Every Domain.
One Formulation.
Finally, The Whole Story.
For individuals whose lives are shaped by ASD, ADHD, learning differences, and mental health challenges all at once — this is the assessment that sees all of it, together, in one integrated clinical picture. The most comprehensive private psychological evaluation available outside a neuropsychological battery.
For individuals whose entire profile — neurodevelopmental, academic, attentional, and emotional — has never been seen in one place. When every domain matters, a partial assessment produces a partial plan. This is the assessment that changes that.
No referral needed. No obligation. Call-back option available.
🕐 Opening late spring / summer 2026 — not yet accepting patients
Why This Matters Clinically
ASD and ADHD co-occur in a significant proportion of individuals — yet they are frequently evaluated in isolation, leaving important diagnostic questions unanswered.
When assessed separately, clinicians often see only part of the picture. Attention difficulties can mask autistic traits. Sensory and social processing challenges can look like inattention. An integrated evaluation — using validated tools for both domains simultaneously — produces a single, coherent formulation that a sequential two-assessment approach may not.
Every Domain. One Coherent Map.
ASD, ADHD, learning differences, and mental health challenges form a system — each shaping the others in ways that separate assessments cannot see. This evaluation maps the whole system, not just the most visible parts.
Shared Surface. Different Roots.
Inattention, impulsivity, and executive function challenges appear in both conditions — but for different reasons. Treating them the same way produces inconsistent outcomes. An integrated assessment identifies which mechanism is driving what.
One Referral. One Report.
A combined assessment produces a single integrated report — not two documents that schools, physicians, and workplaces have to reconcile. The formulation speaks to both conditions together, with unified accommodation recommendations.
Recommendations That Actually Fit
Accommodation strategies for ADHD and autism overlap — but they diverge in important ways. When both are understood, the recommendations are tailored to the real profile, not a generic template for one condition.
Saves Time and Cost
Two separate assessments with two separate waiting lists can take years. A combined assessment is more time-efficient, more cost-effective, and produces a more complete clinical picture than sequential evaluations.
Masking Is Assessed Directly
Autistic masking can suppress visible ADHD symptoms in structured settings. ADHD can make autistic social patterns harder to distinguish. A trained clinician evaluating both simultaneously accounts for these interactions rather than being misled by them.
Schools Ask for Exactly This
Many Ontario school boards and post-secondary institutions now request documentation that addresses both attention and neurodevelopmental profiles in a single report. This assessment is structured to meet that standard.
How All Four
Shape Each Other.
In clinical practice, ASD and ADHD rarely present as textbook versions of themselves when they co-occur. The picture is more nuanced — and more informative — than either condition alone would suggest.
Our clinicians are trained to hold both frameworks simultaneously and distinguish what belongs to each — so the report you receive reflects what is actually present, not what is most visible.
What This Full Profile Looks Like At Every Age
When all four domains are present, the picture is genuinely complex — and the gap between what others see and what is actually driving the difficulty tends to compound with time, not resolve on its own.
Young children with both ASD and ADHD often present as intensely energetic in some moments and completely shut down in others. The combination can look different each day, making patterns hard to name.
Explosive reactions to transitions that feel both inflexible (ASD) and impulsive (ADHD) — impossible to predict from the outside
Deep, consuming interests — but the ability to shift attention when needed is minimal, and not for lack of trying
Social interactions that are genuinely confusing — not because of disinterest, but because the rules feel invisible and changing
Sensory sensitivities alongside hyperactivity — environments that are overwhelming also trigger restlessness, not calm
Prior assessment left you with a partial answer — one condition was identified, but the full picture still doesn’t fit
This is the age where the combined presentation often becomes impossible to manage quietly. Academic demand increases. Social complexity intensifies. And the strategies that sort-of worked in earlier years stop working.
Homework that takes hours — not because they’re not trying, but because starting, sustaining, and shifting tasks is genuinely difficult on multiple levels
Friendships that feel like work: social rules that shift unpredictably, and impulsive moments that damage relationships they care about
Teachers see one child. Parents see another. Neither picture is wrong — but neither is complete.
Anxiety that has become a constant background — driven partly by social uncertainty (ASD) and partly by performance gaps (ADHD)
A prior ADHD or ASD diagnosis helped somewhat — but not enough, because the other piece was never formally identified
Teenagers with both ASD and ADHD often experience compounding burnout — the autistic exhaustion of masking meets the ADHD dysregulation of not being able to regulate the response to that exhaustion.
