Referral rates are not misdiagnosis rates

The percentage of referred patients who receive an ADHD diagnosis cannot establish how many diagnoses were wrong. Referral samples are selected groups, and different studies ask different questions. Claims about overdiagnosis or gender differences need research that actually evaluates diagnostic error.

An ADHD reassessment should consider developmental history, current symptoms, impairment, information from more than one setting and alternative explanations. A qualified clinician may confirm ADHD, identify another condition, find co-occurring conditions or conclude that criteria are not met.

ADHD assessment considers symptoms, developmental history, functioning in more than one setting and other possible explanations. Appropriately qualified clinicians can diagnose within their professional scope; a full cognitive or neuropsychological battery is not required for every ADHD diagnosis. Broader testing may be useful when learning, memory or other complex questions need investigation.

Prepare for a second opinion

• Bring earlier reports, medication history, examples of current difficulty and any childhood information you can obtain. Explain what does not fit the existing diagnosis rather than assuming that lack of benefit from one treatment proves it wrong.

• Ask the clinician to explain their reasoning and any limitations in the available information. Reassessment can confirm an existing diagnosis, identify co-occurrence or suggest another explanation. The goal is a useful plan, not a predetermined result.

Before you choose a service

• Write down the question you want answered and ask whether it falls within the booked appointment. Confirm clinician qualifications, eligibility for your location, fees, written deliverables and follow-up. If you need documentation for another organization, check its requirements first.

• Ask how findings and any uncertainty will be explained. Assessment may support a diagnosis, identify another concern or suggest further evaluation. Practical supports and respectful communication can be useful while these questions are being explored.

Sachs Center evaluation options

*A diagnostic letter is included if a diagnosis is given. The detailed report adds $400. Appointments with Dr. Sachs cost $200 more per service.

Sachs Center’s booking page lists focused ADHD or autism testing at $790, or combined ADHD and autism testing at $890. A diagnostic letter is included if a diagnosis is given. The optional eight-page clinical report adds $400; appointments with Dr. Sachs cost $200 more per service. Check the selected package and current price before booking.

Focused testing and the separate $5,995 full neuropsychological evaluation answer different questions. Learning-disability, academic achievement and broader cognitive testing belong to the separately booked full service. Sachs Center is out of network and does not accept insurance directly. A superbill can be requested, but reimbursement depends on the plan. Confirm clinician authorization for the state where you will attend and any documentation requirements before paying.