Answers You Deserve, Care You Can Trust
ADHD, autism, psychoeducational, and other psychological evaluations — in-person in Lexington, Kentucky and via telehealth across Kentucky and beyond.
The Reality
Getting Answers Should Not Be This Hard
Twilight Psychology provides ADHD testing, autism evaluations, dyslexia and learning disability testing, psychoeducational evaluations, and broader neurodivergent diagnostic clarity. Our evaluation model is built around careful interpretation, clinically relevant testing, and recommendations people can actually use. We also offer specialty services such as independent educational evaluations, gifted and twice-exceptional assessment pathways, guardianship evaluations, and other high-context referrals. Explore our specialty evaluations
Long waits for testing
Traditional evaluation pathways can stretch for months, making it hard to move forward when you need clear answers now.
Limited expertise options
When families need psychoeducational clarity, gifted or 2e identification, or school-focused documentation, finding experienced clinicians can be challenging.
Adults can be harder to assess
Many assessment approaches were originally developed for children. Adults who've adapted over time may need a more nuanced, experienced evaluation.
What comes after the diagnosis?
A diagnosis is just the starting point. Having therapy, medication management, and ongoing support available in one place makes all the difference.
Core services
How We Can Help
Evaluation work grounded in careful testing, clear recommendations, and next steps you can use.
Psychological Evaluations
ADHD, autism, and broader diagnostic evaluations for children, teens, and adults who need clear answers, clinically relevant testing, and usable recommendations.
Explore ServicePsychoeducational Evaluations
Private specialty assessments for dyslexia, learning differences, giftedness, twice-exceptional profiles, and IEP, 504, or college accommodation planning.
Explore ServiceMedication Management
Individualized medication management with broad insurance participation through our dedicated Psychiatric Nurse Practitioner.
Explore ServiceTherapy
Evidence-based, neuro-affirming therapy for ages 3-99 with broad insurance participation for covered individual care.
Explore ServiceCouples Counseling
Relationship therapy for couples navigating communication, conflict, and connection with intensive sessions availability.
Explore ServiceDesigned for clarity
Elevated Care, Five Fewer Barriers
Our evaluation process is built for precision and efficiency, especially for clients who want a more attentive experience than a routine, insurance-first pathway can usually support.
We offer psychoeducational evaluations for learning differences, giftedness, twice-exceptional profiles, and accommodations when you need more than a brief testing summary.
Details about learning, gifted, and 2e questions addressed directlyNo prolonged wait for answers and no expedited fees. For evaluations offered on a self-pay basis, testing can often be completed and the written report delivered within seven days of your intake appointment.
Details about rapid diagnostic clarity in 7 daysWe offer psychoeducational evaluations, dyslexia testing, IEEs, and other specialty referrals that are often handled outside insurance because the question is educational, legal, or documentation-focused.
Details about specialty evaluations beyond standard coverageWhen evaluation results indicate that medication may be beneficial, our in-house psychiatric provider offers ongoing care that is often billable to major plans, Kentucky Medicaid, and Medicare.
Details about integrated psychiatric supportOur clinical team offers both evaluations and therapy for ages 3-99, giving you a clear handoff into ongoing care that is often billable to insurance for covered diagnoses.
Details about actionable insights after diagnosis with therapyFrom our blog
Insights & Updates
Neuropsychological vs. psychoeducational evaluation — what's the difference?
How neuropsychological and psychoeducational evaluations differ, when each is appropriate, and what psychological testing near you actually involves
Read article →Thank you, Olivia, for your time at Twilight Psychology
We thank Olivia Williams, PhD, LPA for stepping in to meet growing evaluation demand at Twilight Psychology since September 2025 and wish her well as she focuses on her private practice
Read article →Dyslexia and learning disability testing in Lexington, KY
What dyslexia and learning disability testing covers, when to request an independent evaluation, and how results connect to school supports and IEPs
Read article →Next step
Ready to Get Started
Whether you are pursuing diagnostic clarity, individualized therapy, or psychiatric medication management, our team is prepared to guide you through a structured, seamless process.
By the Numbers