Assessments

Find clarity with expert adult neurodivergent testing.

Explore Our Assessment Services

Comprehensive, strengths-based assessments — including ESA evaluations and adult ADHD & Autism (CHERI AADI) assessments — for individuals seeking clarity and diagnostic understanding.

Emotional Support Animal (ESA) Evaluation Services

If you are currently working with a therapist, psychiatrist, or other mental health professional and need support obtaining an Emotional Support Animal (ESA) letter, we offer supplemental ESA evaluations designed to work collaboratively alongside your established care. You are not required to transfer providers or discontinue existing treatment.
ESA evaluations are completed through an ethical, trauma-informed clinical process to determine whether an Emotional Support Animal is an appropriate support for your mental health needs.

Man with Horse | Loblolly Wellness Collective | Knightdale NC

ESA Evaluation Options & Cost

  • One extended evaluation completed in a single day
  • Ideal for clients seeking an expedited process
  • Contact Us for updated pricing.
  • ESA evaluation completed over three consecutive clinical sessions
  • Sessions may be billed to insurance when medically appropriate
  • Standard copays, deductibles, or coinsurance apply

* If we are out of network with your insurance plan, a superbill can be provided upon request for potential reimbursement. Reimbursement is determined by your insurance provider and is not guaranteed.

ESA FAQs & Legal Information

  • Comprehensive clinical assessment for ESA eligibility
  • Review of mental health history, current symptoms, and functional impact
  • A formal ESA letter meeting current clinical and legal standards (when indicated)
  • Collaborative communication with your existing provider, with written consent
  • Guidance regarding housing and workplace considerations related to ESAs

Important: Completion of an evaluation does not guarantee issuance of an ESA letter. Letters are provided only when clinically appropriate.

ESA evaluations may be a good fit for individuals who:

  • ✔ Are already engaged in ongoing therapy or psychiatric care
  • ✔ Have been referred or supported by their current provider for an ESA letter
  • ✔ Are seeking additional emotional regulation, comfort, or symptom support through an ESA

Yes. Emotional Support Animals are recognized under the Fair Housing Act (FHA) as a reasonable accommodation for individuals with a qualifying mental health condition. ESAs are not service animals and do not have public access rights.

In most cases, housing providers must offer reasonable accommodation for an ESA and may not charge pet fees or enforce pet restrictions. A landlord may deny an ESA request only if:

  • The animal poses a direct threat to others
  • The animal causes significant property damage
  • The housing provider qualifies for a specific FHA exemption

Landlords may request reliable documentation from a licensed mental health professional.

No. ESAs do not have public access rights under federal law. Workplace accommodations are handled separately and are not guaranteed.

No. Under current airline regulations, Emotional Support Animals are no longer protected for air travel and are typically subject to standard pet policies.

ESA letters are typically valid for 12 months. Many housing providers require current documentation, and renewals require a new clinical evaluation.

Legal & Ethical Disclosures (HUD/FHA-Aligned)

  • Emotional Support Animals are protected under the Fair Housing Act (FHA) but are not service animals under the Americans with Disabilities Act (ADA).
  • ESA letters issued by this practice are based on clinical assessment and medical necessity, not client request alone.
  • ESA letters do not provide access to public spaces, workplaces, or airline travel.
  • Housing providers may verify ESA documentation in accordance with FHA guidelines.
  • All ESA evaluations are completed in compliance with HUD guidance, ethical standards of care, and professional scope of practice.

* All animal involvement prioritizes safety, consent, and attunement for both clients and animals.

Next Steps

If you’re interested in an ESA evaluation or unsure which option is the best fit, we invite you to schedule a consultation to discuss your needs and review eligibility.

Autism/ADHD Evaluations

Attention Deficit Hyperactivity Disorder (ADHD) and Autism (autism spectrum disorder, ASD) are two conditions that can have a significant impact on an individual’s daily life. Both conditions can make it difficult for people to focus, communicate effectively, and interact with others, which can lead to feelings of frustration and isolation. However, with proper assessment and treatment, Autistic and/or ADHD adults can learn to manage their symptoms and lead fulfilling lives.

ESA FAQs & Legal Information

One of the first steps in managing ADHD and Autism, particularly in the context of Understanding ADHD in North Carolina and Understanding Autism in North Carolina, is to seek a proper assessment. A trained professional, such as a counselor, can help to identify the specific symptoms and challenges that an individual is facing.

