Services | Saga Health & Wellness
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Services & Specialties

Understand first, then treat.

Saga offers a focused range of clinical services, each shaped by the same commitment. Every service we provide is grounded in careful diagnostic thinking and designed for people whose needs exceed what a standard clinical model can offer.

01

Diagnostic Assessments

Clarity before treatment.

Clear diagnostic understanding is the foundation of effective treatment. We offer three assessment pathways, tailored to the complexity of your presentation and your clinical needs.

Basic Diagnostic Evaluation

$750

For individuals beginning therapy who seek diagnostic clarity about their primary concerns.

Includes
90-minute clinical interview
Standardized symptom measures (screening for anxiety, depression, trauma, substance use, mood disturbance, and other relevant domains)
Diagnostic formulation and treatment recommendations
Feedback and treatment planning integrated into your first therapy session
Appropriate for

Individuals with straightforward presentations, anxiety or depression, adjustment difficulties following life changes, grief, trauma responses, burnout, or concerns related to medical illness, who benefit from diagnosis clarification and structured treatment planning.

Comprehensive Diagnostic Evaluation

$1,200

For individuals with complex presentations requiring deeper diagnostic assessment and personality profile clarification.

Includes
90-minute clinical interview
Personality assessment
Multiple targeted symptom and diagnostic measures
Comprehensive diagnostic formulation
Dedicated 30-minute results and treatment-planning consultation
Written diagnostic summary with individualized recommendations
Appropriate for

Individuals who have received multiple or conflicting diagnoses, whose symptoms span several domains, or whose presentation does not fit neatly into a single diagnostic category. The Comprehensive Evaluation provides clarity on complex differential diagnoses and detailed personality profile information to guide treatment.

"I've been diagnosed with bipolar disorder, ADHD, PTSD, and borderline personality disorder by different clinicians, and nobody seems sure what's actually going on."

Comprehensive ADHD Evaluation

$4,200

For individuals seeking comprehensive ADHD and cognitive evaluation.

Includes
Clinical interview and diagnostic screening
Full cognitive testing (WAIS-5, D-KEFS executive functioning battery)
Continuous performance testing
Personality assessment
ADHD symptom rating scales (Conners, ASRS)
Multiple targeted symptom measures
Integrated psychological assessment report
Results and treatment-planning consultation
Appropriate for

Individuals seeking thorough ADHD evaluation with cognitive testing to clarify the presence, profile, and impact of attention, executive functioning, and cognitive processing. This evaluation identifies strengths and specific areas of challenge, and provides concrete recommendations for treatment, educational accommodations, or workplace supports.

Comprehensive ADHD Evaluation

Ages 16 and up

More than a yes-or-no answer.

Attention problems rarely have a single cause. Anxiety, depression, trauma, sleep disruption, mood cycling, and chronic stress can all look like ADHD, and they often occur alongside it. An evaluation that only asks "Is it ADHD?" can miss the answer that actually matters.

Our evaluation is built around differential diagnosis: understanding what is driving your difficulties, so treatment addresses the right thing.

Who it's for

Adolescents 16 and older and adults who have long wondered about ADHD, people whose previous evaluations or treatment haven't produced a clear picture, and anyone whose attention difficulties sit alongside mood, trauma, or health concerns.

For adolescents under 18, a parent or guardian takes part in the intake and results session.

What the evaluation includes
Clinical interview covering developmental, educational, occupational, and medical history
For adolescents, parent and teacher input and review of school records, with measures selected for age
Cognitive testing of reasoning, working memory, and processing speed
Executive functioning testing of flexibility, inhibition, and decision-making
Computerized continuous performance testing of sustained attention
Current and childhood ADHD symptom measures
Personality and psychopathology assessment
Screening for depression, anxiety, and bipolar-spectrum symptoms, plus targeted measures as your presentation calls for
Validity testing, so results reflect your true abilities
An integrated written report and a dedicated results session to walk through findings and next steps
Please note

This evaluation is designed for diagnosis and treatment planning. If you need documentation for academic, college entrance exam, licensing, or standardized-testing accommodations, let us know during your consultation call, since those requests often have additional testing requirements.

How it works
Step 1

Schedule your assessment (phone consultation to confirm which option is appropriate for your needs).

Step 2

Complete your evaluation. Bring any relevant records or medical information.

Step 3

Receive your results. For the Basic Evaluation, findings and treatment planning are integrated into your first therapy session. For the Comprehensive and ADHD evaluations, you'll receive a detailed results consultation.

Step 4

Begin treatment. Whether you continue therapy with us or pursue other supports, you'll have clear direction and actionable recommendations.

Additional notes

If you begin with a Basic Diagnostic Evaluation and we identify substantial diagnostic complexity during that assessment, we can recommend transitioning to a Comprehensive Diagnostic Evaluation. Your Basic Evaluation fee applies fully toward the Comprehensive evaluation cost.

