How Much Does an Adult ADHD Evaluation Cost in New Jersey?
If you’ve started calling around, you’ve probably already noticed the range is wide: some places quote $150, others quote $2,500, and it’s not always clear what you’re paying…
Personalized, science-driven care for the ongoing mood ups and downs of cyclothymic disorder, for patients across New Jersey and New York.
Self-pay practice · Superbill provided for out-of-network reimbursement
Cyclothymic disorder, or cyclothymia, is a chronic mood condition marked by repeated swings between mild depressive symptoms and mild hypomanic symptoms. It's less severe than bipolar I or bipolar II, which is part of why it often goes unrecognized for years; family and friends may describe someone as simply moody rather than connecting the pattern to a diagnosable condition. Left unaddressed, cyclothymia can also progress into full bipolar disorder over time, which is part of why an accurate diagnosis matters even when symptoms feel manageable.
To meet diagnostic criteria, symptoms need to be present for at least two years in adults, with periods of hypomanic and depressive symptoms occurring at least half the time and never fully absent for more than two months at a stretch. Hypomanic periods might look like elevated energy, reduced need for sleep, or increased talkativeness, without reaching the severity of a full manic episode. Depressive periods bring low mood, fatigue, or loss of interest, without meeting the full threshold for major depression.
Cyclothymia tends to run in families with a history of bipolar spectrum disorders, pointing to a meaningful genetic and neurobiological component rather than a purely situational cause. Stress and major life changes can trigger or worsen episodes, but the underlying vulnerability is typically biological, which is why a purely talk-therapy approach without any medical evaluation often falls short for patients whose symptoms are more than mild.
Diagnosis requires ruling out bipolar I, bipolar II, and other conditions that can mimic cyclothymic patterns, along with a careful history of how long symptoms have been present and how they've fluctuated. Treatment typically combines mood-tracking and therapy, cognitive behavioral or dialectical behavior therapy are both used, with medication considered when mood instability is significant enough to affect daily functioning. As with bipolar spectrum conditions generally, an antidepressant is not started without a mood stabilizer already in place, since treating the depressive side alone can trigger a hypomanic swing.
If mood swings have been a recurring pattern for months or years rather than a passing rough patch, and they're affecting relationships, work, or your sense of stability, it's worth a proper evaluation rather than continuing to manage it alone.
⚠ This content is for informational purposes only. No medication should be started, stopped, or changed without guidance from a qualified psychiatric provider. All treatment decisions at Gimel Health are made following a comprehensive in-person or telehealth evaluation with Michael Feldman, PA-C.
Most psychiatric prescribing is educated guesswork. Michael’s MSc in molecular biology — Hebrew University of Jerusalem, research at Weizmann & Mt Sinai — means every medication decision connects to a specific biological pathway, not pattern-matching. Fewer wasted trials. Clearer rationale.
Children, adolescents, and adults — no age-group silos. Parents are full partners in pediatric treatment planning. Whether it’s a first anxiety diagnosis in a teenager or a complex adult case that’s resisted prior treatment, I treat the full range.
Insurance-driven practices give you 15 minutes and a prescription. Initial evaluations here are a full 60 minutes — time for a real history, proper diagnosis, and a specific plan. Follow-ups are 30 minutes with direct portal access between visits.
Six focus areas. Click any to see the full approach.
Treatment for depression, bipolar, PMDD, and
complex mood patterns.
Specialized care for chronic worry, panic, PTSD,
and obsessive thoughts.
Medication management and precision psychiatry from patients diagnosed with ADHD or autism.
Medical and medication support for anorexia,
bulimia, and binge eating.
Treatment for insomnia, rage, and impulse
control challenges.
Treatment-resistant cases, psychosis,
schizoaffective, autism spectrum.
Pages for new patients and professionals looking to refer their clients.
Treatment for bipolar disorder with a medication plan tailored towards your personal path.
Three steps. No surprises.
Tell me what's going on. I'll tell you if I'm
the right fit — or refer you to someone
who is.
A full psychiatric evaluation. We review your complete medical and psychiatric history, prior treatments, symptoms, and goals together.
Founder · Physician Assistant–Certified
Most psychiatric prescribing is trial-and-error. My background in
molecular biology — MSc from Hebrew University of Jerusalem, with
research at the Weizmann Institute and Mt Sinai — lets me think about
your case at the level of biological pathways, not just symptom
checklists. That means fewer wasted medication trials and a clearer
rationale for every decision.
Adults, adolescents, and children with anxiety, depression, ADHD,
bipolar disorder, OCD, eating disorders, and complex or treatment-
resistant cases. I work especially well with patients who've been let
down by rushed 15-minute medication checks elsewhere.
