Adult ADHD Evaluation by Telehealth in Massachusetts

Many adults spend years wondering why focus, organization, and follow-through feel harder for them than for the people around them. Some were never evaluated as children. Others were told they "grew out of it," or have had their difficulties put down to stress, anxiety, or simply not trying hard enough. An adult ADHD evaluation is a structured way to look at those questions carefully and get a clear answer about what is going on.

Daniel Ackroyd, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who has provided psychiatric care to adults in Massachusetts since 2014. Through secure telehealth visits, he offers comprehensive adult ADHD evaluations to adults anywhere in Massachusetts, from the Berkshires to Cape Cod, including many patients in Burlington, Lexington, Concord, Wilmington, Chelmsford, and the surrounding communities.

Who an Adult ADHD Evaluation Is For

An evaluation may be worth considering if you are an adult (18 or older) and you regularly notice things like:

• Difficulty sustaining attention on work, reading, or conversations
• Starting many tasks but struggling to finish them
• Chronic lateness, missed deadlines, or trouble estimating time
• Losing track of items, appointments, or bills
• Restlessness, impulsive decisions, or interrupting others
• Feeling that you work much harder than peers to keep up

These experiences are common, and having some of them does not mean a person has ADHD. Similar symptoms can come from anxiety, depression, sleep problems, substance use, medical conditions, or ordinary life stress. That is why a careful evaluation matters. The goal is accuracy, not a predetermined answer.

This practice evaluates adults only. It does not see children or adolescents.

What the Evaluation Looks At

A thorough adult ADHD evaluation goes beyond a single checklist. It typically includes:

• Current symptoms: how attention, organization, and impulsivity show up in your work, relationships, and daily routines.
• Childhood history: ADHD is a neurodevelopmental condition, so it helps to understand whether symptoms were present earlier in life. School experiences and recollections from family can be useful.
• Functional impact: how much the symptoms actually interfere with your life, across more than one setting.
• Other explanations and co-occurring conditions: a review of mood, anxiety, sleep, substance use, and relevant medical history. These conditions can look like ADHD or occur alongside it.
• Standardized testing and rating tools: used together with the clinical assessment to give a fuller picture.
• Medication history: what you have tried before and how it went, if anything.

How Telehealth Evaluation Works

All visits take place through a secure video platform, so you can complete your evaluation from home or another private location. You must be physically located in Massachusetts at the time of each visit.

1. Complete the secure intake form. New patients begin with a short online intake form. It helps determine whether the practice is a good fit for your needs. Please do not include detailed medical information in the form.
2. Review and scheduling. If the practice appears to be a good fit, you will be invited to schedule a comprehensive telehealth evaluation.
3. The evaluation visit. This session includes a detailed review of your symptoms, history, and goals. The initial evaluation visit is one hour (60 minutes).
4. Results and next steps. You will receive a clear explanation of the findings and your options.

For many adults, telehealth removes the drive, the waiting room, and time away from work. That is a real advantage for anyone who already finds scheduling and logistics hard.

What Happens After the Evaluation

If the evaluation supports a diagnosis of ADHD, treatment options will be explained clearly so you can make an informed choice. Depending on your situation, these may include:

• Medication management. Stimulant or non-stimulant medication may be considered when clinically appropriate, followed by regular monitoring. See Adult ADHD Medication Management.
• Therapy referral. Referral for psychotherapy or skills-based support when helpful.
• Practical guidance. Structure around sleep, exercise, nutrition, and daily routines, which can support attention and energy.

If the evaluation points to something other than ADHD, such as anxiety, depression, or a sleep problem, that is valuable information too. Care for those conditions is also available. See Mood and Anxiety Disorders.

Serving Adults Anywhere in Massachusetts

Because care is delivered entirely by telehealth, adults anywhere in Massachusetts can be seen without traveling to an office. You only need to be located in the state during each visit. Many patients live in the communities northwest of Boston:

• Adult ADHD care in Burlington, MA
• Adult ADHD care in Lexington, MA
• Adult ADHD care in Concord, MA
• Adult ADHD care in Wilmington, MA
• Adult ADHD care in Chelmsford, MA

Insurance

The practice accepts several major commercial insurance plans, including Blue Cross Blue Shield, Harvard Pilgrim, Optum, UnitedHealthcare, Cigna, Aetna, and Tufts. Coverage varies by plan, so please confirm your benefits and telehealth coverage with your insurer before scheduling. At this time, new Medicaid, MassHealth, and Medicare patients are not accepted. Self-pay options may be available. See Insurance Information.

Frequently Asked Questions

Can ADHD be diagnosed in adulthood? Yes. Many people are first evaluated as adults. A diagnosis does require evidence that symptoms began earlier in life, which is why childhood history is part of the evaluation.

Can an adult ADHD evaluation be done by telehealth? Yes. A comprehensive clinical evaluation can be conducted over secure video. You need to be located in Massachusetts during the visit and in a private place with a reliable internet connection.

Will I definitely be prescribed medication? No. The purpose of the evaluation is an accurate diagnosis. Medication is one option, considered only when it is clinically appropriate and after the risks and benefits are discussed with you.

Do you provide neuropsychological testing? The evaluation combines standardized testing and rating tools with a comprehensive clinical assessment. It is a psychiatric evaluation, not formal neuropsychological testing. If neuropsychological testing seems useful for your situation, that can be discussed.

I was diagnosed as a child. Do I need a new evaluation? If you are new to the practice, an evaluation of your current symptoms and history is the starting point, even with a prior diagnosis. Bring any past records you have.

Do you see teenagers or children? No. The practice sees adults only.

How long is the first evaluation visit? The initial adult ADHD evaluation visit is 60 minutes, by secure video.

How soon can I be seen? New patients can typically be seen within one week of completing the intake process. Availability can vary, and this is not a guarantee.

Start Your Adult ADHD Evaluation

The first step is a short, secure intake form. It lets the practice review your concerns and confirm that care is a good fit before scheduling.

Complete the Secure Intake Form →
General questions: call (617) 318-8557.

This page is for general information and is not medical advice. If you are in crisis or thinking about harming yourself, call or text 988 or call 911.