registers, filters, and responds to sensory input across environments — including home, work, and community settings.
MAIA-2
Multidimensional Assessment of Interoceptive Awareness, 2nd Edition. Measures awareness of and relationship to internal body signals — including noticing, trusting, and responding to bodily sensations. Directly relevant to eating disorder recovery, ARFID, somatic presentations, and emotional awareness.
PERTH
Perth Alexithymia Questionnaire. Measures alexithymia — difficulty identifying, describing, and differentiating emotional states — across both negative and positive emotional experiences. Common in autistic adults and significantly relevant to eating disorder recovery, OCD, and somatic presentations.
TAS
Toronto Alexithymia Scale. A widely validated measure of alexithymia assessing difficulty identifying feelings, difficulty describing feelings, and externally oriented thinking. Used alongside the PERTH to provide a comprehensive picture of emotional awareness and interoceptive processing.
ADHD
Diagnostic Interview
DIVA-5
Diagnostic Interview for ADHD in Adults, 5th Edition. A structured clinical interview exploring how ADHD symptoms have presented across childhood and adulthood, including compensatory strategies that may have masked the presentation over time.
ADHD Symptom Measures
ASRS v1.1
Adult ADHD Self-Report Scale. A validated screening tool for ADHD symptoms in adulthood, developed in conjunction with the WHO. Assesses inattention, hyperactivity, and impulsivity as they present in adult daily life.
Executive Functioning
BDEFS
Barkley Deficits in Executive Functioning Scale. Measures real-world executive functioning challenges across five domains: self-management to time, self-organization and problem-solving, self-restraint, self-motivation, and self-regulation of emotion.
BRIEF-A
Behavior Rating Inventory of Executive Function — Adult. Assesses executive functioning in daily life including initiation, working memory, planning, organization, and emotional and behavioral regulation.
Brown EF/A
Brown Executive Function/Attention Scales. Evaluates executive functioning with particular attention to attention regulation, emotion, memory, action, and the activation and management of cognitive tasks — well suited to complex and masked ADHD presentations.
Masking & Camouflaging
AAMM
Adult ADHD and Masking Measure. Assesses the strategies adults use to mask ADHD symptoms — including overcompensation, effortful compliance, and performance-based coping — and the costs of those strategies over time.
Sensory Processing
AASP
Adolescent/Adult Sensory Profile. Assesses sensory processing patterns across modalities and identifies sensory processing styles — low registration, sensation seeking, sensory sensitivity, and sensation avoiding — as they show up in daily life.
SPM-2
Sensory Processing Measure, 2nd Edition. Measures how the nervous system registers, filters, and responds to sensory input across environments. Sensory processing differences are common in ADHD and frequently affect concentration, emotional regulation, and daily functioning.

GOING DEEPER

Want to Explore Beyond Autism & ADHD?

The Comprehensive Diagnostic Assessment focuses exclusively on the identification of autism and/or ADHD. If your clinical picture includes other areas worth exploring, additional validated screeners are available as clinically indicated add-ons at $300/hour — bookable alongside this evaluation.

Add-on screeners are available for trauma, PTSD, and dissociation — particularly relevant given the high rates of trauma in autistic and ADHD adults navigating systems that weren’t built for them. Anxiety and OCD screeners can help differentiate autistic anxiety, generalized anxiety, and obsessive-compulsive presentations from autistic rigidity, demand sensitivity, and repetitive behaviors. Mood disorder screeners capture depression, mood instability, and premenstrual mood disorders including PMDD, which co-occur with autism and ADHD at significantly elevated rates.

Other presentations — including ARFID, eating disorders, and chronic illness — can also be explored as add-ons.

Book a free consultation to discuss →

WHAT YOU RECEIVE

Your Report & Feedback Session

Approximately two weeks after your evaluation session, you’ll receive your written report — either at the close of your optional feedback session, or directly if you opt out.

Comprehensive diagnostic report (20–30 pages)

A detailed written report integrating DSM-5-TR and ICD-10 diagnostic criteria with your clinical interview findings, measure results, developmental history, and functional context. Includes diagnostic conclusions, domain-specific findings, and concrete recommendations for accommodations, supports, and next steps.

Written in clinical and neuroaffirming language — not deficit-framed.

Optional 30-minute feedback session

A dedicated session with Jenna to walk through your findings and what they mean before you receive your summary. Your space to ask questions, process what came up, and leave with clarity — not just documentation.

Many people find this session the most meaningful part of the evaluation. It’s optional, but it’s there if you want it.

Lifetime Access to the Side Quest Resource Library

Every diagnosed client receives access to a living, curated Google Drive library built specifically for neurodivergent adults. It’s not a static handout — it’s an actively maintained collection that grows as the field does, and yours to keep, permanently.

Inside you’ll find resources spanning self-advocacy, accommodations, identity, mental health, and community.

THE PROCESS

How It Works

The Comprehensive Diagnostic Assessment follows the same five-step process as all evaluations at Side Quest Psychotherapy — from free consultation through to your report. The full process is outlined on the evaluations landing page, including information about body-doubling support for intake paperwork, in-person and telehealth options, and what to expect at each stage.

See the full process →

Fees & Cost

A comprehensive evaluation is a significant investment in understanding yourself — and we’ve built our payment process to make it as accessible as possible without compromising the quality of your assessment. When you’re ready to book, a nonrefundable $200 deposit reserves your evaluation dates and goes directly toward your total fee. From there, you choose how to handle the rest: pay in full across your two appointments or spread the balance over 3 or 6 months.

See full evaluation fees →

Ready to Get the Full Picture?

Jenna Stone, LCSW-C, offers comprehensive neuroaffirming autism and ADHD evaluations in person in College Park, Maryland and via telehealth for clients in Maryland, Virginia, and Florida. If you’ve been waiting for an evaluation that takes your full history seriously, this is it.

Begin Your Side Quest Today

Comprehensive Diagnostic Assessment

Focused Diagnostic Interview

Evaluation Fees

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Neuroaffirming therapy, eating disorder recovery, OCD treatment, and autism & ADHD evaluations

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🌐 Serving MD, VA, FL via telehealth
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  • About Us
    • Our Story
    • Values & Ethics
    • How We Practice
  • Meet the Team
    • Jenna Stone, LCSW-C
    • Marissa Adams, IEDS
  • Neuroaffirming Therapy
    • Eating Disorder Recovery
    • ARFID & Feeding Differences
    • OCD & Anxiety
    • Body-Focused Repetitive Behaviors
    • PANS & PANDAS
    • Therapy Fees
  • Autism & ADHD Evaluations
    • For Adults
    • For Children and Adolescents
    • Evaluation Fees
  • Recovery Coaching
    • For Teens & Adults (16+)
    • For Parents & Caregivers
    • Coaching Fees
  • Patient Advocacy
    • Intersex Healthcare Navigation & Support
    • Gender-Affirming Letters
    • IEP & 504 Plan Support
    • Advocacy Fees