A 60-minute initial evaluation — in person at my Fort Lee office or via
telehealth anywhere in NJ or NY. We'll go through your full history,
current symptoms, prior treatments, and biological context. You leave
with a clear diagnosis and a specific medication plan, not a maybe.
FOUNDER VIDEO
Watch: Why I founded Gimel Health
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One of the most nicest, kindest and considerate doctors I met. He went over with me thoroughly on the documents and was generous enough to explain me everything that I asked. I think he is a real doctor of people and not just someone that's write prescriptions.
Michael is an amazing professional! He truly invests in his patients and provides care and feedback even during off hours. Although we have only been using his services for a short time, he already stands out as caring, knowledgeable, and confident in his approach. We plan to continue using his services and would absolutely recommend him to anyone!
Dr Michael Feldman is an amazing doctor. He prescribed the proper medication in the right dosage for me. He did this because he listens and asks very good questions. I highly recommend him
Michael Feldman is a wonderful and caring P.A. He always gives 100%. He listens attentively and provides many insights I would never thought of by myself. I find having him in my corner invaluable and I could not recommend him more highly. He's the best!
Michael Feldman is an excellent doctor! Very knowledgeable, attentive to patient's needs, caring, great bedside manners! Highly recommend!
I met Michael Feldman after years of search and trial and error. If you look for a professional who is invested in his patient's progress, research-oriented, with a deep understanding of the body-mind connection and a wholistic approach to treatment, look no further.
I had an exceptional experience with Dr. Feldman and truly feel fortunate to have found such a compassionate and knowledgeable psychiatrist for my teenager son. From the very first appointment, they took the time to listen without judgment and made me feel genuinely understood. Their explanations were clear, thoughtful, and grounded in evidence, which helped me feel confident in my treatment plan. The office staff is also friendly and efficient, making scheduling and follow‑ups easy. I highly recommend Dr. Feldman to anyone seeking a psychiatrist, especially for children.
My dad was recommended to see Dr. Feldman through his psychologist. He got him on track with medication and I finally feel like he’s himself again. Speaks Hebrew fluently as well which was a plus. Would recommend to anyone looking for an attentive and kind professional. Thank you!!
I was looking for support in working through my trauma. From the very first moment, I felt a comfortable atmosphere, even though the meetings were held via Zoom. It was clear that Mikhail was truly listening and delving into the problem. After each session, I felt empowered and calm. I definitely recommend Mikhail Feldman as an excellent specialist.
Great medication management! I was worried about the correct path to take to improve my mental health, and Michael really helped to properly explain my options and recommending the right medication. Highly recommend!
Dr. Feldman is very professional, intelligent, and highly knowledgeable. Appointments always run on time. After we switched to him, he immediately recognized that the previous diagnosis was incorrect. We’re very confident in his care and look forward to continuing with him.
I do not take insurance. Self-pay allows time for a thorough evaluation and coordinated follow-up.
Initial evaluation (up to 50 minutes): $350
Follow-up visit: $300
Discovery call: free, about 10 minutes
You pay at the visit and I provide a superbill for out-of-network reimbursement.
Things patients usually want to know before reaching out.
Cyclothymic disorder is a chronic mood condition involving repeated periods of mild depressive and mild hypomanic symptoms that don’t meet the full criteria for major depression or bipolar disorder, but still affect day-to-day functioning.
Cyclothymia involves milder mood swings than bipolar I or II, and the symptoms don’t reach the intensity of a full manic, hypomanic, or major depressive episode. It’s still a bipolar spectrum condition, and it can progress into bipolar I or II over time if untreated.
For some patients, therapy and mood tracking are enough, especially when symptoms are mild and infrequent. When mood instability is more significant, medication is often added, typically a mood stabilizer, since therapy alone may not sufficiently address the underlying neurobiological component.
Not as a first step. Because cyclothymia sits on the bipolar spectrum, starting an antidepressant without a mood stabilizer already in place can trigger a hypomanic swing. Any medication decision should follow a full evaluation, not be made by adding an antidepressant alone.
It can. A meaningful proportion of people with untreated cyclothymia go on to develop bipolar I or bipolar II disorder, which is one of the main reasons an accurate diagnosis and ongoing monitoring matter even when current symptoms feel manageable.
I personally read every inquiry and respond within one business day.
(201) 815-4351
440 West Str, Ste 307 Fort Lee, Bergen County, NJ 07024
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Comprehensive services are designed for each individual. Treatment of Anxiety, Depression, ADHD, Eating Disorders,
Psychosis, schizophrenia, and other psychiatric conditions.
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