ADHD Evaluation for Children & Teens in Puget Sound, WA

If your child is struggling to stay focused, keep up in school, or manage daily routines, you need more than just an ADHD diagnosis. You need to understand the full picture. Our experienced pediatric neuropsychologists conduct tailored evaluations that specifically assess how your child thinks, learns, and functions so that we can provide the most comprehensive feedback about how to best help them succeed.

What Is ADHD and How Do We Evaluate It?

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Signs Your Child May Benefit From ADHD Evaluation

Parents often come to us when they notice patterns that don’t seem to improve with reminders, consequences, or extra support at school. You might consider an ADHD evaluation if your child is:

  • Having difficulty sustaining attention during schoolwork, homework, or activities
  • Frequently losing belongings, forgetting assignments, or missing details
  • Struggling to start, organize, or finish tasks independently
  • Acting impulsively, interrupting, or having difficulty waiting their turn
  • Feeling overwhelmed by multi-step directions or projects
  • Performing inconsistently, doing well in some areas but falling apart in others
  • Working harder than their peers but not seeing results, or being told they’re “not trying” when they are
  • Experiencing frustration, low self-esteem, or emotional outbursts related to school demands

If any of this sounds familiar, you’re not alone. These are among the most common reasons families reach out to us for an evaluation in Puget Sound.

What We Assess During an ADHD Evaluation

Our tailored neuropsychological evaluation may cover many areas of your child's functioning. While the domains below include the areas most relevant to ADHD, we assess them as part of an evaluation specific to your child’s needs so we can understand how attention, learning, cognition, and emotions all interact for your child.

01
Attention and Sustained Focus

We evaluate your child’s ability to pay attention, maintain focus over time, and filter out distractions. Difficulties with sustained attention are often the most recognized sign of ADHD, but they can look different depending on context and the child's age. Children with the inattentive presentation may appear to be paying attention while missing much of what's being said.

02
Impulse Control and Self-Regulation

We assess how well your child can think before acting, resist urges, and manage emotional responses. Impulse control deficits often show up as interrupting, rushing through work, or acting without thinking through consequences.

03
Executive Function Skills

We examine planning, organization, working memory, task initiation, and follow-through. These skills are critical for managing schoolwork, daily routines, and multi-step tasks. Many children with ADHD struggle in these areas even when their ability to pay attention is adequate.

04
Processing Speed and Efficiency

We evaluate how quickly and efficiently your child processes information. Some children with ADHD demonstrate slower processing speed, which impacts academic performance, timed tests, and their ability to keep pace with classroom instruction.

05
Overall Cognitive Abilities

We assess general intellectual functioning to understand your child's cognitive strengths and how ADHD symptoms may affect their ability to access those strengths in school and daily life.

06
Behavioral and Emotional Functioning

We examine impulse-driven behaviors, emotional regulation, and how ADHD affects your child’s mood, frustration tolerance, and social interactions. Understanding these patterns helps us distinguish ADHD from other conditions that may look similar.

Why We Take a Comprehensive Approach

Many providers offer ADHD evaluations that focus narrowly on attention and executive function. 

We take a different approach.

When families come to us with ADHD concerns, we conduct an evaluation tailored specifically to your child’s needs. evaluation. We do this because attention problems rarely exist on their own. They frequently overlap with learning disabilities, anxiety, mood concerns, and developmental differences in ways that an evaluation focused only on ADHD may miss other factors contributing to your child’s functioning.

We look beyond surface behaviors because attention problems, learning challenges, emotional concerns, and developmental differences frequently overlap. Our evaluation is tailored to your child’s specific needs and may evaluate cognition, academic skills, attention, executive function, emotional and behavioral functioning, and developmental status. If ADHD is present, we identify it. If something else is also contributing, we identify that too. The result is a complete understanding of your child and a specific plan for addressing barriers to their success.

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What Else an ADHD Evaluation Can Identify

Because we conduct a neuropsychological evaluation tailored to your child rather than an evaluation focused only on ADHD, we routinely identify co-occurring conditions that affect your child’s daily functioning, including:

  • Anxiety disorders
  • Depression and mood disorders
  • Learning disabilities (dyslexia, dysgraphia, dyscalculia)
  • Sleep-related issues that mimic or worsen ADHD symptoms
  • Social communication differences

Identifying these co-occurring conditions is essential for building the right support plan.

