ADHD & Autism Care for Those Who Have Spent Years Masking
ADHD & Autism Evaluations | Medication Management | Integrative Psychiatry
You’re In the Right Place
You’ve always felt different
You may have spent years adapting, masking, over-preparing, people-pleasing, or wondering why things that seem easy for everyone else feel exhausting.
You’re wondering if you have ADHD or autism
Especially if you’ve been told you’re “too successful” or “too social” to be autistic or ADHD.
You’re exhausted from holding everything together
You look successful from the outside but are struggling with executive functioning, burnout, emotional regulation, or overwhelm.
You’ve been diagnosed, but the treatment isn’t working
You’ve tried medications, therapy, or both and still don’t feel like yourself.
How We Can Help
Specialized evaluation, psychiatric care, and therapy designed around the individual—not just the diagnosis.
ADHD Evaluations
Comprehensive adult ADHD evaluations designed to look beyond symptoms and understand your lifelong patterns of attention, executive functioning, motivation, emotional regulation, and daily functioning.
Autism Evaluations
Comprehensive adult autism evaluations designed with high-masking and late-identified adults in mind, including consideration of masking, sensory experiences, social communication, repetitive patterns, and developmental history.
Psychiatric Care
Psychiatric care at Onward Growth is personalized to the individual rather than centered around a diagnosis or medication alone. We take time to understand your history, goals, strengths, and challenges to develop a thoughtful treatment plan that may include medication, lifestyle strategies, therapy, and integrative approaches.
Think You’re “Too High Functioning” to Be Autistic or ADHD?
You’re not too successful. You’re not too social. And you’re not imagining how hard things feel.
Many adults, especially women and people who have spent years masking, learn to compensate so effectively that their underlying difficulties aren’t recognized.
You may have:
- Excellent grades
- A successful career
- Strong verbal skills
- A history of overachievement
- Extensive coping strategies
- A tendency to rehearse social interactions
- Chronic exhaustion after appearing “fine”
- Difficulty explaining why everyday life feels harder than it looks
That’s exactly why an evaluation matters.
Neuro Affirming Care and Women’s Health
Onward Growth is a Neuro Affirming practice serving clients in Virginia and Minnesota. We respect the way your brain processes the world around you. We don’t view Autism and ADHD as problems to be fixed, instead we view your unique perspective as beautiful!
The way you experience the world is not wrong – but it may be challenging. Our society was not built to accommodate neurodiverse brains, so sometimes we struggle. We can learn to cope with the way the world functions! Coping does not mean masking. Coping means having strategies to deal with overwhelm, boredom, and socialization (among other challenges!)
We partner together to find a treatment plan that works best for you by celebrating your strengths and recognizing your unique brain. Neuro affirming care means we focus on learning new coping skills while treating the symptoms that cannot be coped with – like impulsiveness, inattention, sleep disturbances, or any other number of symptoms that come along with neurodivergence.
There is a distinct overlap between neurodivergence and women’s health issues. Neurodivergent women may have food intolerances, GI disorders, autoimmune disorders, Ehlers-Danlos syndromes (EDS), Postural Orthostatic Tachycardia Syndrome (POTS), and Mast Cell Activation Syndrome (MCAS).
Women are also more likely have a delayed diagnosis of both Autism and ADHD, because the traditional medical model is built around how boys present with these neurodevelopmental conditions.
At Onward, we specialize in both women’s health issues and neurodivergence because often times, if we have one, we have the other! Women deserve a provider who understands all these challenging facets of their lives.
Meet Your Providers
Our providers bring different areas of expertise to one shared philosophy of individualized, collaborative care.
Tabitha Hapeman, DNP, PMHNP
Founder & Provider
ADHD & Autism Evaluations | High-Masking Adults | OCD | Trauma | Integrative Psychiatry
Natalie Piedt, PMHNP
Provider
ADHD | OCD | Trauma | Military Families | Medication Management
Crystal Navarro, FNP
Provider
Perimenopause | Hormone Replacement Therapy | Weight Loss Support | Testosterone Replacement
.
Why Private Pay Psychiatry?
More time. More flexibility. More individualized care.
Insurance-based psychiatry often requires providers to work within restrictive visit lengths, diagnostic requirements, and treatment limitations.
At Onward Growth, private-pay care allows us to:
- Spend more time understanding your history
- Look beyond a single diagnosis
- Individualize your treatment plan
- Explore medication and non-medication approaches
- Provide care based on your goals—not an insurance company’s requirements
- Offer superbills for clients seeking potential out-of-network reimbursement
Fees
| Service | Fees |
| Adult ADHD Evaluation | $600 |
| Adult Autism Evaluation | $1300 |
| Adult Combined ADHD + Autism Evaluation | $1600 |
| Initial Psychiatric Medication Management Appointment | $300 |
| Follow Up Appointment | $150 |
Have more questions? Visit our FAQ page.
If you, or a loved one, is experiencing domestic violence and need support, you can start here.