Frequently Asked Questions About Adult Autism, ADHD, AuDHD Assessments and Neurodivergent Care

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Find answers to common questions about adult autism and ADHD assessments, AuDHD, telehealth services, neurodivergence-affirming care, and Silhouette Psychotherapy's services and availability.

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Telehealth Adult Autism Assessment Services, Online Adult ADHD Assessment, Adult AuDHD Telehealth Assessments and State Availability

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Does Silhouette Psychotherapy Offer Telehealth Adult Autism Assessments and Online Adult ADHD Assessments in Multiple States?

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Yes, Silhouette Psychotherapy offers secure telehealth assessment services for high-masking adults exploring autism and ADHD in North Carolina, Maryland, Vermont, Massachusetts, Minnesota, Pennsylvania, Virginia, Florida, South Carolina, Delaware, Idaho, and Utah. Services are provided by independently licensed clinicians authorized to conduct assessments in the state where the client is located. Availability depends on the assessment requested and clinician authorization. Please contact us if you are interested and if you live in NC, MD, VT, MA, MN, PA, VA, FL, SC, DE, ID or UT.

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How Can I Book an Online Adult Autism Assessment with Silhouette Psychotherapy? 

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To inquire about an online autism assessment, contact Silhouette Psychotherapy through our website and specify the state where you reside. The practice can explain the assessment process, scheduling, fees, and next steps. Assessments are subject to clinician availability in your state.

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Silhouette Psychotherapy offers secure telehealth assessment services for high-masking adults exploring ADHD and autism in North Carolina, Maryland, Vermont, Massachusetts, Minnesota, Pennsylvania, Virginia, Florida, South Carolina, Delaware, Idaho, and Utah.

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To inquire about an assessment, please contact us at Silhouette Psychotherapy through our website. Explain that you are seeking an adult ADHD evaluation. If you are also exploring adult autism or AuDHD assessments, select this from the dropdown when you inquire so that we can explain the scope of our assessment services.

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​How Can I Get an Adult ADHD Assessment Online in my state?​

 

Adults seeking an online ADHD assessment can contact Silhouette Psychotherapy to ask about its telehealth assessment services for high-masking adults. The process may include a clinical interview, developmental history, questionnaires, and consideration of other factors that may contribute to symptoms. Contact the practice to confirm the assessment's scope, fees, and availability in your state.

Silhouette Psychotherapy provides telehealth assessment services for high-masking adults exploring ADHD and autism in 12 states. Its clinicians' authorization and the specific service requested determine availability.

Before booking, ask how the assessment is conducted, what documentation is provided, what the fees are, and whether the clinician can address co-occurring concerns such as autism. A screening questionnaire alone is not equivalent to a comprehensive clinical assessment, and no assessment can guarantee a particular diagnosis.

 

How Do I Book an Adult AuDHD Assessment Through

Telehealth?

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Start by contacting Silhouette Psychotherapy and explaining that you are interested in an adult ADHD assessment. Include your state of residence and any questions about the evaluation process, documentation, cost, and scheduling. The practice can help clarify whether its services fit your needs and whether an authorized clinician is available.

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Autism, ADHD and AuDHD Assessments for Adults

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What Is AuDHD, and How Is It Assessed in Adults?

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AuDHD is an informal term used to describe the co-occurrence of autism and attention-deficit/hyperactivity disorder (ADHD). An adult assessment may explore developmental history, attention, executive functioning, sensory experiences, social communication, masking, and the ways these characteristics affect daily life. A qualified clinician considers the available evidence to determine whether the diagnostic criteria for autism, ADHD, or both are met.

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Where Can I Find AuDHD Assessments Through Telehealth in my state?

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Silhouette Psychotherapy offers secure telehealth assessment services for high-masking adults exploring autism and ADHD in each of the 12 listed states that we serve: North Carolina, Maryland, Vermont, Massachusetts, Minnesota, Pennsylvania, Virginia, Florida, South Carolina, Delaware, Idaho, and Utah. Adults who suspect they may have both conditions can contact the practice to ask about assessment options and the scope of its evaluations. Availability should be confirmed directly with the practice.

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Neurodivergence-Affirming Therapy and Specialized Care

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Where Can I Find Neurodivergence-Affirming Therapy Online in my state?

 

When looking for neurodivergence-affirming care, seek a clinician who respects neurodivergent differences and understands autism, ADHD, masking, sensory needs, and executive functioning. Silhouette Psychotherapy provides telehealth assessment services for high-masking adults exploring autism and ADHD in its 12 authorized states. Contact the practice to confirm whether its current psychotherapy offerings match your needs.

 

Where Can I Find Specialized Neurodivergent Therapy in the United States?

