ADHD & Autism Care for Those Who Have Spent Years Masking

ADHD & Autism Evaluations | Medication Management | Therapy | Integrative Psychiatry

You may be in the right place if…

You’ve always felt different

You may have spent years adapting, masking, over-preparing, people-pleasing, or wondering why things that seem easy for everyone else feel exhausting.

You’re wondering if you have ADHD or autism

Especially if you’ve been told you’re “too successful” or “too social” to be autistic or ADHD.

You’re exhausted from holding everything together

You look successful from the outside but are struggling with executive functioning, burnout, emotional regulation, or overwhelm.

You’ve been diagnosed, but the treatment isn’t working

You’ve tried medications, therapy, or both and still don’t feel like yourself.

How We Can Help

Specialized evaluation, psychiatric care, and therapy designed around the individual—not just the diagnosis.

ADHD Evaluations

Comprehensive adult ADHD evaluations designed to look beyond symptoms and understand your lifelong patterns of attention, executive functioning, motivation, emotional regulation, and daily functioning.

Autism Evaluations

Comprehensive adult autism evaluations designed with high-masking and late-identified adults in mind, including consideration of masking, sensory experiences, social communication, repetitive patterns, and developmental history.

Psychiatric Care

Psychiatric care at Onward Growth is personalized to the individual rather than centered around a diagnosis or medication alone. We take time to understand your history, goals, strengths, and challenges to develop a thoughtful treatment plan that may include medication, lifestyle strategies, therapy, and integrative approaches.

Therapy

Therapy is a space to better understand yourself, work through challenges, and develop strategies that support the life you want to build. Our approach is compassionate, collaborative, and neuroaffirming, with care tailored to your individual experiences, relationships, emotional needs, and goals.


Think You’re “Too High Functioning” to Be Autistic or ADHD?

You’re not too successful. You’re not too social. And you’re not imagining how hard things feel.

Many adults, especially women and people who have spent years masking, learn to compensate so effectively that their underlying difficulties aren’t recognized.

You may have:

  • Excellent grades
  • A successful career
  • Strong verbal skills
  • A history of overachievement
  • Extensive coping strategies
  • A tendency to rehearse social interactions
  • Chronic exhaustion after appearing “fine”
  • Difficulty explaining why everyday life feels harder than it looks

That’s exactly why evaluation matters.


Why Choose Onward?

Onward Growth helps people who have spent years trying to understand why life feels harder than it should—particularly adults with ADHD, autism, and other forms of neurodivergence. We provide comprehensive evaluations, personalized psychiatric care, and therapy through a neuroaffirming, private-pay model.


Why Private Pay Psychiatry?

More time. More flexibility. More individualized care.

Insurance-based psychiatry often requires providers to work within restrictive visit lengths, diagnostic requirements, and treatment limitations.

At Onward Growth, private-pay care allows us to:

  • Spend more time understanding your history
  • Look beyond a single diagnosis
  • Individualize your treatment plan
  • Explore medication and non-medication approaches
  • Provide care based on your goals—not an insurance company’s requirements
  • Offer superbills for clients seeking potential out-of-network reimbursement

Fees

Service Fees
Adult ADHD Evaluation $500
Adult Autism Evaluation $1200
Adult Combined ADHD + Autism Evaluation $1500
Initial Psychiatric Medication Management Appointment $300
Follow Up Appointment$150

Meet Your Providers

Our providers bring different areas of expertise to one shared philosophy of individualized, collaborative care.

Tabitha Hapeman, PMHNP

Tabitha Hapeman, DNP, PMHNP

Founder & Provider

ADHD & Autism Evaluations | High-Masking Adults | OCD | Trauma | Integrative Psychiatry

Learn About Tabitha

Natalie Piedt, OCD, military trauma, ADHD

Natalie Piedt, PMHNP

Provider

ADHD | OCD | Trauma | Military Families | Medication Management

Learn About Natalie

Crystal Navarro, FNP

Crystal Navarro, FNP

Provider

Perimenopause | Hormone Replacement Therapy | Weight Loss Support | Testosterone Replacement

Learn About Crystal

Neuro Affirming Care and Women’s Health

Onward Growth is a Neuro Affirming practice serving clients in Virginia and Minnesota. We respect the way your brain processes the world around you. We don’t view Autism and ADHD as problems to be fixed, instead we view your unique perspective as beautiful!

The way you experience the world is not wrong – but it may be challenging. Our society was not built to accommodate neurodiverse brains, so sometimes we struggle. We can learn to cope with the way the world functions! Coping does not mean masking. Coping means having strategies to deal with overwhelm, boredom, and socialization (among other challenges!)

We partner together to find a treatment plan that works best for you by celebrating your strengths and recognizing your unique brain. Neuro affirming care means we focus on learning new coping skills while treating the symptoms that cannot be coped with – like impulsiveness, inattention, sleep disturbances, or any other number of symptoms that come along with neurodivergence.

There is a distinct overlap between neurodivergence and women’s health issues. Neurodivergent women may have food intolerances, GI disorders, autoimmune disorders, Ehlers-Danlos syndromes (EDS), Postural Orthostatic Tachycardia Syndrome (POTS), and Mast Cell Activation Syndrome (MCAS).

Women are also more likely have a delayed diagnosis of both Autism and ADHD, because the traditional medical model is built around how boys present with these neurodevelopmental conditions.

At Onward, we specialize in both women’s health issues and neurodivergence because often times, if we have one, we have the other! Women deserve a provider who understands all these challenging facets of their lives.

What Happens After You Reach Out?

1. Free consultation

We talk about what you’re experiencing and whether we’re a good fit.

2. Choose the right service

We’ll help determine whether an evaluation, psychiatric care, therapy, or another service makes sense.

3. Begin your care

You receive individualized recommendations and clear next steps.

Have more questions? Visit our FAQ page.

If you, or a loved one, is experiencing domestic violence and need support, you can start here.