Evaluations
Adult ADHD and Autism assessments, usually two to three video sessions. You leave with a clear answer and recommendations specific enough to act on.
Dr. Rachel Frank, Ph.D.
Specialist in OCD, ADHD, Autism & Anxiety
I'm Dr. Rachel Frank, a licensed clinical psychologist in New York and Connecticut. I test for and treat adult ADHD, Autism, and OCD, and I coach parents raising neurodivergent kids. Everything happens over secure video, so it doesn't matter whether you're in Brooklyn, Buffalo, or Greenwich.
MIGDAS Autism assessment · ERP for OCD · PDA parent coaching · Telehealth across NY & CT
What I do
Adult ADHD and Autism assessments, usually two to three video sessions. You leave with a clear answer and recommendations specific enough to act on.
Therapy for OCD using ERP, plus anxiety, binge eating, and late-diagnosed Autism. I'm CBT-trained and draw on ERP, DBT, and ACT depending on what you're actually working on.
Multi-hour sessions for OCD, ADHD, or parenting, for when 45 minutes a week isn't moving things fast enough.
Support for parents of explosive and PDA (Pathological Demand Avoidance) kids, and for ADHD adults who want strategies that survive contact with a real week. Coaching is available anywhere.
Where I focus
Adult ADHD
Most of the adults I evaluate spent years assuming they were lazy or careless. They weren't. We work on executive function, emotional regulation, and the all-or-nothing pattern that makes a task either urgent or completely invisible.
OCD & ERP
An intrusive thought isn't a warning. It's a thought that got stuck. ERP (Exposure and Response Prevention) teaches your nervous system that you can have the thought without performing the ritual. It's uncomfortable, and it's the treatment with the best evidence behind it.
A lot of what people bring me as a character flaw turns out to be a body trying to keep them safe. These four responses come up constantly in the work:
Snapping at people you love, scanning for threats, jaw tight before you've even gotten out of the car.
Staying busy so you never have to sit still, or wanting out of the room the moment someone asks you for something.
ADHD paralysis. You know exactly what the task is, you care about it, and you still cannot start it.
Masking. Agreeing to things you don't want, reading the room so carefully that you lose track of your own opinion.
You know your own life better than I do. My job is to bring the clinical training and ask better questions while you decide what's worth changing. Over time we build systems that fit the brain you have, not the one you were told you were supposed to have.
About me
"My training provided the foundation, but my own lived experience with an ADHD brain and raising neurodivergent kids provide the heart of my work."
I did my undergraduate work at Stanford and earned my Ph.D. at Ferkauf Graduate School of Psychology at Yeshiva University. My clinical training took me through St. Luke's-Roosevelt Hospital here in New York City, the Bronx VA, where I specialized in DBT, and The Center for CBT, where I trained in ERP for OCD.
That last piece matters more than it sounds. ERP is the treatment with the strongest evidence for OCD, and it's also the one plenty of well-meaning therapists have never been trained to deliver. If you've done talk therapy for OCD and felt like you were going in circles, that's usually why.
I also have ADHD, and I'm raising neurodivergent kids. So when a parent tells me their child melts down over a request that should be simple, or an adult admits they've been hiding how much effort ordinary life takes, I'm not working from a textbook. I'm licensed in New York and Connecticut, and I see everyone by video.
Fees
I'm a private-pay practice, so I don't bill insurance directly. I do give you a superbill after each session, which you can submit to your insurer for possible out-of-network reimbursement. All sessions are held over secure video.
$300 / session
45 minutes, for OCD, ADHD, anxiety, binge eating, and related concerns.
Varies
Depends on what the evaluation needs to cover. We'll go through the cost on the free call before you commit to anything.
Varies
Longer blocks for OCD ERP, ADHD strategy work, or parent coaching. Priced by length.
Fees can change. The 15-minute consultation is free either way.
Common Questions
I'm a licensed clinical psychologist in both New York and Connecticut, and I'm currently taking new adult clients in each state. All of my sessions happen over secure video, so you can work with me from home instead of commuting to an office. The place to start is a free 15-minute call. I specialize in adult ADHD, OCD, Autism, and PDA, and I also see people for anxiety and binge eating.
Yes. I'm taking new adult patients across New York and Connecticut. I'm licensed in both states and work with people throughout New York City, Long Island, Westchester, and the Hudson Valley, as well as Stamford, Greenwich, Fairfield County, New Haven, Hartford, and the rest of Connecticut.
It's an evaluation that treats ADHD as a difference in how your brain is wired rather than a defect to be corrected. I use standardized, evidence-based tools to map how your attention and executive function actually work, then explain what that means for your daily life. If you meet criteria, you get the diagnosis, and either way you get recommendations specific enough to use.
Yes. I do all adult ADHD and Autism testing by secure video for clients in New York and Connecticut. You fill out questionnaires ahead of time and we do the interview portion across a few sessions, from wherever you are.
For an adult ADHD evaluation, plan on two to three video sessions plus questionnaires you complete in between. An Autism assessment using the MIGDAS interview usually takes about three sessions. We can walk through the timeline on the free consultation call.
MIGDAS stands for Monteiro Interview Guidelines for Diagnosing the Autism Spectrum. It's a sensory-based, conversational interview rather than a checklist, which is part of why it tends to work better for adults who learned to mask early. We talk about how you actually experience sound, texture, social contact, and communication, and I use that alongside standardized questionnaires.
