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 costsjust transparent, predictable pricing.

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

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.

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.

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.