How Does the Evaluation Process Work?

Our evaluation process is designed to be thorough, supportive, and family-centered. Here’s what to expect from start to finish.

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Intake and Consultation

We meet with you and your child to understand your concerns and gather relevant history and records. This helps us prepare for assessment and puts your child at ease. Bella, our office dog, may greet you in the elevator. If you or your child are uncomfortable around dogs, let us know ahead of time and we will plan accordingly.

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First Testing Session

Your child completes standardized assessments (typically 2 to 3 hours) in a supportive, one-on-one environment with built-in breaks. We use evidence-based measures tailored to their developmental level.

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Second Testing Session

A second session (1 to 2 weeks later, similar length) continues testing. Multiple sessions allow us to gather comprehensive data and observe patterns across different contexts.

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Analysis and Integration

We analyze all data, including test results, observations, developmental history, and school records, to develop a comprehensive understanding of your child's cognitive, emotional, behavioral, and functional profile and strengths.

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Feedback, Recommendations, and Next Steps

We meet to review findings in practical terms and discuss specific recommendations for school supports, home strategies, referrals, and any needed treatment. You receive a detailed written report.

How to Get Started

1. Call Us
2. Your First Appointment
3. Begin Care

A member of our team will talk with you about your child’s needs, help identify the right service, and answer any initial questions. No referral needed. Call us at (253) 256-3626 or email admin@childrensbmc.com.

We begin with an intake or consultation to understand your child’s history, gather information, and learn what matters most to you and your child. Bring any school evaluations, IEP/504 plans, past evaluations, or report cards you have – but if you don’t have anything, that’s fine too.

Whether you’re starting an evaluation, therapy, or a skills group, we guide you through each step and keep you updated throughout the process. We’re collaborative from day one – a partner in your child’s journey.

If you’d like details about insurance, fees, what to expect, and frequently asked questions, you can learn more at Get Started.

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About Commitment
How to Start

Frequently Asked Questions

ADHD symptoms can appear at any age. We can evaluate children as young as preschool age, though formal diagnosis is most reliable from around age 6 onward. Sometimes it’s not identified until high school or college, when academic and social demands exceed a child’s ability to compensate. We evaluate children, teens, and young adults through college age.

Yes. In fact, gifted kids often mask ADHD effectively because they’re able to compensate. They may do well in school until things get harder or demands change. Our clinicians are specifically trained to identify these presentations.

Our evaluation will clarify whether ADHD is present and how much it’s affecting your child. We don’t prescribe medication; that’s a conversation with your child’s pediatrician or a psychiatrist. During the feedback session, we can discuss all treatment options with you, including whether a medication consultation might be worth pursuing. Medication is always a personal decision made in partnership with your child’s prescribing physician. For many children, a combination of behavioral strategies, supportive services, and sometimes medication works best.

Our report gives your child’s school the documentation they need to request accommodations through a 504 plan or IEP. We include specific recommendations, such as extended time on tests, reduced distractions, breaking tasks into smaller steps, and organizational support. Schools take these recommendations seriously, and we’re happy to speak directly with your child’s school team.

The full process typically takes 6 to 8 weeks from your intake appointment to the feedback session where we review results. Testing is usually completed across two sessions, each lasting 2 to 3 hours. In between testing and feedback, our team analyzes all data and prepares a detailed written report. We know waiting for answers can be difficult, and we work to complete the process as efficiently as possible without compromising thoroughness.

Because we conduct an evaluation specifically tailored to your child’s needs,pricing varies reflective of time and complexity. Call us at (253) 256-3626 for a cost estimate based on your child’s needs. We also offer financial assistance for families who need it.

We are not contracted with insurance, but many families still receive reimbursement depending on their plan. In some cases, out-of-network exceptions may allow in-network reimbursement rates. We are happy to provide the information you need to check your coverage and can answer any cost-related questions during your initial call.

Children’s Behavioral Medicine Collaborative
Children’s Behavioral Medicine Collaborative
Children’s Behavioral Medicine Collaborative
Children’s Behavioral Medicine Collaborative

Ready to Support Your Child?

You don’t have to figure this out alone. We’re here to help.

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