FEES

What are your fees?
We charge $695 for an ADHD or Autism evaluation and $795 for a combined assessment of ADHD and Autism. Dr. Sachs charges $350 for individual therapy or coaching. We accept credit cards.  More on our fees.
Do you take insurance? Medicaid or Medicare?

The Sachs Center does not take insurance, Medicaid, or Medicare, but we will provide you with an invoice with the appropriate insurance codes for you to seek reimbursement if you have out-of-network benefits.  More on insurance.

What are the CPT codes you use most often?

The CPT code for our 2-hour evaluation is 90791 and 99417.

What are the diagnostic codes for ADHD and Autism?

The diagnostic code for ADHD is F90.2 and the code for Autism is F84.0.

What are the insurance codes you use for neuropsychological testing?

These are the CPT insurance codes we use on our invoices for our neuropsychological testing: 90791, 96132, 96133, 96133, 96137, 96136

Do you offer a sliding scale?
We do not offer a sliding scale.

GENERAL

Where are you located?
The Sachs Center is a virtual clinic, utilizing Zoom and Google Meet.
What ages do you evaluate and treat?
We evaluate children from ages 5-18. We do this on Zoom or Google Meet. We will spend most of the evaluation talking with the parent but we do evaluate the child for a period of time during the 2-hour evaluation. We find this works as well as in-person evaluations because the child is more comfortable in their home environment
Do you offer in person?
The Sachs Center is a virtual clinic, utilizing Zoom and Google Meet, so we can do our evaluations on Google Meet or Zoom.
What is unique about the Sachs Center?
We are specialists in the testing and treatment of neurodiverse challenges. Specifically, ADHD and Autism. Since this is all we treat, we understand the nuances that other doctors may miss or misunderstand. As well, we provide a holistic approach to treatment, not seeing you or your loved one just as a label or diagnosis, but as an individual with unique strengths and weaknesses.
Do you have child psychologists?
All our psychologists are trained to see children, teens, and adults.
Do you prescribe medicine?
No. We do not but can make a referral to a psychiatrist or nurse practitioner we recommend to our clients.
Do you offer Neurofeedback?
We do not offer Neurofeedback anymore at the Sachs Center. We found that it was time-consuming and expensive for our clients and the results were not as dramatic as we would like to see for our clients.
On average what is the number of women to men that are diagnosed at the Sachs Center?
About 70% of patients at the Sachs Center are women. In the last few years, more women have been seeking treatment at the Sachs Center (this reflects trends found in the general population).
Are you experienced in diagnosing black women or people of color with Autism?
All psychologists at the Sachs Center are trained in understanding the specific needs of BIPOC neurodivergent communities. At the Sachs Center, we service an ethnically and culturally diverse clientele with a range of symptom presentations and diagnoses. We understand potential concerns and fears that you may have about being understood. We work hard to listen and learn from our patients’ experiences as we conduct our evaluations.

TESTING

What should I expect for the evaluation process?

Thank you for trusting the Sachs Center with your (or your loved one’s) diagnostic evaluation.

It is natural to be nervous before the evaluation. You may want to know who is your psychologist, what will they ask, what tests they you give, and what happens during the two hours. This anxiety is very common with Autism in particular. So you are in the right place.

All of our psychologists were hired for their expertise in ADHD and Autism. They are all very compassionate and knowledgeable in diagnosing Autism and ADHD, particularly in girls, women, and non-binary adults, who may mask more than others.

The evaluation begins with a short description of what will happen during the 2 or 2.5 hours (if you’re being tested for both ADHD and Autism).

Then your psychologist will begin the clinical interview, asking you questions about your current and past symptoms. Feel free to share any information you may have written down during this part of the assessment.

Then your psychologist will begin the testing portion of the evaluation, giving you a series of tests. We also screen for Anxiety and Depression. If a parent is present, the parent will also fill out questionnaires for their child. Following the testing, your psychologist will “crunch the numbers” and give you their diagnostic impression. This is an official diagnosis (if you or our loved one has one).

