ADHD Evaluation & Treatment
for Adults.

Evaluation, medication and ongoing care from a board-certified psychiatrist, with real data so you can see the change.

Adults 18+. Milwaukee metro & telehealth across Wisconsin.

Treatment Progress

Baseline → 12 Weeks

What we track

Staying focusedHolding attention without drifting
18th54th
+36
Keeping track of thingsHolding information in mind while you use it
24th61st
+37
Planning aheadWorking out the steps before you start
31st58th
+27
Pausing before reactingCatching yourself in the moment
15th47th
+32

You track your steps. Your sleep. Your screen time.
Why wouldn't you track whether your
ADHD treatment is working?

We measure four parts of how your mind works: staying focused, keeping track of things, planning ahead and pausing before reacting. Then we track them over time.

The full picture.

Cognitive testing, a clinical interview, validated rating scales and a clear answer. Your baseline.

01

Cognitive Testing

A 25-minute computerized assessment. Measures staying focused, keeping track of things, planning ahead and pausing before reacting.

02

Clinical Interview

A video visit where we talk about you and ADHD. How it shows up, what's been difficult and what brought you here.

03

Your Results & Next Step

If ADHD is confirmed, we build your treatment plan in the same visit, including medication when clinically appropriate. How ADHD has shaped your past informs where we go from here. You leave with your results and a clear next step. Your written report follows within 48 hours.

Clear, simple pricing.

You pay upfront. No insurance billing, no authorization delays, no surprise costs. The price you see is the price you pay. HSA & FSA accepted.

Evaluation
$695

Comprehensive ADHD evaluation with cognitive testing and a written report. Your baseline.

  • Structured clinical interview
  • Computerized cognitive testing
  • Validated rating scales
  • Written evaluation report
  • Medication started at this visit when clinically appropriate
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Ongoing Care
$219/mo

Follow-up visits, cognitive retesting, medication management and secure messaging with your doctor.

  • Follow-up visits
  • Cognitive retesting
  • Medication management & titration
  • Secure messaging between visits

Evaluation and membership fees do not include the cost of medication itself. Prescriptions are filled at your pharmacy and paid there.

Treatment you can see working.

Your experience and your test results, side by side. That's how we know what's working and what needs to change.

BASELINE Evaluation WEEK 4 Retest + adjust WEEK 12 Retest + confirm THREE DATA POINTS. ONE TRENDLINE.
01

Medication & Titration

Dosing shaped by what you're noticing and what the testing shows.

Starting medication and don't have a home blood pressure cuff? We send you a validated one, included in your membership.

02

Cognitive Retesting

Retesting at week 4 and week 12, plus extra checks while your dose is still being adjusted. Quarterly after that, or anytime something shifts.

03

Secure Messaging

Questions between visits: medication timing, side effects, refill coordination.

Dr. Nicholas Bracciano, board-certified psychiatrist

Nicholas Bracciano, MD

Board-Certified Psychiatrist

Milwaukee, Wisconsin

Dr. Bracciano is a board-certified psychiatrist with specialized training in complex diagnostic evaluations, including patients where ADHD overlaps with anxiety, depression and other conditions that complicate the picture. He built Exhale Psychiatry to give adults real answers about their attention and cognition, backed by objective data.

Every evaluation includes objective cognitive testing. Every follow-up measures whether treatment is actually working. You see the numbers. You see the change.

Before you book.

No referral needed. You can schedule directly.

Yes. Under current DEA rules, practitioners can prescribe Schedule II stimulants (like Adderall, Vyvanse and Concerta) via video telehealth without requiring an in-person visit first. These flexibilities are in effect through December 31, 2026, while permanent regulations are being finalized.

All prescriptions require a thorough medical evaluation, which is what our comprehensive assessment provides. We follow the same diagnostic and monitoring standards whether you're in person or on video.

It's a 25-minute computerized assessment you complete on your own computer or tablet. You'll work through a series of short tasks, each about 2 to 3 minutes, that measure staying focused, keeping track of things, planning ahead and pausing before reacting. Think quick, game-like exercises.

Results are scored automatically against age- and gender-matched norms, so we can see exactly where you stand. No preparation needed.

Testing isn't a one-time event. You'll retest at weeks 4 and 12 while we're adjusting your dose, then every few months after that. Those data points build a trendline that shows whether treatment is actually working.

We don't bill insurance directly. You pay at the time of service and we provide a superbill: a detailed receipt with the diagnosis codes, procedure codes and provider information your insurance company needs. You submit it to your insurer and they reimburse you based on your out-of-network benefits. Reimbursement varies by plan. To get a sense of what to expect, call the number on your insurance card and ask about your out-of-network mental health benefits, specifically your deductible, coinsurance and any session limits.

If your plan requires a prior authorization for a medication, we handle it. Most decisions come back within a few business days, and if you'd rather not wait we can usually start you on a well-covered option right away and switch once the authorization clears. Either way we'll point you to manufacturer coupons and other ways to bring the cost down.

No. Evaluation and membership fees do not include the cost of medication itself. Prescriptions are filled at your pharmacy and paid there.

Even though we don't bill insurance for visits, your prescription drug coverage works normally: your pharmacy runs your prescription through your plan like any other. Many ADHD medications are available as generics, and if a prior authorization is needed we handle it. We'll also point you to manufacturer coupons and other ways to bring the cost down.

Appointments open seven days out. The lead time is deliberate: your intake paperwork and cognitive testing are completed before the visit, so your appointment time goes to the evaluation itself. Once you book, everything you need arrives by email the same day.

Three things: a photo ID, a location in Wisconsin and a private place to talk.

At your first visit we check your photo ID on camera to confirm we're treating the right person. You also need to be physically in Wisconsin during every visit. Medical licensing works state by state, so telehealth visits are for patients located in Wisconsin at the time of the visit. If you'll be out of state on your visit date, reach out and we'll reschedule.

Find a private spot where you can speak freely. Headphones help. Our practice policy is that you're alone for the visit: it protects the accuracy of your evaluation and lets us verify it's really you. If you'd like someone to join for part of the visit, just tell us at the start.

The monthly fee covers everything: follow-up visits, medication management and titration, cognitive retesting at key intervals and secure messaging with your doctor between appointments. There are no per-visit fees on top of the monthly rate.

Membership is month to month. Superbills are provided monthly so you can submit to your insurance for out-of-network reimbursement.

Only if you're starting medication, and if you don't have one we take care of it. Stimulant medications can raise heart rate and blood pressure, so we take a numeric baseline reading before any prescription and recheck at set points while your dose is adjusted, then periodically once you're stable.

A home reading or a recent clinic reading works for your baseline. Starting medication and don't have a home blood pressure cuff? We send you a validated one, included in your membership.

That's a good outcome, and it's the evaluation doing its job. Anxiety, depression, sleep disorders and other conditions can look identical to ADHD, and they all require different treatment.

If we identify something else, we'll explain what we found, include it in your report and connect you with the right provider for it.

Yes, adults with an existing diagnosis are welcome. You'll still complete the full evaluation, including the cognitive baseline. Everything we prescribe reflects our own assessment, and if you're already on medication the baseline shows what your current treatment is really doing.

If your regimen holds up under review we'll continue it and build from there. If we'd recommend something different we'll tell you exactly why and map the change with you.