They’ve done their own research — autism, ADHD, both — and what they’re finding resonates, but they want a real clinical answer, not a self-identification
School is survived, not experienced. The effort required to manage the environment leaves nothing for the actual work.
Emotional regulation has become the dominant challenge — storms arrive fast, last long, and are genuinely hard to recover from
Social withdrawal increasing — not from disinterest, but from a real cost-benefit calculation about energy and outcome
One diagnosis was given and one piece of the puzzle was addressed. The rest was left unnamed.
Many adults with both conditions developed elaborate coping systems that worked — until they didn’t. A combined adult assessment is often the first time someone receives a coherent explanation for a lifetime of experiences.
You’ve been told it’s anxiety, or depression, or “just stress” — but none of those explanations have ever quite fit what you actually experience
Work, relationships, and daily functioning require a level of effort that other people don’t seem to need — and the gap has been growing
One diagnosis was given at some point — ADHD in childhood, or an autism identification in adulthood — but it explained only part of what you experience
You want a single thorough evaluation that looks at everything together — not two separate referrals with a year between them
You need documentation for workplace accommodations, HR processes, or disability support that reflects the full clinical picture
Every Domain.
One Integrated Picture.
Our clinicians are trained in both neurodevelopmental frameworks simultaneously. We use validated tools from both domains, evaluated by a single clinician who holds the full picture throughout — so the report you receive reflects how the conditions interact, not just whether each one is present in isolation.
Validated Tools from Both Domains
ASD assessment uses ADOS-2 and ADI-R where indicated. ADHD assessment uses CPT-3, CAARS, and BRIEF-2. Both are administered and interpreted by the same clinician, producing a single integrated formulation.
Differential Diagnosis Across Both Conditions
We look for what is genuinely present — including anxiety, mood, and learning differences that may be driving what appears to be ASD or ADHD. Clarity is the goal, not a predetermined answer. Not all assessments result in a diagnosis.
One Report. Multiple Uses.
The integrated report is structured for direct use by schools, physicians, workplaces, and post-secondary accommodation offices. One document covers both conditions, with unified accommodation recommendations that reflect how they interact.
Your Teen Gets Their Own Feedback Session
For teens aged 12 and up, we offer a private feedback session — a dedicated space where your teenager hears directly from their clinician what was found in both domains, in language built for them, not for a school file. Understanding yourself changes how you approach everything. Delivered in accordance with Ontario consent and confidentiality standards.
We See You in Your Real Environment
Sensory, attentional, and social challenges often present differently in familiar environments than in a clinical office. Virtual-first delivery means we observe individuals where the challenges actually occur — at home, in their space, during real routines.
Clinically Driven Delivery: Assessment methods are selected based on age, presentation, and clinical appropriateness, and are administered in accordance with professional standards and standardized administration requirements.
Neurodiversity-Affirming: We approach both autism and ADHD as differences in how the brain processes the world — not deficits to be corrected. Our goal is understanding, and a set of recommendations that fits this person’s actual life.
Choosing the Right Level of Depth
The right pathway depends on what questions need answering and what the report needs to accomplish. If you’re unsure, our free Guidance Call is the right place to start.
| Column | Focused Comprehensive | Full 4-Domain Evaluation |
|---|---|---|
| Domains | ASD + ADHD (2 domains) | ASD + ADHD + Psychoeducational + Mental Health (4 domains) |
| Key Tools† | ASD battery + ADHD battery | Full ASD + ADHD + cognitive + academic + emotional batteries |
| Report Length† | 28–40 pages | 40–60 pages |
| Investment | $6,500 – $9,500 | $7,500 – $10,500 |
| Payment Plan* | from ~$181/month* | from ~$208/month* |
| Book Free Call | Book Free Call |
* Subject to lender approval. Toriven™ may cover certain merchant financing fees on approved plans — your total repayment, interest rate, and any applicable fees are determined by the lender and confirmed at application. Monthly estimates are illustrative only and based on a 36-month plan. Full payment plan terms →
Learn more about payment options →All-inclusive pricing. Every investment covers: clinical intake, all assessment tools and standardized measures across both ASD and ADHD domains, clinician scoring and formulation, a written plain-language integrated report, and a feedback session. Detailed receipts provided for extended health benefit reimbursement. Investment ranges reflect clinical complexity — your Guidance Call will clarify which level applies.
