ADHD Testing in Louisville, KY | Assessment & Evaluations for Kids, Teens & Adult

Clear answers. Practical next steps. Support that makes sense in real life.

At Closer Horizons, we provide thoughtful, comprehensive ADHD evaluations in Louisville, KY for children, teens, and adults who need more than a quick answer. Our ADHD assessment process is designed to understand how attention, executive functioning, emotional regulation, learning, and daily life fit together — so you leave with clarity, practical recommendations, and a better understanding of what support may actually help.

Many people come in already suspecting ADHD. Some have suspected it for years. Others were told it was not the issue, or they learned to compensate well enough that it flew under the radar — until the demands of school, work, parenting, college, or daily life became harder to manage.

What they are usually looking for is the same thing: a real answer. Not just a checkbox, but an understanding of what is actually going on and what to do about it.

That is what ADHD testing at Closer Horizons is designed to provide.

Who May Benefit from an ADHD Evaluation

An ADHD evaluation may be the right next step if you or your child:

  • Has difficulty sustaining attention, staying organized, or following through on tasks

  • Experiences frequent overwhelm, procrastination, or mental fatigue

  • Struggles with time management, planning, prioritizing, or knowing where to start

  • Shows a pattern of inconsistency — strong in some areas, but unexpectedly stuck in others

  • Has a prior diagnosis but feels it never quite captured the full picture

  • Is an adult wondering whether ADHD was missed earlier in life

  • Needs documentation for school supports, an IEP, a 504 Plan, college accommodations, workplace accommodations, or treatment planning

  • Has attention concerns that may overlap with anxiety, depression, burnout, autism, or learning differences

ADHD can look different across the lifespan. A young child may struggle with impulse control, emotional regulation, or transitions. A teen may have difficulty keeping up with assignments, planning ahead, or managing independence. A college student may feel overwhelmed by the sudden increase in self-management demands. An adult may appear capable on the outside while privately feeling overwhelmed, scattered, exhausted, or inconsistent.

A comprehensive ADHD assessment helps clarify whether ADHD is present, how it is affecting daily life, and what supports may be most useful.

What We Assess During ADHD Testing

ADHD is not one thing, and it rarely shows up in isolation. It often overlaps with anxiety, learning differences, emotional regulation challenges, autism, executive functioning concerns, and the accumulated stress of years spent struggling without explanation. A thorough ADHD evaluation takes all of that into account.

Attention and Executive Functioning

We assess attention regulation, working memory, organization, planning, task initiation, processing speed, and follow-through — the skills that quietly shape how someone moves through school, work, relationships, and daily routines.

Emotional and Cognitive Patterns

Frustration, burnout, anxiety, low self-confidence, and emotional overwhelm are common companions to ADHD. These concerns are not treated as separate from the evaluation. They are part of understanding the full picture.

Strengths and Learning Style

Understanding what is working is just as important as understanding what is hard. A strengths-based perspective helps shape recommendations that are more useful, realistic, and sustainable.

Real-World Functioning

Test data matters, but so does what is actually happening at home, at school, at work, and in relationships. We look at how concerns show up across settings and over time, because that context is essential for accurate diagnosis and meaningful recommendations.

A Thoughtful, Individualized Approach to ADHD Assessment

Good ADHD evaluations require more than identifying symptoms. They require understanding patterns — how attention, regulation, motivation, learning, and executive functioning interact across settings, over time, and under different kinds of demand.

Dr. Kenya Guarnieri is a Licensed Psychologist and Licensed School Psychologist with a Ph.D. in School Psychology and 15 years of experience across school and clinical settings. Her specialized training in assessment, pediatric TBI specialization, and background in neurodevelopmental evaluations inform not just what she measures, but how she interprets what she finds.

That depth matters. Many people seeking ADHD testing have been only partially understood before. Some have been misdiagnosed. Some were told things looked fine during a brief interaction, while the real challenges stayed hidden beneath strong compensation strategies. Others have spent years working harder than others to keep up, without understanding why everyday tasks felt so difficult.

At Closer Horizons, evaluations are designed to look past the surface. The goal is not simply to determine whether ADHD is present. The goal is to understand how attention, executive functioning, emotional regulation, learning, and daily demands fit together — so that what you leave with is actually useful.

