A Little Note Offers:

Services for children, adolescents, and young adults up to age 22 years. Virtual care for all of North Carolina.

ADHD Evaluation & Management

15 minutes - Introduction, overview, no clinical advice given.
$0
90 minutes - A comprehensive virtual ADHD evaluation for children, adolescents, and young adults up to age 22 years. Serving families in all of North Carolina.

$350
30-60 minutes
Appointments for those that have already received an ADHD diagnosis and want to receive ongoing pharmacological or non-pharmacological management.
$150-$250
60-90 minutes
Comprehensive evaluation that may include additional screening measures, developmental/hormonal considerations, and tools focusing on symptoms as they often present in girls.
or
Previously diagnosed with ADHD and you want to restart management but it has been 2 or more years.
$250-$350
30 minutes
If you have questions or concerns about a previous diagnosis your child has received, this session focuses on reviewing the diagnostic paperwork, answering questions, and providing additional education or recommendations for how to best move forward.
$150
30 - 60 minutes
Research has begun to connect ADHD with certain emotional and physical conditions. Many of these connections are often under-recognized in primary care. A Little Note works to manage these conditions alongside management of your child’s ADHD.
$150-$250

Add-ons

30-60 minutes
Individualized plans that incorporate various modalities aimed at relieving distress, promoting behavioral and lifestyle changes, guiding personal awareness, improving social functioning, and facilitating overall personal growth. There are many recognized types of therapeutic approaches that may be incorporated (i.e., behavioral, motivational interviewing, educational) regarding various parts of their diagnosis while highlighting their strengths.
$100-$200
Also available as a package for reduced rates.
50 minutes
Guided group sessions that navigate specific challenges and share strategies.
$20
30-60 minutes
Discuss what accommodations and supports may best benefit your child and get them in place. Includes collaboration with your child’s school and a written recommendation letter.
$100-$200

Programs

This 3-month signature program explores how ADHD presents differently in girls, why so many go undiagnosed, and how things like hormones, masking, emotions, and relationships can shape their experience.
The program focuses on implementing the latest evidence-based research with the goal of protecting her self-esteem and improving long term outcomes.

You and your daughter will leave with a deeper understanding of her ADHD, and individualized and developmentally appropriate strategies aimed at helping her thrive while preserving your relationship.
Includes 1:1 monthly visits, group sessions, education modules, community support, weekly check-ins, and signature toolkits and resources.
$1500
A 1-month intensive that helps families start the school year with confidence!

From routines and organization to executive functioning and accommodations, communicating with teachers and managing transitions…this program helps families build realistic developmentally appropriate systems that create the environment your child needs to thrive!

Includes 1:1 initial evaluation session, a follow up session, an individualized plan based on your child’s needs and preferences, weekly educational modules, group support, and personalized toolkits and resources.
$750
Coming in September!
Everything you wish someone had explained after an ADHD diagnosis.
Receiving an ADHD diagnosis often brings relief, questions, and uncertainty all at once. This foundational program explains what ADHD is (and isn’t), treatment options, parenting a child with ADHD, executive functioning, developmental considerations, common myths, and practical next steps for families.
Coming Soon!
Discover the how the ADHD brain works and discover your strengths with practical tools for organization, routines, motivation, emotional regulation, homework, time management, and executive functioning. We’ll separate internet trends from evidence-based strategies that actually work!
Coming Soon!
Supporting children through every stage of development.
Whether it’s starting kindergarten, entering middle school, preparing for college, or becoming more independent, every transition with ADHD brings new challenges AND new opportunities! Learn how ADHD changes over time and how to adapt your support as your child grows.
Coming Soon!
Understanding the whole child.
ADHD often occurs alongside other medical, developmental, and mental health conditions. Learn how anxiety, depression, sleep disorders, learning differences, migraines, misophonia, dysautonomia, hypermobility, eating disorders, and other conditions can interact and influence ADHD.
Coming Soon!
Targeted support for everyday challenges.

Some ADHD challenges deserve a closer look. These focused workshops explore topics such as emotional regulation, rejection sensitivity, procrastination, sleep, friendships, motivation, perfectionism, technology, and more.
Coming soon!
Ongoing community support and resources, quarterly webinars, monthly newsletter, group sessions.

Our Process

Online Requests

Appointment requests are available directly from the “Book Appointment” tab. You’ll also be asked to complete a screening form to ensure you get the correct services.

Client Portal

After submitting your request, you’ll be invited to join the client portal for secure HIPPA-compliant communication.

Consents & Forms

Once your request is accepted, you’ll be asked to complete additional paperwork. It’s important to have these forms completed 24 hours prior to your appointment time.

Appointment Reminders

Make sure you choose to accept notifications, so you’ll be able to receive appointment reminders and other important communication through secure messaging.