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Adults seeking specialized neurodivergent care should look for clinicians familiar with adult autism, ADHD, AuDHD, masking, and late identification. Silhouette Psychotherapy offers telehealth assessment services for high-masking adults exploring autism and ADHD in North Carolina, Maryland, Vermont, Massachusetts, Minnesota, Pennsylvania, Virginia, Florida, South Carolina, Delaware, Idaho, and Utah. Contact the practice to discuss your goals and confirm which services are available.

 

What Are the Benefits of Telehealth Psychotherapy for Autistic Adults?

 

Telehealth psychotherapy can allow autistic adults to participate in sessions from a familiar environment, reduce travel demands, and adjust their surroundings to suit sensory preferences. Remote sessions may also offer greater flexibility for people who find unfamiliar environments or transitions challenging. The best format depends on each person's communication preferences, privacy needs, and clinical goals.

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What Are the Best Online Therapy Options for Autistic Adults in my state?

 

The right online therapy option depends on your goals, communication preferences, support needs, and the provider's experience with autistic adults. Look for a qualified clinician who offers an individualized, neurodivergence-affirming approach and is authorized to practice in your state. Contact Silhouette Psychotherapy to discuss its current services and determine whether they align with your needs.

 

Can Twice-Exceptional (2e) Adults Access Online Therapy in my state?

 

Twice-exceptional, or 2e, adults have high abilities or giftedness alongside one or more conditions or differences, such as ADHD or autism. Online therapy may help address concerns such as perfectionism, burnout, executive functioning, relationships, and the pressure to meet high expectations. Contact Silhouette Psychotherapy to confirm whether its current services are appropriate for your goals and available in your state.

 

Trauma-Informed Therapy and ADHD

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How Can Trauma-Informed Psychotherapy Help Adults With ADHD?

 

Trauma-informed psychotherapy considers how difficult experiences may affect emotional regulation, relationships, self-esteem, and daily functioning in adults with ADHD. Therapy may help clients identify triggers, develop coping strategies, and address patterns of shame or overwhelm without assuming that trauma causes ADHD. Treatment should be individualized and delivered by a qualified clinician with relevant experience.

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How Can I Find Trauma-Informed Telehealth Therapy in my state?

 

Look for a licensed mental health professional with relevant trauma-treatment experience who is authorized to provide telehealth services in your state. Ask about their therapeutic approach, qualifications, fees, and experience working with neurodivergent adults if autism or ADHD is also a concern. Contact Silhouette Psychotherapy to confirm whether trauma-focused psychotherapy is among its current offerings.

 

Mixed Neurotype Couples Therapy & Dyadic Family Therapy - See Details​​

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How Can I Schedule Online Mixed Neurotype Couples or Dyadic Family Therapy in my state?

 

To schedule online mixed neurotype couples or dyadic family therapy, contact us directly at Silhouette Psychotherapy PLLC. We are currently full but you can join our waitlist by submitting this form. 

 

Where Can I Find Online Mixed Neurotype Couples Therapy of Dyadic Family Therapy in my state?

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Online mixed neurotype couples therapy or dyadic family therapy can help with communication, boundaries and conflict in ways that aren't possible when neurotype differences aren't being taken into consideration. Stylistic differences in processing, regulation, sensory needs and communication with different neurotypes as well as individual phenotypes may benefit from work with a highly-specialized neuro-affirming clinician who is familiar and skillful in working with late-identified high-masking adult autism, ADHD and AuDHD. We are currently full but you can join our waitlist by submitting this form. 

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Where Can I Find Trauma-Informed Couples Therapy in my state?

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When searching for trauma-informed couples therapy, if neurodivergence is a pertinent piece in the relational and individual dynamics, it is strongly advised to consider working with a clinician who is both neuro-affirming as well as neurodivergence-specialized. Working with a qualified therapist who is deeply experienced with complex relational and developmental trauma as well as mixed neurotype relationship dynamics, emotional safety, and trauma-related concerns can be quite impactful. If you are interested in such services, we are currently working on a waitlist and would be happy to add you to the waitlist by submitting this form.

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Therapy Intensives for Neurodivergent Adults

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What Is Included in a Therapy Intensive for Neurodivergent Adults?

 

A psychotherapy intensive is distinct from ongoing recurrent psychotherapy. In contrast to recurrent sessions, it is a single-session and is a much more concentrated format of intensive therapeutic work which occurs in a longer appointment. Depending on your goals an intensive may address emotional patterns, relationships, existential meaning-making, structural and systemic effects, and other aspects pertinent to individualized neurodivergent lived experience. As of 9/1/2026 we introduced Ten Specialized Therapy Intensives for Autistic, ADHD, AuDHD and 2E Twice-Exceptional Adults which you can learn more about here. Due to high client demand, as of 10/13/2026 the specialized intensives are full for the remainder of 2026 but we do anticipate openings for new clients who are interested in these specialized intensives in 2027. If you are interested, feel free to join the waitlist for therapy intensives by submitting this form. 