There will be plenty of time for questions. At the end, your psychologist will give you a letter indicating your diagnosis. You can use this letter to seek out other services like medication or to get accommodations. There is no report given at this evaluation. Just the letter. You will receive a superbill at the end of the month which has the appropriate insurance codes for you to seek reimbursement.

Here are the tests we often give for our evaluations. They are all scientifically validated.

Autism

  • AQ
  • Monotropism Questionnaire
  • CATQ
  • EQ
  • Aspie Quiz
  • RAADS
  • Others depending on age

ADHD:

  • Brown EF/A
  • DREF EF
  • BASC-3
  • Others depending on age
How do you test high-masking adults for Autism?
Masking is a problem when diagnosing Autism but since we specialize in Autism, we have seen hundreds of high-masking adults and can spot the subtle signs that other doctors may miss. Additionally, we rely on evidence-based self-report tests so we can have the data to determine a diagnosis. 
How often do you test BIPOC adults?
We see many BIPOC adults. We estimate that 30% of our clients are BIPOC or Trans/Non-Binary.
How soon do I get paperwork after the evaluation?
You will receive a letter indicating a diagnosis (if you have one) at the end of the appointment
What is in the letter that I receive after my evaluation?
You will receive a letter indicating a diagnosis (if you have one) at the end of the appointment. It will look like this example here.
Do I have to fill out anything before the evaluation?
You will receive a series of documents via our portal to fill our before the evaluation. This will hep our psychologist know you better.
What percentage of your clients come for an Autism evaluation?
We estimate that 60% of our clients come for an Autism evaluation. The rest come for an ADHD evaluation.
How do I know if I have ADHD or Autism?
The best way to tell if you have ADHD or Autism is through a comprehensive evaluation. The Sachs Center offers a 2-hour comprehensive evaluation that includes a clinical interview and evidence-based assessments of executive functioning.
Do you test for anxiety and depression during the evaluation?
While our focus is on testing for ADHD or Autism, we also evaluate for anxiety, depression, and PTSD as these are often co-occurring with ADHD and Autism.
What tests do you use in your 2-hour ADHD evaluations?
We use a variety of tests for ADHD. These may include the ASRS-4, BROWN EF/A, D-REF, WENDER-UTAH, BDEFS-SF,  and the BASC-3. 
What tests do you use in your 2-hour Autism evaluations?
We use a variety of tests for Autism. These may include the AQ, RAADS-R, Monotropism Questionnaire, CAT-Q, EQ, SRS-2, SCQ, Aspie Quiz, BASQ-3, RBQ-2A, etc.
Can you really diagnose ADHD or ASD via zoom? How is that effective?
Yes, you can conduct assessments and testing remotely. Research indicates that telehealth is just as effective as in-person care.
What do I need to do prior to my testing appointment?
Prior to the appointment, you will be sent a link to our portal, where you will be asked to fill out questions that will better inform the psychologist about your current symptoms and past history. It is also helpful to create a list of your symptoms so you can share these with your psychologist. This is not mandatory but helpful.
Will I receive a document that I can use to seek accommodations at work or school?
If you meet the criteria for a diagnosis of ADHD or Autism, you will be given a letter indicating your diagnosis and how your diagnosis impacts your ability to succeed in the workplace or at school. You can use this letter to seek accommodations at work. This letter WILL NOT be accepted when applying for accommodations in a university or on standardized tests like the SAT, LSAT, GMAT, BAR or MCAT exams. You will be rejected by them if you send a letter. In the case that you want accommodations in a university or on a standardized test, you need a full 8-hour neuropsychological assessment, which culminates in 25-page report. If you need this, please contact us for more information on our pricing.
Can the letter get my child a 504 plan in school?
This depends on the school but in most cases, a letter indicating a diagnosis should suffice.  This is especially true in elementary school and for public schools in our experience. It is best to ask the school if a letter indicating a diagnosis is enough to begin the 504 or IEP process.
How do you keep a child's attention during a remote evaluation?
This is a valid concern to have as a parent because it can be difficult to keep children engaged even in an in-person session. When working with children, we make sure to establish a strong connection with the child and incorporate their interests into sessions to make therapy engaging and a positive experience in their lives.
What is the difference between a diagnostic evaluation and neuropsychological testing?
A diagnostic evaluation consists of a clinical interview and evidence-based self-report rating scales to determine a diagnosis. Following this evaluation, you are provided a letter with your diagnosis. This form of evaluation is really helpful if you want to know what is going on with yourself or your loved one. It is important to understand, this letter will NOT help you receive accommodations on any standardized testing (SAT, LSAT, college, etc.).