This assessment process can include a variety of tools and techniques, such as interviews, questionnaires, and observations, to gather information about the individual’s behavior, cognition, and emotional well-being. These assessments are crucial in understanding and managing these conditions effectively within the North Carolina context.

Improving Quality of Life for Autistic and/or ADHD adults

For adults, ADHD and Autism Assessments can be especially beneficial. Many with these conditions may have gone undiagnosed for years and may not understand the root of their difficulties. This is where the Benefits of Online Assessments in North Carolina come into play.

A proper assessment, especially when conducted online, can help individuals to better understand their condition and how it affects their daily lives. It can also lead to effective treatment options, such as medication, therapy, or lifestyle changes, that can help them to manage their symptoms and improve their quality of life.

At C&C Betterworks, we understand the importance of proper assessment for Autistic and/or ADHD adults. Our trained professionals have the experience and expertise to provide accurate and comprehensive assessments for adults with these conditions. We also offer treatment options, such as therapy and coaching, to help individuals better adapt and improve their overall well-being.

Online assessments provide the added benefit of convenience and accessibility, making it easier for individuals in North Carolina to get the help they need without the constraints of location or travel.

Reach out to C&C Betterworks today to schedule your online assessment and start on the path to better management and understanding of yourself. Together, we can help you to lead a fulfilling and satisfying life.

Cost of Services

Our licensed clinicians specialize in adult neurodivergence and are highly qualified to guide you through this process. The assessment and screening services are specifically for adults (18+) who believe they may have ADHD or be autistic. We offer two (2) options for those seeking validation of their neurodivergence.

Cost: Contact Us for updated pricing. (payment plans available)

Time: 90 minutes
Service: No diagnosis provided

  • The screening consists of questions regarding your traits, history, and challenges only in relation to ADHD and autism.
  • A quick review of your information is compared to DSM-5 diagnostic criteria.
  • There is typically no waiting time for the screening report.
  • Your provider will discuss their findings and advise whether continuing with the diagnostic assessment (Option 2) is warranted.
  • Screenings CANNOT be submitted for insurance reimbursement.

Cost: Contact Us for updated pricing. (payment plans available)

Time: 180 minutes in interview + 30-minute follow-up session
Service: Formal diagnosis and recommendations provided
Tool: Cherry Adult ADHD-Autism Diagnostic Interview (Cherry AADI)

  • Developed by Lindley Cherry, LCMHC, QS, NCC, the Cherry Adult ADHD-Autism Diagnostic Interview is a clinical assessment method designed specifically for identifying ADHD, autism, and co-occurring presentations (AuDHD) in adults.
  • Key Features:
    • Adult-Centered Approach: Unlike tools designed for children and adapted for adults, the Cherry AADI was created specifically for adult presentations, accounting for developmental masking, compensatory strategies, and life experience factors.
    • Culturally Responsive: Incorporates systematic consideration of cultural, gender, and identity factors that influence neurodivergent presentation and recognition.
    • Strengths-Based: Emphasizes individual neurological profiles and environmental fit rather than deficit-focused assessment.
    • Comprehensive Scope: Addresses not only core diagnostic criteria but also masking behaviors, sensory processing differences, and pathological demand avoidance patterns.
  • Fee covers the time taken for assessment interview, all additional time spent completing documentation or related tasks, and follow-up session.
  • A thorough review of your information is cross-examined with common misdiagnoses then compared to DSM-5 diagnostic criteria.
  • A comprehensive diagnostic report based on the data acquired during the assessment process is completed and a copy provided to you.
  • The wait time for the diagnostic report ranges from only 2 – 4 weeks.
  • At the follow-up session, your provider will discuss their findings and provide a copy of the assessment for you to review and approve.
  • This assessment is PRIVATE PAY ONLY.

This 2-part system allows you to receive services at a speed that is comfortable for you. It also allows you to divide the cost over time. If your screening indicates that continuing with the diagnosis is not warranted, or the screening is sufficient to satisfy your needs, you do not have to spend any additional time or money completing the comprehensive assessment.

Next Steps

If you’re interested in an Autism or ADHD Evaluation, we invite you to schedule a consultation.