Assessments · Therapy · Medication Management
Answers You Deserve, Care You Can Trust
ADHD, autism, psychoeducational, and other specialty psychological evaluations, including uncommon school-focused and PDA-informed autism pathways, in-person in Lexington, Kentucky and via telehealth across Kentucky and beyond.
The Reality
Getting Answers Should Not Be This Hard
Twilight Psychology is built around the psychoeducational and psychological evaluations that are genuinely hard to access in one practice — comprehensive assessments for IEP and 504 decisions, twice-exceptional and gifted documentation, and specialty testing for ADHD, autism, dyslexia, and learning differences. We provide the clinical depth families need when school-systems or agencies without a Licensed Psychologist fall short. Therapy and medication management are available in-house for integrated follow-through care. Learn about our Specialties
Psychoeducational evaluations are harder to access
Most practices refer out IQ and achievement testing to specialists and limit the battery to what insurance allows at clinician licensure — leaving families without the documentation depth that IEP, 504, and accommodation decisions actually require. Twilight Psychology fills that gap.
PDA is routinely missed or misdiagnosed
Demand-avoidant autism presentations are often labelled oppositional or non-compliant. Finding a clinician who evaluates specifically for PDA traits within a neuro-affirming framework remains genuinely rare.
Medication access can take months
Wait times for psychiatric prescribers — especially those who can prescribe controlled substances for ADHD — are long. A short access window to a qualified NP makes a real clinical difference.
A diagnosis without follow-through isn't enough
An evaluation is only valuable if the next steps are clear. Having therapy and medication management along with assessment available in one practice changes the outcome for families seeking answers to their child's developmental needs.
Core services
How We Can Help
Evaluation work grounded in careful testing, clear school-ready documentation, and next steps you can act on.
IEP, 504 & school advocacy
Psychoeducational Evaluations
Private specialty assessments for IEP and 504 documentation, dyslexia, learning differences, giftedness, and twice-exceptional profiles — with IQ and achievement testing.
Explore ServiceADHD, autism, Personality, and more
Psychological Evaluations
ADHD, autism, and broader diagnostic evaluations for children, teens, and adults who need specialty depth, careful interpretation, and recommendations they can act on.
Explore ServiceFollow-through care
Medication Management
Individualized medication management with broad insurance participation through our dedicated Psychiatric Nurse Practitioner — available as a continuation of evaluation care.
Explore ServiceAges 3–99
Therapy
Evidence-based, neuro-affirming therapy for ages 3–99 with broad insurance participation — often the natural next step after an evaluation.
Explore ServiceRelationship repair & support
Couples Counseling
Relationship therapy for couples navigating communication, conflict, and connection with intensive sessions availability.
Explore ServiceWhy families choose us
Specialized Care, Five Distinct Advantages
Twilight Psychology offers the clinical depth, speed, and follow-through that distinguishes our evaluations from others.
IEP-ready documentation most practices refer out
Private psychoeducational evaluations for learning differences, giftedness, 2e, and IEP or 504 documentation — written for school teams and families.
Self-pay reports in 7 days — no rush fee
Self-pay evaluations typically completed and reported within seven days of intake, without an expedited charge.
PDA evaluation — a rare in-house specialty
Demand-avoidant and high-masking autism profiles assessed by clinicians who understand PDA as a distinct presentation.
Short wait to prescribe — including stimulants
Our psychiatric NP prescribes controlled substances when clinically appropriate, with a short current access window.
Evaluation, therapy, and medication in one practice
Continuity from report to ongoing care -- therapy and medication management available in-house for follow-through.
From our blog
Insights & Updates
What Insurance Assignment Means for Providers
A plain-English guide to assignment, credentialing, paneling, and why a clinician may limit new patients even when they are in-network
Read article →IEE evaluations in Kentucky — your rights and how we can help
What Kentucky families should know about IEP evaluations, IDEA rights, and how Twilight Psychology can support school advocacy
Read article →Introducing Elise Van Meter, MA, T-LPA
Meet Elise Van Meter, MA, T-LPA — temporarily licensed psychological associate providing therapy for adolescents and adults and psychological assessments for neurodivergent adults in Kentucky
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
2200+
Evaluations
8+
Years Experience
3
Weeks Self-Pay Waitlist
7
Days to Self-Pay Report