Autism & ADHD Specialist in Houston, TX

Dr. Rachel Fein (a woman with shoulder-length black hair) is wearing a navy blue dress, sitting outdoors on a rock, smiling with crossed arms in a grassy field with hills and trees in the background.

Autism & ADHD Evaluations in Houston, TX

Seeking an autism or ADHD evaluation doesn’t mean something is “wrong” with you or your child. It means you’re paying attention, advocating, and working to understand how your child learns, feels, and connects.

If you’re looking for a Houston-based child psychologist who combines clinical expertise, neurodiversity-affirming care, and a parent’s perspective, I’d be honored to support your family.

You’re here because something doesn’t quite feel right — or because you finally have language for concerns you’ve been carrying for a long time about your child’s development, behavior, or learning.

Maybe you’ve been told to wait and see, but your instincts say your child needs support now. Maybe school feels harder than it should, emotions run big, attention is a struggle, or daily routines turn into exhausting battles. Or maybe you’re lying awake at night, wondering how your child’s brain works and what you can do to best support them.

If you’re searching for an Autism evaluation or ADHD evaluation in Houston — for your child or for yourself — and want a psychologist who understands both the science and the emotional weight of this process, you’re in the right place.

Neurodiversity-Affirming Autism & ADHD Evaluations for Children and Adults

When families reach out for an Autism or ADHD evaluation, they’re often looking for more than a diagnosis. They want clarity. They want answers they can trust. And they want guidance that actually helps them understand what’s going on — not just a report full of scores and jargon.

My evaluation process is designed to do exactly that.

Rather than rushing to labels or relying on a single test, I take a comprehensive, individualized approach that looks at the whole person. For children and teens, that means understanding development, learning style, emotional regulation, sensory needs, and how they experience school, home, and relationships. For adults, it means making sense of lifelong patterns, strengths, challenges, and the experiences that may have been misunderstood for years.

Throughout the process, I prioritize:

  • Careful, evidence-based assessment using gold-standard tools

  • Collaboration with parents, caregivers, and clients

  • Respect for neurodivergent identities and differences

  • Clear, practical feedback — not just diagnostic conclusions

The goal isn’t to “prove” something is wrong. The goal is to understand how the brain works, why certain things feel hard, and what supports will actually make life feel more manageable.

The Solution: Clarity, Validation, and a Path Forward

Families and adults often come to me feeling overwhelmed, second-guessing themselves, or unsure whether their concerns are “enough” to warrant an evaluation. By the end of the process, they leave with clarity — and often relief.

You’ll gain:

  • A deeper understanding of how autism or ADHD shows up for you or your child

  • Validation for struggles that finally make sense in context

  • Recognition of strengths that may have been overlooked

  • Specific, meaningful recommendations for home, school, work, and daily life

An accurate, affirming evaluation can change how you see yourself or your child — replacing confusion with understanding, and worry with confidences.

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Dr. Rachel Fein- Child Psychologist & BCBA Specializing in Autism and ADHD

Why I’m the Right Person to Guide You Through This

I bring both professional expertise and lived experience to this work.

I’m a licensed child psychologist and Board Certified Behavior Analyst (BCBA) with specialized training in autism and ADHD assessment across the lifespan. I’m trained in gold-standard diagnostic tools and evidence-based approaches, and I take that responsibility seriously.

But I’m also a parent of a neurodivergent child.

I know what it’s like to lie awake at night wondering if you’re missing something. I know how heavy the evaluation process can feel — and how much it matters to feel truly understood by the person guiding you through it.

That combination allows me to approach evaluations with both clinical precision and deep empathy. I don’t just assess — I listen. I don’t just diagnose — I help you make sense of what it means and how to move forward in a way that aligns with your values.

If you’re looking for an autism or ADHD evaluation in Houston that is thoughtful, affirming, and grounded in both science and real-life understanding, I’d be honored to support you.

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Learn more about Dr. Fein

    • Internship and Fellowship, Child Clinical and Pediatric Psychology, Baylor College of Medicine/Texas Children’s Hospital

    • Ph.D. in School Psychology, University of Houston

    • M.Ed. in Special Education with a focus on autism and developmental disabilities, UT

    • B.A. in Psychology, University of Texas at Austin (UT)

  • I am a Child Psychologist and Board Certified Behavior Analyst.

    I am licensed to practice in-person in Houston, Texas and virtually across Texas, California and 42 other states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Washington D.C., Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming

  • With over 20 years of experience, I’ve worked in leading clinical and academic settings—including The Meyer Center for Developmental Pediatrics and Autism at Texas Children’s Hospital, UT Health, The Severe Behavior Disorders Clinic at the University of Houston Clear Lake, Legacy Community Health, Katy Independent School District, and the Arbor School. I’ve also contributed to research in the field of Autism, ADHD, and other neurodevelopmental disorders and have taught as an Assistant Professor at Baylor College of Medicine and an Adjunct Professor at the University of Houston.

Why Work With Me?

Timely Autism & ADHD Evaluations—No Long Waitlists

Families often contact me feeling worried and eager for answers. When concerns arise about autism or ADHD, waiting months for an evaluation can add unnecessary stress. I prioritize timely access so families can move forward with clarity and confidence.

Comprehensive, unhurried evaluations

I take the time to truly understand your child—not just test scores or symptoms. Each Autism or ADHD evaluation is comprehensive and unhurried, allowing space to learn about your child’s development, daily functioning, strengths, and challenges.

Strengths-based and individualized

No two children are the same. I use a neurodiversity-affirming approach and tailor every evaluation and recommendation to your child and family—never a one-size-fits-all template.

Expertise that values parents

With over 20 years of specialized training in autism and ADHD assessment and treatment, I bring deep clinical expertise. At the same time, I recognize that parents are the true experts on their child. Collaboration and listening are central to my work.

Professional expertise with real-life understanding

In addition to being a licensed psychologist and autism & ADHD specialist, I am also a mother raising a neurodivergent child. I understand this journey personally and support families with empathy, respect, and practical insight.

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Your Questions, Answered

  • If you or your child are experiencing ongoing challenges with attention, behavior, learning, emotional regulation, social interactions, or daily functioning that interfere with school, work, relationships, or quality of life, an evaluation can be helpful. Evaluations are appropriate for young children through adulthood and can bring clarity, understanding, and direction—regardless of age.

  • The evaluation process is comprehensive and individualized. It typically includes clinical interviews, standardized assessments, behavior rating scales, developmental and medical history, and observations. For children and teens, caregiver and school input may be included. For adults, self-report measures and interviews are emphasized. Evaluations are conducted in a respectful, neurodiversity-affirming manner and may occur across one or multiple sessions.

  • Autism, ADHD, anxiety, and learning differences can share overlapping features. A thorough evaluation looks at the full picture—developmental history, current functioning, patterns over time, and strengths—rather than relying on one test or symptom. This allows for accurate diagnosis, identification of co-occurring conditions, or clarification when a diagnosis is not appropriate.

  • You will receive a clear explanation of findings, including diagnoses or diagnostic impressions when applicable. This includes a comprehensive written report with individualized recommendations for school, work, therapy, and daily life supports. Results are reviewed in a feedback session so you can ask questions and fully understand next steps.

  • Yes. Evaluations often support access to school accommodations (IEPs or 504 Plans), workplace accommodations, standardized testing supports, and treatment planning. For adults, evaluations can also help with self-understanding, advocacy, and identifying appropriate supports in higher education or employment settings.

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Get started with Dr. Fein, today.

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