Northward is private cognitive performance medicine for executives, founders, and high-achieving professionals. Comprehensive evaluation and full clinical care beginning this week, not after months of referrals.
Most people seeking a cognitive evaluation spend six to eighteen months navigating referrals, waitlists, and handoffs before any care can begin.
Northward collapses that entire process. Full cognitive and ADHD assessment is built into your 90-minute evaluation. No referrals. No external psychological testing waitlist. If clinical care is indicated, it begins the same week.
This includes all treatment options. If care is indicated after your evaluation, it begins within the same week. No prior authorization. No delays. No second appointment to discuss what is available.
Your evaluation is 90 minutes, not 15. We build a complete clinical picture of your cognitive landscape, your history, your patterns, and what is genuinely at stake. Nothing is templated.
Subscription-based care means your treatment evolves with you. One physician, fully informed, adapting your care as your life changes. Not episodic appointments. A real ongoing partnership.
100% virtual. Licensed across multiple states. Sessions fit your calendar. From your office, your home, or wherever you happen to be working that week, within our practice area.
No insurance billing means no diagnostic codes shared with carriers or third parties. No explanation of benefits. Greater control over who sees your health information and when — unless you choose otherwise.
This is direct, private clinical care designed around one premise: your mind is the primary asset behind everything you build, lead, and create. When it is not operating at its ceiling, the cost is measurable and treatable.
In executives and founders, ADHD rarely looks like hyperactivity. It looks like exceptional output alongside baffling inconsistency. The ability to nail a keynote but not a follow-up email.
Task initiation failure despite total clarity on what needs to happen. Compensation systems that worked brilliantly until the stakes outpaced them. These patterns have a clinical explanation.
Addressed in your evaluation. Comprehensively.High-performance anxiety is often the thing that built your career. Unaddressed, it becomes the ceiling that caps it. The vigilance, the racing thoughts at 2am, the difficulty shutting off between decisions.
The difference between productive drive and performance-limiting anxiety is clinical. It responds to treatment. You do not have to accept it as the price of ambition.
Evaluated and addressed within your care plan.Executive function, decision quality, and emotional regulation are all downstream of sleep architecture. Most high achievers accept poor sleep as a required trade-off.
It is not. Sleep disruption is a treatable clinical finding with a direct line to performance. The energy to lead well, think clearly, and recover between high-stakes situations depends on it.
Assessed as part of your complete cognitive profile.Sustained performance requires more than willpower. Mood stability, motivation architecture, and the ability to regulate under pressure are biological realities, not character traits.
When they are inconsistent, the impact on leadership, relationships, and output is real. When they are addressed clinically, the difference is not subtle.
Managed as part of your ongoing subscription care.Northward serves high-achieving adults whose cognitive output directly drives their income, their teams, and everything they are building. The title varies. The experience does not.
When your mind is not operating at capacity, the cost is measurable. Decisions delayed. Opportunities misread. Energy spent managing internal friction instead of building what matters.
Northward exists for adults who cannot afford cognitive underperformance, and who want a physician who grasps exactly what is at stake. Not therapy. Not coaching. Not another subscription app. Precise, private care for the asset that generates everything else.
Licensed across multiple states. 100% virtual. Where clinical care is indicated, it begins within days of your evaluation. That includes every treatment option your physician determines is appropriate.
A 90-minute, one-on-one session with your MD before your subscription begins. Full cognitive and ADHD assessment included. No referrals, no delays, no separate appointments. Where care is indicated, it begins this week.
Evaluation is a non-refundable fee credited toward your first invoice. It is not an added cost on top of your subscription.
Cognitive performance challenges rarely look the way people expect. In high achievers, they look like this.
Schedule online in minutes. The $750 evaluation fee is credited in full toward your first subscription invoice. It is the start of your investment in care, not an extra cost on top.
Full cognitive and ADHD evaluation built into your intake with your MD. One session. Complete clinical picture. Diagnose, plan, and prepare to initiate care, all at once.