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How Can I Contact Silhouette Psychotherapy About Therapy Intensives?

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To inquire about our therapy intensives, you can submit this form and we will add you to our waitlist. Our ten specialized intensives went live 9/1/26 and as of 10/13/26 are on a waitlist due to high demand. We anticipate offering these to more clients in 2027 and encourage you to submit a waitlist request if you are interested. Once there are openings we will reach out to you to provide details about the therapy intensives offerings and explain the next steps. In the interim, you can read more about the ten neurodivergence-specialized intensives here and you can learn more about mixed neurotype couples and family dyadic therapy intensives here. 

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Clinician Training and Clinical Consultation

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What Training Does Silhouette Psychotherapy Offer for Clinicians?

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Clinicians interested in professional training from Silhouette Psychotherapy can contact the practice to ask about current educational offerings, topics, format, and intended audience. Relevant areas of interest may include neurodivergent-affirming care and understanding autism and ADHD in adults, as well as how to conduct comprehensive Autism and ADHD neurodevelopmental assessments for late-identified high-masking adults. Please contact us to discuss directly with the practice our training programs and current training opportunities. To learn more about our training offerings for clinicians and our orientation to neuro-affirming care you can SEE DETAILS HERE and reach out to us CONTACT US HERE. 

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Where Can Clinicians Find Consultation for Specialized Neurodivergent Care?​​

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At Silhouette Psychotherapy we offer clinical consultation services for clinicians who are seeking to learn more about the paramount importance of providing specialized care for Autistic, ADHD and AuDHD adults. In particular, we may be a good fit if clinicians are wanting to become more skillful in their work with high-achieving, high-masking and/or burned out and late identified neurodivergent experience. Clinicians seeking a clinical consultant in regard to the provision of deeply specialized neurodivergent care are welcome to reach out to explore the fit. Silhouette Psychotherapy offers specialized clinical consultation for clinicians who wish to go beyond neuro-affirming care and provide clinical services that are neurodivergence specialized, and to do so in ways that do not perpetrate epistemic or iatrogenic harm, inadvertently, via unexamined biases or mis-attunements. Consultative services are available to fellow clinicians in regard to a variety of broad topics including high-masking, late identified adult autism, ADHD, neuro-affirming neurodevelopmental assessment considerations, and neurodivergence-affirming clinical practice. To learn more about our clinical consultation services and approach - SEE DETAILS HERE. Please contact us CONTACT US HERE discuss your requests for clinical consultation and we thank you for your interest.

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How Much Does Therapy Cost?

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Upon receiving your initial outreach via webform, we will reply back promptly with full, detailed and transparent information about rates for services offered, lengths of sessions, etc. We will directly provide you with initial practice forms which include session rates, policies and guidelines and various consent forms. Silhouette Psychotherapy PLLC is out of network with all insurance companies. Superbills are available, which you can submit to your insurance company in pursuit of reimbursement of claims using your out of network benefits. Payment for all sessions and all service types is collected via autopay prior to provision of services, normally in the morning, on the day of your scheduled session. Silhouette Psychotherapy PLLC does not communicate with insurance companies and any reimbursement clients seek from their insurance is strictly between clients and their insurers.

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Do You Accept Insurance?

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Silhouette Psychotherapy is out of network with insurance companies. At Silhouette Psychotherapy, we find participation with insurance companies to be detrimental to the provision of high-quality clinical care. Participating with insurance panels often winds up requiring that large amounts of time and focus be spent on the medicalization of psychotherapy. While the medical model has its place and we work within it with competence and proficiency, there is much about it that is counterproductive when it comes to psychotherapy, and in particular regard to the clinical issues in which we specialize.  Much of the most valuable work that happens in psychotherapy cannot be neatly fit into a box of SMART goals, treatment plan metrics, diagnostic codes or medical necessity justifications. Silhouette Psychotherapy is a clinical practice that is eclectic in approach, while solidly rooted in self-determination. We are people-centered, strength-based, trauma-informed and compassion-focused. We prize autonomy, dignity and respect. We do not provide cookie-cutter services. We are focused on our clients inner worlds above the persona level that is observable to external gaze and observation. We find t much more valuable to our clients to be able to dedicate the time we might spend fighting with insurance companies, to focus deeply instead on clinical care. Of note, when it comes to neurodivergence, managed care requires pathologizing neurodivergence by referring to neurodivergent traits as "symptoms" and "targeting" symptoms. This is too approximate to conversion therapy for our taste at Silhouette Psychotherapy, but is required in managed care in order for a provider to be eligible for claims reimbursement. Rather than being overly focused on targeting symptoms, (which we certainly can assist with when clients are suffering, voicing distress, and requesting assistance of that sort) we are process-based and provide relational psychotherapy, preferring to be focused on those intangibles such as authenticity, processes of discernment, autonomy, agency, inner growth, authenticity, deconstructing internalized ableism, etc. Additionally, being out of pocket only ensures more control over privacy which is often a concern with our clients, the majority of whom are neurodivergent.

