Why Online ADHD and ASD Testing?

The most common reason people delay getting assessed isn't a lack of interest. It's logistics. Maybe you live in a state or region where psychologists trained in ADHD or autism evaluations are few and far between. Maybe you've got a work schedule that doesn't leave room for multiple in-person visits. Maybe the thought of sitting in an unfamiliar waiting room already feels like a lot. These are real barriers, and they shouldn't stand between you and getting answers.

Virtual evaluations remove many of these obstacles. You can complete your online ADHD assessment or ASD evaluation from home, in a space where you're comfortable, without the added stress of travel and time away from work or family. With PSYPACT, this also means that even if there isn't a provider near you who specializes in these types of evaluations, you now have access to one.

What Does the Research Say About Telehealth Assessment?

I wouldn't offer online ADHD testing or virtual ASD assessment if the science didn't support it, so here's a summary of what the evidence tells us.

Telehealth assessment works. A meta-analysis by Brearly and colleagues (2017) in Neuropsychology Review examined studies comparing videoconference-based testing to traditional in-person administration. For verbally mediated tasks (the kinds of measures most central to ADHD and ASD evaluations), there were no significant differences between the two formats. More recent systematic reviews (2023-2025) have continued to demonstrate good to excellent reliability for remote assessments of attention, working memory, verbal learning, language, and executive functioning.

Online ADHD assessment is well-supported. A 2024 study published in the Journal of Medical Internet Research found that remote ADHD assessments using the ADHD Rating Scale-IV produced "almost perfect" agreement with in-person results (ICC = 0.816). Additionally, research on online ADHD testing in adults has found 78% agreement between virtual clinical interviews and self-report measures, with a positive predictive value of 94.9%, meaning that when the evaluation points to ADHD, it's almost always right.

Online ASD testing can be conducted effectively. Research on remote administration of gold-standard autism assessment tools has demonstrated 86% diagnostic agreement between telehealth and in-person conditions, with tools like the Brief Observation of Symptoms of Autism (BOSA) specifically developed and validated for virtual use. These tools show good sensitivity, specificity, and interrater reliability.

Professional organizations support it. The American Psychological Association's updated Guidelines for the Practice of Telepsychology (2024) include specific guidance on remote testing and assessment. The Inter-Organizational Practice Committee (IOPC), a collaboration between the American Academy of Clinical Neuropsychology, National Academy of Neuropsychology, APA Division 40, and other leading organizations, concluded that the literature supports telehealth as offering reliable and valid assessments when implemented thoughtfully. Their recommendations emphasize proper informed consent, environmental controls, and clinician training, all of which I follow closely.

What the Virtual Evaluation Process Looks Like

Online evaluations at my practice follow the same clinical standards as in-person assessments. Whether you're pursuing online ADHD testing, an online ASD assessment, or a comprehensive evaluation, the format includes a detailed clinical interview, standardized rating scales and questionnaires, collateral information from people who know you well (e.g., a partner, parent, or close friend), and a thorough review of your history. For comprehensive evaluations, an objective personality measure is also included.

What's different is the delivery method, not the rigor. Here's a general overview:

Before the evaluation, you'll receive intake paperwork and rating scales to complete ahead of time. Collateral reporters will be sent their own forms. This prep work helps us make the most of our face-to-face time together.

During the evaluation, we'll meet via secure video for a detailed clinical interview. Depending on the type of assessment, this will typically take one to two sessions. I'll be looking at the same things I assess in person: your developmental history, symptom patterns, functional impact across settings, and the possibility of other conditions that can look like, or coexist with, ADHD or ASD.

After the evaluation, you'll receive a detailed written report that includes specific assessment tools used, your results and scores, diagnostic conclusions, and individualized treatment recommendations. Letters of support for accommodations are provided as needed. I'm also happy to coordinate with your other providers to ensure continuity of care.

Available Across 40+ States Through PSYPACT

PSYPACT is a legislative agreement among participating U.S. states and territories that allows licensed psychologists to practice telepsychology across state lines. As an authorized PSYPACT provider, I can offer online ADHD assessments, online ASD assessments, and comprehensive telehealth evaluations to individuals in any participating jurisdiction. As of 2026, over 40 states participate, with more in the process of joining.

If you're located outside of Ohio and wondering whether I can work with you, check the PSYPACT map here. If your state is listed, we're good to go.

A Note for Referring Providers

If you're a therapist, psychiatrist, or physician considering a referral for online ADHD testing or a virtual ASD evaluation, I want you to know that I take the same evidence-based, thorough approach to telehealth evaluations that I would in person. Reports are detailed (typically 12+ pages for ADHD assessments), include specific and actionable treatment recommendations, and are designed to be useful to the providers who will be working with the client going forward.

I'm also happy to consult with you before or after an evaluation to discuss referral questions, share impressions, or coordinate care. If you have a client who has been putting off an evaluation due to access or scheduling barriers, or who lives in a state where specialized assessment providers are hard to find, a virtual assessment may be the thing that finally makes it possible. PSYPACT means I can see your client regardless of which participating state they're in.

Who Is This a Good Fit For?

Online ADHD testing and online ASD testing work well for most adolescents and adults (ages 16 and older) seeking a virtual assessment for ADHD, autism, or a broader diagnostic picture. That said, I take the research seriously, including its limitations. There are some situations where an in-person evaluation may be more appropriate, such as when motor-based or certain performance-based tests are central to the referral question. If that's the case, I'll be honest about it and help you figure out the best path forward.

I also want to acknowledge what the access literature makes clear: telehealth can be a meaningful equalizer for people in rural areas, those with demanding schedules, and anyone who has found the traditional in-person model to be a barrier. Whether you're in Cincinnati or across the country in a PSYPACT state, if that describes you, I'm glad to be able to offer this option.

Ready to Schedule Online ADHD or ASD Testing?

If you've been thinking about getting evaluated, or if you're a provider with a client who could benefit from online ADHD or ASD assessment, I'd encourage you to take the next step. I offer free 15-minute phone consultations where we can talk through your situation and determine whether an online evaluation makes sense. You can also schedule an assessment directly through my online calendar.

If you're unsure what type of evaluation you need, that's completely fine. That's what the consultation is for.

Not sure if your state participates in PSYPACT? Check the map here.

Key References

Brearly, T. W., Shura, R. D., & Martindale, S. L. (2017). Neuropsychological test administration by videoconference: A systematic review and meta-analysis. Neuropsychology Review, 27, 174-186.

Wright, A. J., et al. (2023). Tele-neuropsychological assessment of children and young people: A systematic review. Journal of Pediatric Neuropsychology.

Bilder, R. M., et al. (2020). Inter-Organizational Practice Committee recommendations/guidance for teleneuropsychology in response to the COVID-19 pandemic. The Clinical Neuropsychologist, 34(7-8).

American Psychological Association. (2024). Guidelines for the practice of telepsychology.

Elbe, P., et al. (2024). Reliability of telepsychiatry assessments using the ADHD Rating Scale-IV for children with neurodevelopmental disorders. Journal of Medical Internet Research, 26(1), e51749.

Reese, C. E., et al. (2013). Diagnostic assessment of autism spectrum disorder via telehealth. Journal of Developmental and Behavioral Pediatrics.