About Us
At AVO Direct Care, we believe that getting help for your mental health should be straightforward, supportive, and centered on you. Many adults struggle for years with symptoms of ADHD, anxiety, or depression. They often feel dismissed, overlooked, or stuck in systems that do not provide the time and attention they deserve. We are here to change that.
Founded by Dr. Julie Gilbreath, a board-certified internal medicine physician with more than 15 years of experience, AVO Direct Care was created with one purpose in mind: to provide compassionate, thorough, and accessible care for adults navigating mental health challenges, particularly ADHD. Dr. Gilbreath has a special interest in helping women and parents who are juggling multiple responsibilities while also managing their own neurodivergence.
Our approach is different from traditional clinics. We intentionally schedule longer visits, 60 to 90 minutes, so that you never feel rushed. You will have time to share your full story, ask questions, and leave with a plan that feels personalized and realistic. We also integrate objective testing such as QbTest to strengthen the accuracy of ADHD evaluations and treatment.
We know that mental health is deeply personal and that trust is essential. Whether you are seeking a first-time ADHD evaluation, struggling with ongoing symptoms, or needing reliable prescription management, our goal is to walk alongside you with clarity and empathy. We offer both in-person visits in San Antonio and secure telehealth options for convenience.
At AVO Direct Care, you are not just another chart or a rushed appointment. You are a whole person whose well-being matters. We are committed to helping you feel understood, supported, and empowered to live the life you envision.
FAQS
What is AVO Direct Care, and how is it different from a traditional doctor’s office?
AVO Direct Care is a direct-pay medical practice that focuses on adult ADHD. Instead of rushed 15-minute visits, we offer longer appointments (60–90 minutes) with a focus on truly understanding your story. We don’t bill insurance, which means no surprise costs; just transparent, predictable pricing.
Who is Dr. Gilbreath?
Dr. Julie Gilbreath is a board-certified Internal Medicine physician with over 15 years of experience caring for adults. She trained at the University of Puerto Rico School of Medicine and UT Health San Antonio, and she has a special interest in mental health and ADHD care. Patients describe her as approachable, empathetic, and thorough, with a style that prioritizes listening and collaboration
What services do you provide for ADHD?
We provide comprehensive ADHD evaluations for adults, including medical and mental health history, QbTest ADHD testing, and in-depth discussion of symptoms and life impact. We also offer follow-up visits, treatment planning, and ongoing management with direct access to your doctor for questions between visits.
How much does it cost?
Our pricing is simple and transparent:
$500 one-time fee for the ADHD intake evaluation.
$100/month subscription for ongoing care, which includes follow-ups, messaging access, and prescription management.
Do you take insurance?
No, we do not accept insurance. By avoiding insurance restrictions, we provide longer, more personalized visits and direct access to your doctor. Many patients use HSA or FSA funds, and we can provide documentation if you’d like to submit a claim for possible out-of-network reimbursement.