Questions?
FEES & INSURANCE
We charge $695 for an ADHD or Autism evaluation and $795 for a combined assessment of ADHD and Autism. We accept credit cards. We do not accept insurance or Medicaid. More on our fees.
If you want an evaluation with Dr. Sachs, his fees are higher. They are $995 for an ADHD or Autism evaluation and $995 for a combined assessment of ADHD and Autism. Dr. Sachs also charges $350 for individual therapy or coaching.
You can reschedule your appointment by clicking on “reschedule” inside the original email you received when you booked your appointment. Check spam or trash for the email if you can’t find it easily. You can search your email folders by the doctor’s name, Sachs Center, or Calendly.
If you need to cancel your evaluation, please do so at least 24 hours before your scheduled appointment. Cancellations made less than 24 hours before the appointment cannot be refunded. Canceling on short notice means we can’t offer the slot to someone else.
For cancellations made more than 24 hours in advance, a $25.00 service charge will be deducted from your refund to cover credit card processing fees. Thank you for understanding.
The Sachs Center does not take insurance, Medicaid, or Medicare, but we will provide you with an invoice with the appropriate insurance codes to seek reimbursement if you have out-of-network benefits. More on insurance.
Unfortunately, we do not offer free consultations for our 2-hour evaluations. /su_spoiler]
Yes, here it is on this page. https://www.sachscenter.com/preauthorization /su_spoiler]
Unfortunately, we do not.
The CPT code for our 2-hour evaluation is 90791 and 99417.
The diagnostic code for ADHD is F90.2 and the code for Autism is F84.0.
These are the CPT insurance codes we use on our invoices for our two-hour diagnostic testing evaluation: 90791-95, 96136-95, 96146-95, 96130-95
These are the CPT insurance codes we use on our invoices for our neuropsychological testing: 90791, 96132, 96133, 96133, 96137, 96136
We do not offer a sliding scale.
Workplace accommodations for ADHD (Attention-Deficit/Hyperactivity Disorder) and autism can vary depending on individual needs, but they generally aim to create an environment that helps individuals manage their symptoms and work more effectively. Here are some common accommodations:
For ADHD:
1. Flexible Work Schedule: Allowing flexible hours or remote work can help manage time and reduce stress.
2. Breaks: Scheduled breaks throughout the day to help maintain focus and energy.
3. Task Management Tools: Use apps or tools for task management and organization.
4. Written Instructions: Providing written rather than verbal instructions to help with memory and comprehension.
5. Private Workspace: A quiet, distraction-free workspace to help maintain focus.
6. Noise-Canceling Headphones: To reduce auditory distractions.
7. Clear Deadlines and Priorities: Clear and concise communication about deadlines and task priorities.
For Autism:
1. Structured Routine: A predictable and structured schedule to reduce anxiety.
2. Quiet Workspace: A workspace with minimal sensory distractions (noise, light, etc.).
3. Clear Communication: Use clear, direct language and avoid idioms or metaphors.
4. Social Skills Training: Providing training to help with social interactions and communication.
5. Sensory Accommodations: To minimize sensory overload, adjust lighting, noise levels, and workspace layout.
6. Flexible Work Environment: Allowing flexibility in work hours and locations.
7. Assistive Technology: Use of software or devices that can aid communication and task management.
8. Job Coaching: Access to a job coach or mentor who can provide guidance and support.
These accommodations can help create an inclusive and supportive work environment for individuals with ADHD and autism, enabling them to perform at their best.
GENERAL
The Sachs Center is a virtual clinic that utilizes Zoom and Google Meet.
Our availability is generally one to two weeks. If you or someone you know might benefit from a comprehensive diagnostic evaluation, I encourage you to schedule an appointment. You can book a time that suits you through our website here: 👉 www.sachscenter.com/book
We evaluate children ages 5-17 and adults.
The Sachs Center is a virtual telehealth clinic that utilizes Zoom or Google Meet.
No. If it is open on the calendar, then you can book it.
You will receive the documents to fill out for your evaluation 24 hours after booking the appointment.
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. We also 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.
All our psychologists are trained to see children, teens, and adults.
Sure. Just contact our office directly.
No. We do not, but we can make a referral to a psychiatrist or nurse practitioner we recommend to our clients.