To receive accommodations, you would need a neuropsychological evaluation. The neuropsychological evaluations are eight hours long, intensive, and consist of many tests (memory, IQ, executive functioning, processing speed). Aside from tests of cognitive and academic performance, these evaluations include clinical interviews with clients and families. All the information gathered is utilized to provide an in-depth overview of your cognitive strengths and weakness. The neuropsychological testing culminates in a 25-page report, which you can use to seek accommodations.

The Sachs Center provides both diagnostic and neuropsychological evaluations.

Will it be Dr. Sachs that evaluates me?
We have excellent licensed psychologists who may be evaluating you. All the psychologists at the Sachs Center are trained in administering ADHD and ASD assessments and consult with Dr. Sachs regularly.
Do I need a full neuropsychological evaluation to diagnose ADHD or ASD?
You do not need a full 8-hour neuropsychological evaluation unless you are looking for accommodations on the SAT, LSAT, MCAT etc.  In those cases, a letter will not suffice. A letter indicating your diagnosis will be given at the conclusion of your 2-hour assessment if you have ADHD or ASD and would be enough to get accommodations at work. 
Do you test children below the age of 5 for Autism?
For children this young, a more comprehensive assessment is needed called the ADOS. We do not do this type of assessment as we are primarily a telehealth company. Contact the Child Mind Institute in Manhattan for this type of assessment.

TREATMENT

Does therapy Work?
Absolutely! Countless studies have shown that psychotherapeutic treatment works. The effects have been measured in terms of improved social functioning, relief from anxiety, and reductions in depression.
Do you offer coaching?
We offer individual ADHD coaching from Dr. George Sachs. The fee is $350 an hour. You can book an appointment here calendly.com/george-sachs
Do you offer Neurofeedback?
We do not offer neurofeedback anymore but can recommend a good provider in Manhattan.
What do the individual therapy sessions for ADHD (or ASD) consist of?
Individual sessions are tailored to each client depending on their symptoms and presenting problems. Not everyone with ADHD comes to therapy for the same reasons and not everyone has the same symptoms. Typically, we will start by conducting an evaluation of your symptoms and presenting problems and implement interventions to target the symptoms. For example, cognitive behavioral therapy is a form of treatment that has been shown to be effective in treating ADHD.
What is the best treatment for ADHD?
Current research demonstrates that a combination of medication, education, and support through therapy or coaching is most effective. Your therapist will work with you to develop a treatment plan that suits your individual goals, needs, and comfort level.
What is a good diet to help ADD or Autism?
While no one diet has been definitively proven to treat symptoms of ADD or Autism, we recommend a Mediterranean Diet to better control the roller coaster feelings associated with ADHD or Autism.
What model of therapy do you practice?
Each therapist at the Sachs Center utilizes a different therapeutic approach based on the needs of the client. For example, the coaching process is much more cognitive and behavioral with a solution-oriented approach. Dr. Sachs was trained in both CBT and Gestalt psychotherapy and uses both in his treatment process.
How do you work with schools or outside psychiatrists?
We employ an open approach to treatment. With your permission, we will talk with outside doctors and school officials to help you get the most out of the change process.
Will the Sachs Center ever resume in-person sessions?
We provide in-depth 8-hour neuropsychological evaluations in person, but all other services are only offered remotely.
Do you have group sessions for adults?
At the moment we do not have group sessions for adults.
Do you do coaching?
Yes. We offer a strength-based approach to coaching that focuses on your core values, short and long-term goals. Our experience with ADHD allows us to tailor your program to maximize your unique abilities. In addition to nutritional coaching and organizational coaching, we also specialize in life and social skill coaching for teens and adults on the spectrum.
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