Evidence-Based ADHD Testing with School and Clinical Expertise

ADHD assessment at Closer Horizons is grounded in evidence-based care and shaped by Dr. G’s experience with schools, IEPs, 504 plans, and neurodevelopmental evaluations. This background is especially helpful for children, teens, and college students whose attention or executive functioning concerns are affecting school performance, accommodations, or learning.

For adults, this same developmental lens helps connect current concerns with patterns that may have been present for years — even if they were missed earlier in life. ADHD does not suddenly appear in adulthood, but increased demands can make long-standing patterns more visible.

Because Dr. G has worked across school systems, clinical settings, and supervision of psychology trainees, she brings both technical assessment knowledge and practical understanding of how recommendations need to function in real settings. The goal is not just to produce a report. The goal is to provide clear, defensible, useful guidance that can support next steps at home, school, work, or in treatment planning.

What’s Included in ADHD Testing at Closer Horizons

Every evaluation is individualized, but ADHD assessments may include the following components:

Clinical Interview

A detailed conversation covering developmental history, current concerns, family history, school or work experiences, emotional functioning, medical history when relevant, and how patterns have shown up across different settings and over time. This is where context gets built.

Standardized Rating Scales

Evidence-based rating scales gather information about attention, behavior, executive functioning, emotional regulation, and daily functioning. For children and teens, this may include input from parents and teachers when appropriate.

Executive Functioning Assessment

Targeted testing may evaluate attention, working memory, processing speed, cognitive efficiency, organization, and related skills. These measures provide objective data to support clinical conclusions.

Cognitive, Learning, or Emotional Screening When Needed

When clinically appropriate, additional assessment may be included to better understand cognitive processing, learning patterns, anxiety, mood, autism-related concerns, or other factors that may be contributing to attention and regulation difficulties.

Differential Diagnosis

Not every attention or regulation difficulty is ADHD. Anxiety, depression, trauma, sleep difficulties, learning differences, autism, and environmental stress can all affect focus and follow-through. Careful differential diagnosis helps ensure that conclusions are accurate, not just plausible.

Individualized Recommendations

The final recommendations are based on the full evaluation profile. This may include strategies for home, school, work, therapy, medical follow-up, executive functioning support, IEP or 504 planning, college accommodations, or workplace accommodations.

What You’ll Leave With

After an ADHD evaluation, you will leave with a clearer understanding of whether ADHD is present and how it is affecting daily life.

You will also receive:

  • Insight into strengths, learning style, and executive functioning patterns

  • A clear explanation of findings in everyday language

  • Practical recommendations for home, school, work, or treatment planning

  • Documentation that may support IEP or 504 planning, workplace accommodations, college accommodations, or coordination with medical providers

  • A better understanding of what the next steps should be

The goal is not to hand you a diagnosis and send you on your way. The goal is to help you understand the full picture and leave with guidance that feels clear, useful, and grounded in real life.

What to Expect During the Evaluation Process

Initial Consultation

We begin by understanding your concerns, answering questions, and determining whether an ADHD evaluation is the right fit.

Evaluation Appointment

The clinical interview, rating scales, and testing are structured but paced with care. The goal is to gather meaningful information while supporting comfort, accuracy, and engagement.

Feedback and Recommendations

Results are reviewed in detail during a feedback appointment. You will have time to ask questions, understand the findings, and discuss how they apply to daily life.

Ongoing Support, When Helpful

Some clients choose to continue with therapy, executive functioning support, or skill-based services after the evaluation. This can help turn assessment insights into practical strategies for daily life.

ADHD Evaluations for Children, Teens, and Adults

ADHD does not look the same at every age.

For children, ADHD may show up as difficulty sitting still, following directions, managing emotions, completing routines, remembering steps, or transitioning from one activity to another.

For teens, ADHD often becomes more noticeable as academic demands increase. Planning, organization, time management, long-term assignments, emotional regulation, and independence can become more difficult to manage.

For college students and young adults, ADHD may affect studying, deadlines, sleep, routines, motivation, emotional regulation, and the ability to manage life without the structures that previously helped.

For adults, ADHD may appear as chronic overwhelm, mental fatigue, procrastination, forgetfulness, disorganization, inconsistency, or burnout. Many adults seeking an ADHD diagnosis have spent years working hard to compensate, often wondering why things that seem simple for others feel so difficult to sustain.

A lifespan approach means the assessment accounts for developmental stage, life demands, environmental expectations, and the supports already in place. This leads to recommendations that are relevant — not just technically accurate.

