Doctoral-level means your assessment is conducted and reported on by a licensed psychologist with a PhD or PsyD. This matters because psychologists are trained to administer and interpret standardized psychometric tests, understand the overlap between neurodevelopmental conditions and mood disorders, and write formal diagnostic reports that meet the requirements for workplace accommodations, medication consultations, and insurance reimbursement. A therapist or GP cannot provide the same scope of assessment.

ADHD in women presents differently than the textbook version built on research that predominantly studied young boys. In mothers, it is frequently masked by perfectionism, people-pleasing, and compensating. It is also compounded by the invisible load of parenthood, hormonal fluctuations, and the relentless cognitive demands of running a household. Our entire assessment process, from the questions we ask to the tools we use, is built around this reality. We are not adapting a general model. We built one for you.

The clinical interview is the foundation of the diagnostic process. Your psychologist uses a structured format called the DIVA-5 to review your ADHD symptoms across two time frames: how they appear now in your adult life and whether they were present before the age of 12, which is a requirement under DSM-5 diagnostic criteria. This includes exploring your academic history, occupational patterns, relationship dynamics, hormonal health, and how symptoms specifically affect your experience of motherhood. This conversation cannot be shortened without compromising the accuracy of the diagnosis.

The battery includes the CAARS 2 (the gold-standard ADHD rating scale, completed by you and an observer), the WURS (a retrospective childhood ADHD history measure), the BRIEF-A (which measures executive function in daily life, including the mental load), the PSI-4-SF (which specifically measures stress rooted in the parenting role), the WFIRS-S (functional impairment across work, family, and social domains), the PCL-5 (a trauma and PTSD screen), the CAT-Q (which screens for autistic camouflaging, which is common in neurodivergent women), and the PAI (a comprehensive personality and validity measure). These tools work together to build a complete clinical picture.

Your report is a clinical document of approximately 10 pages written by your psychologist. It includes a summary of your history and presenting concerns, your test results and scores in context, a diagnostic conclusion with ICD-10 codes, and a personalized multimodal recommendations section. Recommendations cover executive function strategies, therapy referrals, pharmacotherapy consultation if relevant, and workplace or parenting accommodations. It is designed to be a document you actually use, not one you file away.

ADHD and maternal burnout can coexist, which is part of what makes them so hard to untangle on your own. In our assessment, we use the PSI-4-SF specifically to measure stress rooted in the parenting role. This helps your psychologist distinguish between a brain that is structurally wired differently and a brain that has simply been depleted. The distinction matters because ADHD requires neurodevelopmental support, while burnout requires rest, boundary restructuring, and often a different kind of therapeutic approach.

A Superbill is a detailed receipt that includes your provider's credentials, the CPT codes for each clinical service rendered, the ICD-10 diagnosis code, and a statement of medical necessity. Momwell will submit this document to your insurance company to request out-of-network reimbursement. The Superbill includes CPT codes 90791 (Psychiatric Diagnostic Evaluation), 96130 and 96131 (Psychological Evaluation Services), and 96136 and 96137 (Psychological Test Administration). Momwell submits this on your behalf after your assessment is fully complete.

We recommend calling the member services number on the back of your insurance card and asking: Do I have out-of-network benefits for mental health assessments? What is my deductible for out-of-network mental health services, and how much remains? What is the allowable rate for CPT codes 90791, 96130, 96131, 96136, and 96137? Is prior authorization required for psychological evaluation services? The answers will help you calculate your estimated out-of-pocket cost and realistic reimbursement.

This assessment is designed for mothers who are struggling to understand why their brain works the way it does. You may have been told you have anxiety or depression and feel like something is still missing. You may have always suspected ADHD but never sought a formal evaluation. If you are a mother in the postpartum period, in the thick of the toddler years, navigating school-aged kids, or in perimenopause wondering if your brain has fundamentally changed, this assessment was built with your experience in mind.

Yes. Our virtual assessment is not the right fit for clients who are in the acute postpartum phase within 12 months of giving birth, experiencing a severe unmanaged mood disorder that has not yet stabilized, or presenting with a complex psychiatric profile such as active bipolar disorder or borderline personality disorder. If that applies to you after you complete our screening form, we will let you know clearly and help point you toward the right resource.

Yes. Existing Momwell therapy clients can request an assessment referral through their current therapist or by completing the screening form directly. Your therapy relationship and your assessment are handled separately, which protects the integrity of both. Your therapist does not write the assessment report. A specialized assessment clinician does.

Observer reports, completed by someone who knows you well, are a standard component of a thorough ADHD diagnosis under DSM-5 criteria. They help your psychologist see how your symptoms appear in the context of your relationships and daily environment, not just how you self-report them. If you do not have a partner, a close friend, sibling, or parent who has known you for years can complete the observer portion. We will walk you through how to involve them as part of your onboarding.

If the clinical team determines that your needs are better served by an in-person neuropsychological evaluation, you will receive a clear, compassionate email explaining that decision and guiding you toward next steps. This is not a rejection. It is clinical triage, and it exists to protect you from spending time and money on a process that will not give you what you actually need. We will suggest contacting your primary care provider or insurance company for a referral to a local neuropsychologist.

We anticipated this. To prevent the questionnaire workload from feeling like one more thing on an already full plate, we provide a visual 14-day sample timetable that breaks the assessment materials into small, manageable daily tasks. We also send gentle follow-up reminders along the way. If you are struggling or hitting a wall, reach out to the Care Team directly. This process is designed to be something you can complete from home, on your terms, without adding to your mental load.