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.
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).
All psychologists at the Sachs Center are trained in understanding the specific needs of BIPOC neurodivergent communities. At the Sachs Center, we serve 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.
TESTING
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 your psychologist is, what questions they will ask, what tests you will give, and what will happen 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.
Before the evaluation, you will receive an email with a link to a portal where multiple questionnaires will be posted for you to fill out prior to the evaluation.
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. Finally, 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 with 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
Masking is a challenge when diagnosing Autism, but since we specialize in Autism, we have seen hundreds of high-masking adults and high-masking women. We can spot the subtle signs that other doctors may miss. Additionally, we rely on evidence-based self-report tests to obtain the data needed to determine a diagnosis.
Two hours is more than adequate for a proper evaluation. We use our clinical judgment and multiple evidence-based self-questionnaire measures. We only test for ADHD and Autism at the Sachs Center, so we have seen hundreds of adults with Autism and ADHD and can spot the subtle signs quickly.
You do not need a full 8-hour neuropsychological assessment to diagnose Autism in low-need, high-functioning adults. These 8-hour assessments test your IQ and academic abilities, which is unnecessary for an adult Autism diagnosis. So why do they give them? These types of tests ARE used to diagnose Autism in children because we need to know the child’s IQ or academic level. Less knowledgeable psychologists, unfamiliar with Autism in adults, have carried on this practice in assessing adults. There is also a financial incentive, as the 8-hour tests are much more expensive.
You will receive a few self-report questionnaires about your behavior two to three days after booking the evaluation. You will also receive a general questionnaire with questions about your current symptoms, history, medical problems, family history, etc.
The testing will tell us what level of Autism (Level 1, 2, or 3) you have if you are diagnosed with Autism.
You will receive a few self-report questionnaires about your behavior two to three days after booking the evaluation. You will also receive a general questionnaire with questions about your current symptoms, history, medical problems, family history, etc.
A few days after booking your evaluation, you will receive a few self-report questionnaires about your behavior. You will also receive a general questionnaire with questions about your current symptoms, history, medical problems, family history, etc.
In a nutshell, you don’t need a full neuropsychological assessment UNLESS you are looking for extra time accommodations on the SAT, GRE, GMAT, etc., Or if you are seeking disability payments from your state. These organizations require more extensive and expensive testing because the bar is higher for receiving these accommodations and services.
If you are looking to find out if you have ADHD or are Autistic, then the two-hour diagnostic evaluation is more than adequate. At the end of the two-hour evaluation, you will receive a letter if you have ADHD or Autism. This letter can be used to seek medication from another doctor or receive workplace accommodations. /su_spoiler]
We see many BIPOC adults. We estimate that 30% of our clients are BIPOC or Trans/Non-Binary.
You will receive a letter indicating a diagnosis (if you have one) at the end of the appointment
You will receive a series of documents via our portal to fill our before the evaluation. This will hep our psychologist know you better.
We estimate that 70% of our clients come for an Autism evaluation. The rest come for an ADHD evaluation.
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.
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.
Yes. Our psychologists can differentiate the difference between childhood trauma and Autism. For example, Autistic adults would often show a strong adherence to a routine that a traumatized adult may not necessarily demonstrate.
While we don’t record this percentage, we can say that the number is high. This is due to the fact it is easy to find free online resources and tests for Autism, allowing those who decide to see us an opportunity to self-diagnose before our formal evaluation.
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.
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.
Yes, you can conduct assessments and testing remotely. Research indicates that telehealth is just as effective as in-person care.
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.
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.
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.
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.
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.
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.
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.
While we can help you with this, we strongly recommend that you do a search of your email with the keyword of “Calendly” and “sachscenter” and the doctors name if you know it. Right after you book an appointment, you are sent a booking confirmation with the doctors name and the doctors zoom link.
This depends on the age of the child. For young children, we spend most of our time interviewing the parent about their child’s behavior. We will interview the child alone as well but most of the evaluation is with the parent. For teenagers, we don’t require the parent to be physically present the entire time, as we want the teenager to have some privacy, but we do ask the parent be in the house so that we can discuss any questions or concerns that come up.
TREATMENT
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.
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
We do not offer neurofeedback anymore but can recommend a good provider in Manhattan.
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.
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.
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.