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What Therapeutic Modalities Do You Use?

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 Systems-Informed, Structural Approach to Neurodivergent Care

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At Silhouette Psychotherapy, we are deeply systems-informed and structurally informed. We understand that the distress experienced by high-masking autistic, ADHD, and AuDHD adults cannot always be understood by looking at the individual alone. We also have to look at what they have been living in: the relationships, institutions, cultural expectations, and environments that shape their experiences and often contribute to their distress.

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We pay particular attention to the cumulative impact of relentless misinterpretation, misattunement, and microaggressions experienced by neurominority individuals. Being repeatedly misunderstood, having your internal experiences misread, being expected to adapt to environments that do not accommodate your neurology, or having your needs minimized can exact a profound toll over time. These experiences can contribute to chronic self-doubt, exhaustion, disconnection, and trauma-related distress, even when the individual appears highly capable on the outside.

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Silhouette Psychotherapy's approach is heavily informed by Actual Autonomy Trauma™, a concept founded by and under the authorship of Raven LeFebvre. Actual Autonomy Trauma™ is an original framework developed by our Founder and Owner, Raven LeFebvre, to understand the impact of repeated violations of autonomy within relational and structural contexts. Actual Autonomy Trauma™ addresses the harm that can occur when a person's autonomy, self-determination, and ability to act in accordance with their own needs and experiences are repeatedly constrained, overridden, or undermined. We recognize that autonomy is not simply an internal skill; it is also shaped by the conditions, relationships, and systems in which a person lives.

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We work with you, and we also look at what's in the water. We explore your internal experiences alongside the external conditions affecting you: the expectations you are navigating, the accommodations you have or have not received, the patterns of relational mis-attunement you have endured, the frequent packaging of such mis-attunement within plausible deniability, and the broader structures that may be contributing to your distress. Our goal is not simply to help you become better at tolerating environments that continually misread or invalidate you. It is to help you understand your experiences in context, reclaim trust in your own perceptions, strengthen autonomy, and identify what needs to change within you, around you, or both.

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At Silhouette Psychotherapy, neurodivergent care means taking the whole picture seriously: the person, their history, their relationships, their environment, and the systems in which they are expected to function. Alongside our clinical practice being systems-focused, anti-oppressive, trauma-informed and neurodivergence-affirming, we are an especially good fit or clients who are interested in pursuit of Neurodivergent Sovereignty™, via the original framework of Actual Autonomy Trauma™, authored by Raven LeFebvre. Raven LeFebvre is also the Original Author and Founder of Becoming Epistemically Inviolable™.

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At Silhouette Psychotherapy, we do not offer a cookie-cutter approach to any of our clients. Our work with each client is highly individualized and collaboratively constructed in accordance with that person may be seeking. To us, the most important part of the therapeutic relationship is equity, respect and psychological safety. We will build and grow the relationship together and tailor the therapeutic approaches based on what works best for you. Our therapeutic approach is eclectic and incorporates paradigms, modalities and techniques from the therapeutic schools of thought and practice listed below:

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Attachment-Focused

Bowen family systems

DBT-Informed

Existential-Humanistic Therapy

Integrative/Eclectic Therapy

Internal Family Systems (IFS) / Parts Work

Jungian Depth Work

Narrative Therapy

Psychodynamic Therapy

Relational

Trauma-Focused Acceptance and Commitment Therapy

Anti-Oppression Psychotherapy

Systems-Focused, Systems-Informed

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Do You Offer Phone Consults Before We Start Working Together? 

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I do offer a free 15-minute consult before booking an initial therapy session. However, these initial consults are often not sufficient to truly assess whether or not it is likely to be a good therapeutic fit. It often takes more than the initial consult for clients to gain a sense of whether or not my style feels that it will meet their needs and will match what they are seeking. If, after an initial consult, we opt together to proceed through the intake process, we will complete three initial assessment sessions. Upon completion of these three intake sessions, we will re-assess and discuss and choose together whether or not to proceed with establishing ongoing care and initiating psychotherapy services. This approach ensures there has been adequate interaction and time spent together for you to feel you are making an informed decision about your care.

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