Starting mental health care can feel intimidating, we get it. Whether you're here for an assessment, coaching, medication, or therapy, the first step is the same: a low-pressure, 20-minute consultation.
No pressure to book anything after
Just a quick chat to understand your needs and explore fit
Lets Walk Through This Together.
::: First Steps :::
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Choose which provider you would like to begin working with - Hannah Chaudoin for Coaching, David Spielman for everything else.
Then, select a time that works for you to meet virtually and answer a few questions to help us prepare for the consultation.
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In this casual, virtual consultation, we’ll talk about your goals, questions, and what kind of support might help.
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Based on your needs and preferences, we’ll work together to determine an initial service; assessment, medication, therapy, or coaching.
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You'll fill out a few secure online forms before your first full session - just some additional information to help us show up for you more effectively, and several standard agreements/releases.
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Begin your personalized care journey, with someone who gets it. This appointment can either be in-person or through our secure virtual platform.
Here’s What Happens After Your Consultation
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What to Expect:
A 60-minute intake to go over your history, current experiences, and goals
Multiple assessment appointments using affirming, adult-appropriate tools (like the MIGDAS-2, CAT-Q, RAADS-R, etc.)
Exploration of masking, sensory experiences, special interests, and identity, not just surface-level behaviors
Screening for related conditions (ADHD, OCD, anxiety) to get a full picture
A clear, plain-language diagnostic report
A follow-up session to review results and next steps together
Optional coaching, therapy, or treatment planning based on your goals
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What to Expect:
A 60-minute intake to discuss your attention patterns, life history, and executive function
A structured clinical interview (like the DIVA-5) and computerized attention testing (Creyos)
Standardized ADHD tools (ASRS, CAARS-2) + optional feedback from people who know you well
Screening for co-occurring traits like anxiety, autism, or OCD
A written report with clear insights and practical recommendations
A follow-up session to go over results and discuss options
Referrals for coaching, medication, therapy, or accommodations if needed
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What to Expect:
A 60-minute psychiatric evaluation to understand your full mental health picture
A collaborative conversation, no one-size-fits-all med plans here
Education about how each medication works, what to expect, and side effect possibilities
A shared decision-making process (you’re in the driver’s seat)
Ongoing follow-ups to assess effectiveness, make adjustments, and support you
Open communication via secure messaging between appointments
Respect for your concerns, preferences, and lived experience
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What to Expect:
A 60-minute psychiatric evaluation to understand your full mental health picture
A personalized treatment plan based on your needs, goals, and neurotype
A safe, nonjudgmental space to explore emotions, identity, relationships, and burnout
Tools drawn from CBT, DBT, mindfulness, and trauma-informed care
A pace that matches your processing style - no forced vulnerability
Practical skills for emotional regulation, boundaries, and self-compassion
Affirming support for navigating identity, masking, RSD, and life transitions
Integration with coaching or medication if you’re receiving other services here
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What to Expect:
A 60-minute intake session, where we discuss your goals and motivations for coaching
A collaborative, practical, non-shaming environment
Support with executive function, planning, sensory strategies, and real-world challenges
Help breaking tasks down, building systems, and staying accountable (in a kind way)
Identity-affirming space to explore values, goals, and strengths
In-session strategy modeling ~ yes, we can work on that “one thing” live
Follow-through that respects your pace and brain
Optional integration with therapy or assessment insights
FAQs
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Nope. You don’t need a formal diagnosis to get started, we’ll help you explore that if it’s relevant or desired.
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Teens 16+ and adults of all ages.
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We offer both! You can choose what works best.
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We’re a private-pay practice, but we provide superbills for out-of-network reimbursement.
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Coaching is future-focused, practical goal setting, and system exploration/experimentation; therapy goes deeper into emotional patterns. We can help you decide which one fits, and most clients benefit greatly from participating in both simultaneously.
Check out our coaching page to learn more about how it can pair with therapy!
