Adult ADHD evaluation · Telepsychiatry in Virginia and Florida
Adult ADHD evaluation, done properly.
You have probably been told you are disorganized, or that you cannot possibly have ADHD because you finished school. A real evaluation takes more than twenty minutes. Welmivia's ADHD pathway is a physician-led diagnostic interview, validated rating scales and baseline labs, with a written visit summary after each visit.
Welmivia treats adults located in Virginia and Florida only. You will be asked to confirm your state before a deposit link is sent. Telepsychiatry only, statewide in Virginia and Florida. Florida: non-controlled medications only, so stimulants are not prescribed to patients located in Florida; non-stimulant options are discussed instead.
What adults notice
Why people search for this at 3 a.m.
Adult ADHD rarely looks like a child bouncing off the walls. It looks like a competent person spending enormous effort to produce ordinary output. If several of these have been true since childhood, an evaluation is reasonable.
You cannot start the task until the deadline makes it an emergency.
You reread the same paragraph three times and retain none of it.
Your systems work for two weeks, then collapse, and you build new ones.
You were the bright kid who never worked to potential, and it never resolved.
Anxiety and low mood have been treated, and the attention problem stayed.
You interrupt, or you finish sentences, and you notice afterward.
Time is invisible to you. Fifteen minutes and two hours feel similar.
You already take a stimulant that was started quickly and never revisited.
The pathway
What the $1,200 covers
Three visits, billed as they happen, with every price quoted before you book: $350, $575 and $275. Baseline labs and the required drug screen are billed by the lab. You get a Good Faith Estimate when you schedule.
Visit one
Initial evaluation
Your history and prior records are read before the visit begins. Screening is completed with the ASRS-v1.1 and the Wender Utah Rating Scale, and the differential is worked through: sleep, thyroid, anxiety, mood, substance use.
60 minutes · $350
Visit two
DIVA-5 diagnostic interview
A dedicated visit for the DIVA-5, the structured interview used to confirm adult ADHD against diagnostic criteria in childhood and adulthood. Baseline labs and a documented blood pressure and heart rate reading are reviewed here.
90 minutes, dedicated · $575
Visit three
Treatment and written report
Medication started or adjusted where indicated, with response and side effects reviewed against your baseline. You receive a written report: findings, scores, formulation and the plan in writing.
30 minutes · $275 · report included
Stimulants are prescribed when they are indicated. That decision follows the DIVA-5 interview and documented baseline cardiac risk, not a checkbox at intake. Controlled substances require a new prescription each month and cannot be refilled, and pharmacogenomic testing is available when metabolism is the open question.
Beyond the prescription
The rest of what moves attention
Stimulants do the most measurable work in ADHD. They are not the only variable, and they work better when the inputs underneath them are corrected. Your written report includes the non-pharmacologic layer written for your findings and your labs, not a generic handout.
Nutrition and metabolic inputs
Read off your baseline labs
Ferritin and iron, vitamin D, B12 and folate, thyroid, glucose and A1c. Protein at breakfast, caffeine timing against your dose, and the meal pattern that keeps the afternoon from collapsing. Deficiencies that blunt attention are corrected before the dose is escalated.
Targeted supplementation
Named, dosed, time-limited
Where labs or symptoms support it: omega-3 with a defined EPA to DHA ratio, magnesium glycinate or threonate, iron repletion, methylated B vitamins, L-theanine. Form, dose and duration are specified, and interactions with your stimulant are checked before you start.
Neuro-optimization
Sleep, load, light, structure
A fixed wake time and a sleep window that fits your chronotype, zone 2 exercise for baseline dopaminergic tone, morning light exposure, and external structure built to survive a bad week. Reassessed at follow-up against your own scores, not a population average.
The ADHD supplement protocol
Supplements in your plan are dispensed through Fullscript: practitioner-grade products, third-party tested, with the form and dose already selected. What you actually take is decided at your visit.
Supplements are adjunctive. They do not diagnose ADHD, they do not replace treatment, and nothing here is a promise of a specific result. Products purchased through the dispensary are dispensed by Fullscript, not by Welmivia.
Book
Request your evaluation
01
Request the dates and times that work for you using the scheduler below.
02
Welmivia reaches out to confirm your state and a specific time, then sends a $150 deposit link. The hold lasts 24 hours.
03
Deposit paid, appointment confirmed, and your questionnaires are sent to complete before the visit.
If nothing on the calendar works, or you are not sure which visit to request, call the practice at 434-623-0003 or email careteam@welmivia.com and a time will be offered within one business day. New patients do not have portal access until an invitation is sent after the first appointment is confirmed.
An honest comparison
Why this costs more than an app
App-based ADHD services
The pattern
Algorithmic intake. A form decides the diagnosis and a clinician signs it.
A 20 to 30 minute visit, often with a different clinician each time.
No structured diagnostic interview, so nothing is documented to defend the diagnosis later.
Comorbid sleep, thyroid, anxiety and substance factors go unexamined.
A monthly subscription that ends when prescribing gets complicated.
Welmivia
The pathway
One physician, Dr. Diaz, for every visit and every prescription.
180 minutes of physician time across the diagnostic pathway.