Private pay. Not covered by OHIP. Receipts provided for insurer reimbursement.
Insurance & Extended Health
Assessments are private pay and not covered by OHIP. Many extended health benefit plans cover psychological and psychoeducational assessments in full or in part — please confirm coverage with your insurer before booking. Detailed receipts are provided after each session for reimbursement. Clients are responsible for confirming their own coverage.
When a Combined Assessment Isn’t Enough
Does Your Situation Require a Full Neuropsychological Battery?
If you need documentation for a legal or disability proceeding, have had multiple prior assessments with inconsistent conclusions, or require a full cognitive profile across every domain — our Neuropsychological Battery Assessment may be what your situation requires. This is a different clinical product: 40–60 hours, a 40–80 page integrated report, authored by our in-house neuropsychologist.
Learn About the Neuropsychological Battery →Not sure where to start?
That’s completely normal — most families and individuals who reach out aren’t sure either. Our free 20-minute Guidance Call is a genuine conversation, not a sales call. We’ll listen, answer your questions honestly, and tell you what we think the right path is — even if that path isn’t with us.
Book Your Free 20-Min Guidance CallNo referral. No commitment. No paperwork. Just a conversation. Call-back option available.
Sometimes the most useful thing before a full assessment is an honest clinical conversation. In a paid session with a registered psychologist, your clinician reviews your history and presenting concerns, explains what pathway — if any — is clinically indicated, and gives you an independent professional opinion on the right next step.
You may find that a less intensive option is right, that a phased approach makes more sense, or that a full assessment is clearly what’s needed. That clarity should come before any financial commitment — including whether a payment plan makes sense for your situation. If you do proceed with a Toriven™ assessment, the consultation fee is credited in full toward your care.
Book a Pre-Assessment ConsultationFee confirmed at booking · No referral needed · No obligation to proceed
Wondering about the cost of a comprehensive assessment?
A comprehensive assessment is a significant investment — and we want you to make that decision with full clinical clarity, not financial pressure. If you’d like to explore a payment plan, our intake team can walk you through the options after your clinical consultation.
Payment plans are provided by independent third-party lenders and are subject to lender approval and individual eligibility. Toriven™ is not a lender and does not participate in lending decisions. Monthly estimates are illustrative only — actual terms confirmed by the lender at application. See our Fees & Financing page for full details.
A Clear Process, From First Call to Final Report
Every step is transparent, low-pressure, and clinically rigorous — so you always know where you are and what comes next.
A relaxed, no-pressure conversation. We listen to your situation and give you an honest recommendation on where to start — including whether a combined assessment or a single-domain evaluation is the better fit.
A thorough session covering developmental history, school and work history, sensory profile, social history, executive function patterns, and family observations — across both ASD and ADHD domains simultaneously.
Validated tools from both neurodevelopmental domains, administered by a single clinician who interprets both together. Sessions are adapted to age and communication style. Comfort and genuine engagement are prioritized throughout.
Your clinician walks through every finding in plain language — explaining how both domains interact in this specific person. You receive one integrated report, structured for direct use by schools, physicians, and workplaces.
More Than Four Answers
A single integrated formulation that maps the full system — how every domain interacts with every other — and one clear, actionable direction forward.
One Integrated Report Schools and Doctors Can Use
A single document covering both ASD and ADHD findings, structured for direct use by educators, pediatricians, and workplaces — with unified accommodation recommendations that reflect how both conditions interact.
A Real Understanding of How This Mind Works
Not just two diagnoses in one document — a functional map of how autistic cognition and ADHD executive function interact in this specific person, and what conditions allow them to genuinely thrive.
Accommodation Recommendations That Fit Both
Strategies that account for both conditions — where they align, where they diverge, and which interventions address both simultaneously rather than pulling in opposite directions.
A Teen’s Own Feedback Session
For ages 12 and up: a private session where your teenager hears directly how both conditions show up in them — in language built for them, not for a school file. Delivered in accordance with Ontario consent and confidentiality standards.
The Full Picture. Finally.
People who receive this assessment consistently tell us the same thing: this is the first time everything has been explained at once — and that changes what comes next. Start with a free, unhurried conversation.
Book Your Free 20-Min Guidance CallNo referral needed. No commitment. Call-back option available.