All assessments are conducted by Dr. Soffia Elisabet Palsdottir, Psy.D., and include a comprehensive written diagnostic summary and treatment recommendations.
02

Psychotherapy

Depth-oriented, relationally grounded.

Therapy at Saga is formulation-driven. Your treatment is shaped by a specific, evolving understanding of who you are, what patterns have developed over time, and what is maintaining your distress, not by a manualized protocol applied to a diagnostic label. Our approach draws primarily on psychodynamic and relational theory, integrating mindfulness-based, cognitive-behavioral, and existential modalities as the clinical picture warrants, with a strong emphasis on the mind-body connection and the impact of lifestyle factors on psychological well-being.

Progress you can see, not just feel.

Brief, periodic measures throughout treatment help us track what's working together, a way of checking our bearings alongside the deeper relational work, so that both of us can see the path forward clearly.

Clinical focus areas

Psychological impact of serious medical illness

Flagship specialty

Serious illness does not only threaten the body. It interrupts identity, upends roles inside a family, and asks people to make consequential decisions while frightened and exhausted. Much of that goes unspoken in medical settings, where the appointment is short and the focus is necessarily on the disease.

This is the work our founder trained in at the bedside, and it remains the practice's deepest area of expertise. We understand treatment protocols and their psychological costs, we can hold conversations about mortality without deflecting, and we recognize that distress after treatment ends is not a relapse but a predictable part of the arc.

Common reasons people come to us
Cancer diagnosis, active treatment, and survivorship
Stem cell transplant, including pre-transplant psychological evaluation
Chronic and progressive illness reshaping daily life
Medical trauma, procedural fear, and scan-related anxiety
Adjustment, identity disruption, and return to work
Anticipatory grief, end-of-life distress, and bereavement
Caregiver and family distress

Women's mental health

Perinatal mood and anxiety, perimenopause-related mood changes, reproductive loss, and the hormonal-psychological interplay that shapes them.

High-functioning professionals

A specialty area. For executives, physicians, founders, attorneys, and other high-achieving professionals whose competence masks how depleted they've become. We work with burnout that doesn't resolve with rest, moral injury from workplaces that reward compromise, the exhausting effort of holding a role together for others, and the gap between an outwardly capable identity and an inward sense of imposture or emptiness. Because these patterns rarely show up as obvious distress, treatment starts with taking seriously what the person themselves may be inclined to minimize.

Complex grief and existential distress

A specialty area. Grief that doesn't move in a predictable arc, ambiguous loss, disenfranchised loss, grief tangled with relief or guilt, or loss that surfaces years later at a life transition. We also work with existential distress that isn't grief at all: disorientation after a life-altering event, a crisis of meaning or purpose, or the quiet unraveling that can follow when a life built around achievement or caretaking no longer feels sufficient.

Trauma and relational patterns

Acute trauma following a single overwhelming event, and complex trauma built from prolonged or repeated experiences, including childhood adversity, attachment disruption, and the ways early relational experiences shape adult functioning.

First responders

Police, fire, EMS, and dispatch personnel facing the cumulative weight of repeated exposure to traumatic events, alongside the sustained stress, shift demands, and cultural pressures particular to the work.

Sessions are typically 50 minutes, with 75- and 90-minute sessions available. Frequency is determined collaboratively.

Couples

Couples Therapy

A depth-oriented approach to couples work, grounded in the same formulation-driven philosophy as our individual therapy. Rather than focusing only on surface conflicts or communication scripts, we work to understand the maladaptive relational patterns each partner brings into the relationship, how early attachment experiences continue to shape expectations, reactivity, and repair, and what unmet needs are driving the cycles that keep resurfacing. The goal is not a quick fix to the presenting argument, but a clearer, shared understanding of the relationship's underlying dynamics, one both partners can use long after treatment ends.

How the Saga model helps

A small caseload means your therapist has the time to know your history in depth, adjust the approach as your formulation evolves, and stay in close conversation with any evaluator or wellness provider also supporting your care.
03

Wellness Services

Supporting the body alongside the mind.

We offer a small set of wellness services for patients who want to support their psychological care with practices that address the body directly.

Red Light Therapy

Low-level red and near-infrared light sessions used to support recovery, sleep, mood, and overall well-being, offered as a complement to, not a substitute for, psychological treatment.

How the Saga model helps

Wellness services are offered under the same roof and coordinated with your clinical team, so physical recovery and psychological care reinforce each other rather than running as two disconnected efforts.
04

One practice, one team, one formulation.

Whether a patient is engaged in therapy alone or undergoing a comprehensive evaluation, the clinical team is working from a shared formulation. Your therapist and your evaluator are not operating in parallel, they are in conversation, guided by the same understanding of who you are and what you need.

This is what we mean by craft. Not more services, but more coherent care.

How the Saga model helps

This is the practical payoff of Saga's structure: no re-explaining your history to a new provider, no conflicting recommendations, just one team working from one understanding of you.

Not sure which service fits?

That's exactly what the first conversation is for. We'll help you understand which path makes sense before anything begins.

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