You've seen the therapists. Maybe tried the medication. But nobody has ever given you a clear, evidence-based picture of how your brain actually works — and what to do about it.
Pivot is for adults who are done guessing. People who want to understand whether it's ADHD, something else entirely, or a combination of things that have never been properly sorted out. People who need documentation for accommodations, treatment direction, or simply the clarity that comes from having a real answer. If you're intelligent, self-aware, and tired of surface-level assessments — you're in the right place.
Serving clients in Virginia and in all PSYPACT States.
How it works
Simple. Transparent. Entirely remote.
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1. Choose your evaluation
Three tiers of evaluation — from a focused ADHD assessment to a full neuropsychological battery. Every option is described in plain language with transparent pricing. No hidden fees, no surprises.
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2. Complete your assessment
Most of your evaluation happens on your schedule, from your home. Validated questionnaires, rating scales, and where indicated, computerized cognitive testing are completed before your live clinical interview — so when we meet, we're already working with data. We respect your time.
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3. Get your answers
A clear, evidence-based written report — not a stack of scores, but a genuine clinical narrative that explains what the findings mean and what to do next. Every report includes a personal feedback call.
Why Pivot?
Pivot Psychological Services was built on a simple belief: adults deserve the same quality of neuropsychological evaluation that has historically been reserved for children, academic institutions, and people with the right insurance. We are telehealth-only and adults-only. That focus means every system, every measure, and every report is designed for exactly one purpose — giving you the clearest possible picture of your cognitive and emotional functioning.
Transparent pricing
Because you deserve to know
| Evaluation | Investment |
|---|---|
| Targeted ADHD Evaluation | $1,195 |
| In-Depth Neuropsychological Evaluation | $2,395 |
| Comprehensive Neuropsychological Evaluation | $3,995 |
| Comprehensive + ASD Differential | $4,995 |
Ready to get started?
Most people who reach out to Pivot have been sitting with unanswered questions for years. The evaluation process typically takes two to four weeks from first contact to final report. The answers last a lifetime.
Start With a Free Consultation