ERP stands for Exposure and Response Prevention, and it's the treatment with the strongest research support for OCD. We gradually approach the thoughts and situations you have been avoiding while you practice not doing the compulsion. It's uncomfortable at the start, and it works considerably better than talking about the anxiety.
Yes, I hold clinical psychology licenses in both New York and Connecticut. That's what allows me to see clients in either state by telehealth.
No, I'm a private-pay practice. I give you a superbill after each session that you can submit to your insurer for possible out-of-network reimbursement. How much comes back depends on your plan, so it's worth calling them to ask what your out-of-network outpatient mental health benefit covers.
It's a free 15-minute call. You tell me what's going on, I tell you honestly whether it's something I work with, and you ask whatever you want about how I practice. There's no obligation, and if I'm not the right fit I'll try to point you toward someone who is.
PDA is a profile often seen alongside Autism, where ordinary everyday demands set off a real threat response. From the outside it can look like defiance, but it is driven by anxiety. I coach parents to read their child's nervous system, bring the demand pressure down, and get further through connection than through consequences. Parent coaching isn't restricted by state licensing, so I can work with families anywhere.
I earned my B.A. at Stanford University and my Ph.D. at Ferkauf Graduate School of Psychology at Yeshiva University. My clinical training was at St. Luke's-Roosevelt Hospital in New York City, at the Bronx VA where I specialized in DBT, and at The Center for CBT where I trained in ERP for OCD. I'm CBT-trained and draw on ERP, DBT, and ACT depending on what someone needs.
Yes. I see adults in all five boroughs, meaning Manhattan, Brooklyn, Queens, the Bronx, and Staten Island, along with Long Island, Westchester, the Hudson Valley, and upstate New York. All of it by secure video.
Yes. I work with adults throughout Connecticut, including Stamford, Greenwich, Norwalk, Westport, Fairfield, New Haven, and Hartford, and across Fairfield and Litchfield counties, all by secure video.
Because I work entirely by telehealth, "near me" matters less than it used to. Any adult living in New York or Connecticut can see me from home, so you aren't limited to whoever happens to keep an office in your town. That matters most with OCD, where clinicians properly trained in ERP are genuinely hard to find outside the bigger cities.
Reading
ADHD Evaluation
What an adult ADHD evaluation with me actually involves in New York — the sessions, the testing, the report, and why doing it over video works fine.
ADHD Evaluation
Why so many Connecticut adults are getting evaluated now, how the process runs from the first call to the written report, and what it costs.
Autism Evaluation
Why I use the MIGDAS interview instead of a checklist, and what an Autism evaluation looks like for an adult who has spent decades masking.
OCD Treatment
How to tell whether a therapist is genuinely trained in ERP, the questions worth asking on a first call, and why the distinction matters so much with OCD.
Adult ADHD
The signs that get missed in childhood, what they look like at thirty-five instead of eight, and why women and high-achievers slip through most often.
Parent Coaching
Why rewards and consequences backfire with a PDA kid, what demand reduction looks like in a real morning, and how coaching works. Available anywhere.
Email me and we'll set up a free 15-minute call. Tell me what's going on, ask whatever you want, and we'll figure out together whether I'm the right person for it. If I'm not, I'll try to point you somewhere better.
rubyrach111@icloud.comWhere I work
I hold licenses in both states and I practice entirely by video, so where you live inside New York or Connecticut doesn't change whether we can work together. It makes a real difference upstate, in eastern Connecticut, and anywhere else the list of local specialists is short.
Adult ADHD evaluations, Autism assessment with the MIGDAS interview, and ERP for OCD, for adults anywhere in the state — Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Long Island, Westchester, the Hudson Valley, Albany, Rochester, Buffalo and Syracuse.
Read about working together in New York
The same work for adults across Connecticut — Stamford, Greenwich, Norwalk, Westport, Darien, New Canaan, Fairfield, New Haven, Hartford, West Hartford and Danbury, plus Fairfield, New Haven, Hartford and Litchfield Counties.
Read about working together in Connecticut
Adult ADHD · Autism (MIGDAS) · Combined ADHD and Autism
OCD and ERP · Anxiety · Binge eating · Autistic and ADHD burnout
Parents of PDA and neurodivergent kids, anywhere in the world
ERP · CBT · DBT · ACT · Neurodiversity-affirming
Most people who book an evaluation with me have suspected it for years and want to stop wondering. I test adults specifically, which is a different skill from testing children, and you get a written report you can take to a psychiatrist or an employer. More detail in ADHD assessment in New York and ADHD assessment in Connecticut.
I use the MIGDAS interview, which asks about your inner experience rather than scoring you from the outside. That matters for adults who learned to mask early and pass every observational measure. See adult Autism assessment in NY and CT.
I treat OCD with Exposure and Response Prevention, the approach with the strongest research support, including the presentations that get missed — Pure O, intrusive harm thoughts, relationship OCD, scrupulosity, contamination fears and health anxiety. See how to find an OCD therapist who really does ERP.
Parent coaching is for the family where the usual advice has stopped working and mornings are getting worse. Because it isn't clinical treatment of your child, licensing doesn't limit it and I can work with parents anywhere. See parent coaching for PDA and neurodivergent kids.
Therapy and evaluations are limited to residents of New York and Connecticut, because that's where I'm licensed. Parent coaching isn't, so it's open to families anywhere.