DIVA-5 structured interview, scored and documented in your chart.
Baseline labs, vitals and the differential worked through before prescribing.
A written report you keep, valid with employers, schools and future physicians.
Fees
Three visits, quoted up front
ADHD Evaluation Plan
$1,200
New patient, three visits billed as they happen: $350 initial evaluation, $575 ADHD diagnostic interview, $275 results follow-up. Written report included; labs billed by the lab.
$150 deposit, applied to your first visit
Each visit is paid at the visit
Out of network, superbill after each visit. HSA and FSA accepted
A hormonal workup can be added when perimenopausal or hypogonadal symptoms are also present; the labs are billed by the lab and reviewed at your visits.
Go to the calendarAlready a Welmivia patient
The initial evaluation is not charged twice. Established patients with current labs and screening on file book the two ADHD visits directly.
ADHD diagnostic interview, 90 minutes
$575Results follow-up with psychotherapy, 30 minutes
$275Not sure what is on file? Call 434-623-0003. Please give 24 hours notice to cancel or reschedule; a $75 fee applies to a late cancellation or a missed appointment.
Who you will see
Dr. Diaz
I have ADHD. Testing as a child flagged it and no one pursued a diagnosis, because I was doing well in school. My accommodation was gifted classes. That held until medical school, where the volume of tasks and responsibility outran every workaround I had built, and by then I had the training to recognize what I was looking at.
That is why this pathway is built the way it is. Adults living with undiagnosed ADHD are handed years of contradictory explanations, and a rushed evaluation adds another one. The process here is transparent and clinically validated, documented well enough that the diagnosis stays with you: with a new physician, with an employer, with a school. I also see patients who were diagnosed once, quickly, and need that work done properly a second time.
Every visit is with me. I read your records before we meet, I score the instruments myself, and I write the report. A structured, thorough evaluation with an experienced physician who is invested in the outcome.
What that means practically: you will not spend the first ten minutes convincing me a person can be capable and still unable to start.
Payment
How you pay for the evaluation
Paid per visit, out of network
Each visit is paid at the visit: $350, $575 and $275, $1,200 in all. A $150 deposit holds your first visit and is applied to it. HSA and FSA cards are accepted, and you get a superbill after each visit to submit to your plan; your plan decides any reimbursement.
Baseline labs and the drug screen are billed by the lab, supplements are billed by Fullscript, and pharmacogenomic testing, if you elect it, is billed by the testing lab. Those are not part of the visit fees.
Paying as you go
Because each visit is paid as it happens, there is no large upfront fee: $350 at the first visit, $575 at the second and $275 at the third. You receive a Good Faith Estimate when you schedule, and letters or forms outside the visits carry a separate fee, quoted before we start.
Questions patients ask
Before you book
How do I get tested for ADHD as an adult?
There is no blood test or scan for ADHD. The diagnosis is made by clinical interview against criteria that must be present since childhood. Here that means the ASRS-v1.1 and the Wender Utah Rating Scale for screening, then a dedicated 90-minute DIVA-5 structured interview, with baseline labs and a documented blood pressure and heart rate reading. Neuropsychological testing is not required for most adults.
Can ADHD really be diagnosed over telehealth?
Yes. The instruments and the history are the diagnosis, and both work by video. Welmivia is telepsychiatry only. Dr. Diaz is licensed in Virginia and registered to provide telehealth in Florida. You need to be physically located in one of those states for your visits.
Will I be prescribed Adderall or another stimulant?
Stimulants are prescribed when they are indicated. That is decided after the DIVA-5 confirms the diagnosis and baseline cardiac risk is documented, not before. Non-stimulant options are discussed when they are the better fit. Controlled substances require a new prescription every month and cannot be refilled, sent electronically each time.
Is a drug screen required, and does cannabis disqualify me?
A screen is required before the first stimulant prescription and is billed by the lab. Cannabis laws vary by state and a positive THC result is not disqualifying. It is evaluated case by case, as part of the clinical picture, because cannabis affects attention, sleep and anxiety and that matters for interpreting your symptoms.
How much does an ADHD evaluation cost without insurance?
$1,200 for new patients across three visits ($350, $575 and $275), with a $150 deposit applied to the first visit. Private patients are seen out of network with a superbill after each visit; your plan decides what it reimburses. HSA and FSA cards are accepted. Labs are billed by the lab.
How long until I have an answer?
Most patients complete all three visits within a few weeks, limited mainly by lab turnaround and your own scheduling. Booking requests are answered within one business day.
I was diagnosed years ago. Do I have to start over?
Bring your records and they are read before your first visit. The structured interview is still completed, because prescribing needs to rest on documented criteria rather than on a note you no longer have. Most patients who arrive already on medication are looking for dose optimization, side effect management, or an explanation for why the response was partial. Continuing medication management on a prior diagnosis requires that the diagnosis be validated. If the records are not adequate to support it, the complete evaluation with Welmivia is required before prescribing.
What if it turns out not to be ADHD?
That is a useful result, and it happens. Untreated sleep apnea, thyroid disease, anxiety, depression, iron deficiency and heavy substance use all produce attention problems. You still receive the written formulation and a plan for what is actually driving the symptoms.