Mental Wellness·December 2, 2026

What Happens in a Telehealth ADHD Evaluation? A Specialist Explains

Wondering what an online ADHD assessment involves? Clay Hall, NP, PhD, MBA walks through each step, from your history to your treatment plan.

By Clay Hall, NP, PhD, MBA, founder of PracticeRx and adult ADHD specialist

In brief: A telehealth ADHD evaluation is a secure video visit with a psychiatric clinician. It covers your current symptoms, your history back to childhood, validated rating scales, and screening for other conditions, and ends with a personalized plan.

Step by step

1. Before the visit. You'll complete intake forms and ADHD rating scales. If you have old report cards or past evaluations, they help.

2. Your story. We talk about what brought you in now: work, relationships, time management, focus, and how long it's been going on.

3. Childhood history. ADHD starts in childhood, even if nobody noticed. We look for early signs.

4. Ruling out look-alikes. Anxiety, depression, sleep problems, thyroid issues, and hormone changes can mimic or worsen ADHD.

5. Labs, when needed. Thyroid, metabolic, and hormone labs can reveal hidden contributors.

6. Your plan. If ADHD is confirmed, we build a plan that may include medication management when appropriate, behavioral systems, and attention to sleep and stress.

How to prepare

  • Find a private, quiet space with good internet
  • List your current medications and supplements
  • Think of concrete examples of where ADHD gets in your way

A note from Clay Hall

"Most adults come in having already spent years wondering. My goal in the first visit is to give you clarity, whether that's ADHD, something else, or both."

Clay Hall, NP, PhD, MBA is double-board certified in Primary Care and Psychiatry, with ADHD training from Harvard Medical School and Massachusetts General Hospital. Learn more about our adult ADHD treatment.

This article is educational and not a substitute for individualized medical advice.

Clay Hall, NP, PhD, MBA

Medically reviewed by

Clay Hall, NP, PhD, MBA

PRX Founder. Double-board certified in Primary Care and Psychiatry, with ADHD continuing medical education from Harvard Medical School and Massachusetts General Hospital.

Learn more about our care for ADHD, anxiety, and OCD.

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