Neurodivergent-Affirming Evaluations & Coaching
Located in Amsterdam and Online
About
I'm Julie Angileri, a U.S. board-certified Psychiatric Nurse Practitioner and the founder of Discreet Insight, a neurodivergent-affirming mental health practice based in Amsterdam.
My path is anything but typical—and that’s exactly what makes it powerful. I bring a rare blend of expertise, with dual training in both psychiatry and family medicine, a fellowship in functional medicine, and additional credentials in integrative medicine. I’m also a certified ADHD and Autism Practitioner, with lived experience of both. This fusion of clinical knowledge and personal insight allows me to connect deeply with clients while offering a truly holistic, informed approach to care.
One of the things that sets my practice apart is my ability to identify and understand the medical conditions that often co-occur with autism and ADHD—such as sleep disturbances, hormonal imbalances, autoimmune issues, and digestive disorders. These are often overlooked in conventional settings, but I view them as vital pieces of the puzzle.
Equally important is how I see autism. I don’t approach it as a disorder to be “fixed,” but as a unique neurological difference to be understood, honored, and supported. My care model is strengths-based, affirming, and culturally attuned—grounded in respect for each person’s individuality and potential.
At Discreet Insight, I offer comprehensive autism and ADHD evaluations, therapy and coaching for adults and children, and parent coaching to help caregivers respond with practical, compassionate tools.
Whether you're seeking clarity, coping strategies, or a space where your neurodivergence is seen as a strength—not a setback—you’re welcome here.
Services
An ADHD evaluation is a comprehensive clinical assessment designed to understand how attention, focus, organization, and emotional regulation are functioning in your daily life. As a U.S. board-certified Psychiatric Nurse Practitioner, Julie Angileri conducts ADHD evaluations with a warm, collaborative, and neurodivergent-affirming approach.
The process includes:
A structured interview exploring your developmental, academic, and emotional history
Discussion of current concerns related to attention, impulsivity, time management, and executive functioning
Use of evidence-based screening tools and optional input from parents, teachers, or partners when applicable
Assessment of related mental health factors such as anxiety, mood, or sleep issues
The goal is not just to determine whether ADHD is present, but to gain clarity on how your brain works and what support will be most effective.
After the evaluation, you will receive a detailed summary with findings, clinical impressions, and individualized recommendations—whether that’s coaching, therapy, accommodations, or further steps.
(For Children, Adolescents, or Adults)
An autism assessment is a comprehensive clinical evaluation designed to explore how you (or your child) experience social interaction, communication, sensory input, and patterns of behavior. As a U.S. board-certified Psychiatric Nurse Practitioner, Julie Angileri conducts autism assessments with a warm, collaborative, and neurodivergent-affirming approach.
The process includes:
A structured interview exploring your developmental, social, and emotional history
Discussion of current experiences related to sensory processing, communication style, routines, and masking
Use of evidence-based screening tools and optional input from parents, caregivers, or partners when applicable
Assessment of related mental health factors such as anxiety, ADHD, or gender diversity
The goal is not just to determine whether autism is present, but to gain clarity on how you or your child relate to the world and what supports will be most affirming.
After the evaluation, you will receive a detailed summary with findings, clinical impressions, and individualized recommendations—whether that’s coaching, accommodations, therapy, or further support.
Discreet Insight offers thoughtful, affirming evaluations for individuals seeking documentation to access gender-affirming care, such as hormones, surgery, or legal changes.
Evaluations are conducted by Julie Angileri, a U.S. board-certified Psychiatric Nurse Practitioner, who approaches this work with respect, warmth, and a deep understanding of the barriers many trans and nonbinary people face.
The process includes:
A supportive, one-on-one conversation focused on your gender history, goals, and needs
Space to discuss your mental health, social context, and any previous care or support
Use of criteria aligned with WPATH guidelines, while centering your autonomy and self-knowledge
No unnecessary gatekeeping—just documentation that helps you access the care you deserve
If appropriate, you'll receive a written letter of support for gender-affirming treatment, customized to meet the requirements of your provider or clinic.
At Discreet Insight, gender diversity is not a diagnosis—it’s a human experience. You are the expert on yourself. Julie is here to listen, affirm, and support the next steps in your journey.
Coaching at Discreet Insight is more than strategy—it’s a space for reflection, support, and growth, grounded in both clinical expertise and lived experience.
Julie Angileri, a U.S. board-certified Psychiatric Nurse Practitioner, provides individualized coaching for ADHD and autism that looks beyond surface-level symptoms. Sessions focus on building insight, self-compassion, and practical tools for navigating daily life—from emotional regulation and executive functioning to sensory needs and identity development.
Support is available for:
Autistic and ADHD adults or teens looking to understand themselves better
Children who benefit from a strengths-based, affirming approach
Parents of neurodivergent kids who want to support their child while also managing their own needs and emotions
Julie brings not only her clinical background but her lived experience as a neurodivergent person and parent of two neurodivergent children. She understands, firsthand, the real-world complexities and joys of life outside the norm.
Whether you're feeling overwhelmed, stuck, or just looking for guidance, this work meets you where you are—with compassion, curiosity, and zero pressure to be “fixed.”
Snag your spot
Taking the first step towards mental wellness can feel daunting, but we're here to walk alongside you, every step of the way. Book an appointment with us today, and let’s embark on this journey to better mental health together.
