ADHD care across Florida

Online ADHD treatment and evaluation in Florida.

A thorough adult ADHD evaluation, an honest diagnosis, and ongoing medication management — by secure video, anywhere in Florida.

What an adult ADHD evaluation involves

Adults who suspect they have ADHD have usually been managing it for a long time without a name for it. The pattern is familiar: work that gets done at the last possible moment, a filing system that exists only in your head, conversations that drift, a sense that the effort required to keep up is higher for you than for the people around you.

A proper evaluation takes time. Your first appointment is a full 60 minutes, and most of that is history. When did the difficulties start, and were they there in childhood as well as now? Where do they show up — work, study, home, driving, money, relationships? What have you already tried, and what happened?

That childhood question matters more than people expect. ADHD is a developmental condition, so a diagnosis in adulthood requires evidence that the pattern was present earlier in life, even if nobody identified it at the time. School reports, memories from family, or your own recollection of how school felt are all useful.

The evaluation also uses standardised rating scales — structured questionnaires that score symptoms consistently rather than relying on impression alone. These are a tool, not the decision. They sit alongside the clinical interview rather than replacing it.

Ruling out the things that look like ADHD

This is the part that separates a careful evaluation from a quick one, and it is the reason a first appointment cannot responsibly be fifteen minutes.

Difficulty concentrating is one of the least specific symptoms in psychiatry. Untreated anxiety produces it. So does depression. So does chronic poor sleep, and thyroid disease, and grief, and simply carrying more than any person could reasonably hold. Several of these can also exist alongside genuine ADHD, which is common rather than unusual.

If your concentration collapsed two years ago and was fine before that, ADHD is an unlikely explanation and something else deserves attention first. If the pattern has been there since childhood and has never really lifted, that points differently. Getting this right matters, because treating the wrong thing tends not to work and can delay the treatment that would have.

Treatment after a diagnosis

If an ADHD diagnosis fits, the conversation turns to what to do about it — and medication is one option among several rather than an automatic next step.

A medication discussion covers what the realistic benefits are, what side effects to watch for, how it interacts with anything else you take, and how it will be monitored. Some medications used for ADHD are controlled substances, which carry additional federal and state requirements around prescribing and follow-up. Where those apply, they are explained plainly, including what telehealth can and cannot do.

Non-medication approaches matter too, and for some people they are the whole plan: structural changes to how work is organised, sleep, exercise, and therapy aimed at the practical systems that tend to fail. Psychotherapy is available through this practice alongside medication management.

Follow-up is closer at the start. When a medication has just begun or a dose has just changed, appointments are usually more frequent; once things are stable, less so. There is more detail on that in the article on how often medication management appointments happen.

Why patients choose telehealth for ADHD

ADHD care is a good fit for video appointments, because it is mostly conversation and structured assessment rather than physical examination.

Access is the more practical reason. A 2022 study of psychiatric outpatient availability in the US found that only 18.5% of psychiatrists were accepting new patients, with a median wait of 67 days for an in-person appointment compared with 43 days by telepsychiatry. Florida is not insulated from this: HRSA designates 219 Mental Health Professional Shortage Areas in the state, where roughly a quarter of the assessed need is currently met.

There is also a quieter reason. Attending an appointment from your own home removes several of the logistics that people with ADHD find hardest — the drive, the parking, the waiting room, the appointment that sits awkwardly in the middle of a working day.

Cost, insurance and booking

Fees are published rather than quoted on request. The 60-minute initial evaluation is $200, and follow-up appointments are $100. Oscar, Cigna and Aetna are accepted; coverage depends on your specific plan rather than only the insurer, so checking your behavioural health benefits before booking is worthwhile. Full detail is on the rates and insurance page.

No referral is required. You can book directly, online or by calling or texting 954-531-5108.

Appointments are available to anyone physically located in Florida at the time of the visit, including patients in Fort Lauderdale, Pompano Beach, Boca Raton, Miami, Naples and Sarasota.

Common questions

What you may be wondering.

How much does an ADHD evaluation cost in Florida? At Horizon, the 60-minute initial evaluation is $200 self-pay, and follow-up appointments are $100. Oscar, Cigna and Aetna are accepted, in which case your cost depends on your plan's behavioural health benefits and deductible. There is no separate charge for the rating scales used during the evaluation.

Can an online psychiatrist prescribe ADHD medication in Florida? A licensed psychiatric provider can prescribe medication after a telehealth evaluation for patients located in Florida. Some ADHD medications are controlled substances and carry extra federal and state requirements around prescribing and monitoring. Where those apply they are explained during your appointment, including anything telehealth cannot do.

Do I need a referral for an ADHD evaluation? No. Florida does not require a referral to see a psychiatric provider, and Horizon does not ask for one. Individual insurance plans occasionally have their own referral rules, so check your plan if you intend to use benefits.

What if the evaluation shows I do not have ADHD? That is a genuinely useful outcome rather than a wasted appointment. Concentration difficulties have many causes — anxiety, depression, poor sleep and thyroid problems among them — and identifying the actual driver means treating something that can respond. You will leave with an explanation of what the assessment found and what the sensible next step is.

Can adults be diagnosed with ADHD for the first time? Yes, and it is common. ADHD is a developmental condition, so a diagnosis requires evidence that the pattern was present in childhood — but many adults were never assessed at the time, particularly those whose symptoms were more inattentive than disruptive.

In an emergency

Call 911 or go to the nearest emergency room. You can also call or text 988 for the Suicide & Crisis Lifeline. Horizon Telepsychiatry is not an emergency service.

Horizon Telepsychiatry

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