ADHD Evaluations in Louisville, KY and Surrounding Areas

Closer Horizons provides private ADHD evaluations, ADHD assessments, and ADHD testing in Louisville, KY for children, teens, college students, and adults. Families and individuals often seek an evaluation when attention, organization, emotional regulation, school performance, work demands, or daily responsibilities begin affecting quality of life.

Located in the Louisville area, Closer Horizons serves clients from Jefferson County, Jeffersontown, Middletown, East Louisville, Oldham County, and surrounding communities. The practice is especially well-suited for families and adults who want evaluation services that are clinically thorough, neurodevelopmentally informed, and practical for real-world use.

Our evaluation process is designed to provide diagnostic clarity, practical recommendations, and documentation that may support treatment planning, school accommodations, workplace needs, college accommodations, IEP planning, 504 plans, or coordination with medical providers.

Whether you are a parent trying to understand your child’s learning and behavior, a teen struggling to keep up with school demands, a college student needing documentation, or an adult wondering whether ADHD was missed earlier in life, an evaluation can provide the clarity needed to move forward with more confidence.

Helpful ADHD Resources

For families and adults who want to learn more, these trusted resources may be helpful:

These resources can provide helpful background information. They are not a substitute for an individualized ADHD evaluation, assessment, or consultation with a qualified clinician.

Frequently Asked Questions About ADHD Evaluations

Do I need an ADHD diagnosis to get help?

No. Many people seek an evaluation because they are unsure whether ADHD, anxiety, learning differences, burnout, autism, or something else is contributing to their concerns. The assessment is designed to clarify what is actually going on.

Do you evaluate adults for ADHD?

Yes. Closer Horizons provides adult ADHD evaluations, including assessments for individuals who may have been missed earlier in life or who have compensated for years before feeling overwhelmed by work, parenting, school, relationships, or daily responsibilities.

Can an ADHD evaluation help with school accommodations?

Yes. Evaluation results may support recommendations for IEP or 504 planning, college accommodations, or other school-based supports when appropriate. Dr. G’s experience with schools, IEPs, 504 plans, and neurodevelopmental evaluations helps ensure recommendations are practical and relevant to educational settings.

What is the difference between ADHD testing, assessment, and evaluation?

These terms are often used interchangeably. ADHD testing usually refers to the specific measures used during the process. A comprehensive ADHD assessment or evaluation includes testing, clinical interview, rating scales, developmental history, differential diagnosis, interpretation, and recommendations based on the full picture.

Can ADHD look like anxiety or burnout?

Yes. ADHD, anxiety, depression, burnout, trauma, autism, and learning differences can overlap. A careful evaluation helps determine whether attention concerns are best explained by ADHD, another condition, or a combination of factors.

Do ADHD evaluations include executive functioning?

Yes. Executive functioning is a central part of how ADHD often shows up in daily life. We look at skills such as planning, organization, task initiation, working memory, time management, emotional regulation, and follow-through.

Do you provide ADHD testing near Jeffersontown, Middletown, or East Louisville?

Yes. Closer Horizons provides ADHD evaluations in Louisville, KY and serves clients from nearby areas including Jeffersontown, Middletown, East Louisville, Jefferson County, and Oldham County.

Why choose Closer Horizons for ADHD assessment?

Closer Horizons offers ADHD testing led by a Licensed Psychologist and Licensed School Psychologist with a Ph.D. in School Psychology, 15 years of experience, specialized training in assessment, pediatric TBI specialization, and extensive experience with schools, IEPs, 504 plans, and neurodevelopmental evaluations. The approach is evidence-based, individualized, and grounded in real-life recommendations.

Related Services

CDC ADHD Page 

American Academy of Pediatrics ADHD clinical practice guidelines 

U.S. Department of Education — Section 504 

If you are looking for additional support, Closer Horizons also provides:

  • ADHD evaluations

  • Autism evaluations for children and adolescents

  • Autism evaluations for adults 

  • Autism evaluations for women and girls 

  • Learning disability testing | Dyslexia, Dysgraphia & Dyscalculia evaluations 

  • ADHD & executive functioning counseling 

  • Anxiety counseling 

  • Masking in ND children, teens and adults

Ready to Get Some Clarity?

If you are ready to move from wondering to understanding, Closer Horizons can help you take the next step.

Schedule a consultation to begin the ADHD evaluation, assessment, or testing process in Louisville, KY.