Select the tier that fits your goals and the access level you need. Your $750 evaluation credit applies immediately. Monthly or annual options available.
Treatment begins within the same week, including any treatment modality your physician determines is appropriate. One physician. Continuous care. No re-introductions.
The standard system was built around what insurance will authorize. Every referral, every prior authorization, every delay exists because a carrier requires it. Not because medicine requires it.
Northward is direct-pay, which means the only thing between you and clinical care is the evaluation itself. The same session where we understand your mind is the session that determines your treatment.
Start This WeekFor executives and high-profile professionals, the privacy of your cognitive health is not a preference. It is a professional and fiduciary necessity. Northward gives you more control over who sees your health information than any insurance-based practice can.
Yes. Where your evaluation indicates that medication is an appropriate component of your care, your physician can prescribe directly within the practice. There is no separate referral, no prior authorization, and no delay between diagnosis and treatment. The same physician who evaluates you manages your complete care from day one, including all treatment modalities within evidence-based medicine.
The referral pathway for psychological testing exists primarily because of how insurance-based systems are structured, not for clinical reasons. A board-certified physician specializing in cognitive performance can conduct a comprehensive clinical evaluation and reach clinically sound conclusions in a single session — without routing you through a separate appointment first. That intermediate step was created by administrative constraints, not by medicine. Northward eliminates the referral and completes your full assessment within your 90-minute intake. You get results faster and can begin care within days rather than months.
For most patients, care begins within the same week as your evaluation. In many cases, clinical decisions and the initiation of a care plan happen within the evaluation session itself. This is the core advantage of a direct-pay model with a physician who holds full clinical authority. No insurance pre-authorization. No referral chain. No gap between diagnosis and action.
The $750 evaluation fee becomes a credit applied directly to your first subscription invoice. The math is straightforward.
On the Clarity plan ($500/mo): your first month is fully covered, and the remaining $250 applies toward your second month.
On the Performance plan ($1,100/mo): your first month is reduced to $350.
On the Executive plan ($2,500/mo): your first month is reduced to $1,750.
The evaluation is not an additional cost on top of your subscription. It is the starting point of your investment in care.
Yes. Northward services are generally eligible for payment via Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This means your investment in care may be made with pre-tax dollars, effectively reducing your out-of-pocket cost. We recommend confirming eligibility with your HSA or FSA administrator, as plan rules can vary.
Insurance involvement introduces constraints that compromise the quality and privacy of your care: session length limits, required diagnostic codes that enter external databases, prior authorizations, and records that are no longer fully private once submitted to a carrier. Northward is direct-pay so your treatment is designed entirely around what you need.
If you choose to pursue out-of-network reimbursement from your insurer, a superbill is available on request. Note that superbills contain standard diagnostic codes required for insurance processing — submitting one is entirely your decision and yours alone. Your insurer sees only what you choose to share.
Monthly subscriptions are billed automatically via secure recurring credit card. You may cancel with 30 days' notice at any time. Annual subscriptions are billed upfront at a discounted rate. Clarity and Performance tiers receive the equivalent of two months free. The Executive tier annual plan saves one month and includes GeneSight pharmacogenomics testing at no additional charge — a meaningful clinical and financial benefit in your first year. If your situation changes during an annual plan, contact the practice directly and we will find the right path forward together.
No. While ADHD in high-performing adults is a specialty focus, Northward serves the full range of cognitive and mental health conditions that affect professional performance: anxiety, mood concerns, sleep disruption, trauma, burnout, executive dysfunction, and other cognitive performance challenges. The common thread is not a specific diagnosis. It is that your cognitive output matters at a level the standard system has never been designed to address.
Your evaluation is where it starts. 90 minutes. Complete assessment included. Full clinical care beginning this week, not after months of referrals.
The $750 evaluation fee is credited in full toward your first subscription invoice. HSA and FSA eligible.