Autism Testing

Child and Adult Autism Testing

Both autism and ADHD create challenges for the individual, but also have some real strengths associated. Some of the strengths are natural facets of the diagnoses, and some arise from years of working to compensate for the challenges. Being neurodivergent isn’t necessarily a good or bad thing. Identifying your strengths and challenges, and understanding what drives them, can be an extremely valuable step in becoming your best self. Sometimes we do so by leaning into the strengths we have identified, and sometimes it’s because we recognize that we want to mitigate the negative impact of challenges. Regardless, having this information allows you and your treatment team to make informed decisions that improve your quality of life.

Common statements made by individuals seeking an autism evaluation include: 

“I’ve always felt different, but I never knew why.”
“As a kid, I was told I was ‘dramatic’ because I couldn’t handle certain things or environments.”
“I know I care deeply about people, but I’ve been told I lack empathy.”
“Does anyone think small talk isn’t pointless?”
“It feels like everyone else has been ‘let in on the joke,’ but I’m still trying to figure out what’s going on.”
“When people make jokes about ‘reading the room’, I’m confused about how to read it.”
“As I grew older, I was really lucky to find people who were quirky like me.”
“It seems like all of my friends are neurodivergent, and it has made me start to wonder if maybe I am?”
“Of course, I was upset about the change in schedule. I need time to plan for what we are going to talk about.”
“Socializing drains me, even when I love the people and am excited to see them.”
“I just wish people could be more honest and say what they are thinking or feeling.”
“My career is a mix of situations where I was the star and situations where I couldn’t seem to get it right.”
“My batteries get run down so much that I absolutely have to find a way to recharge or I can’t function. Sometimes, this results in coping strategies that I know are bad for me.”

These reflect some of the difficulties that autistic individuals face. As noted above, people with autism and ADHD also have strengths that their neurotypical counterparts may lack, resulting in other statements:

“When I get time to think things through, nobody on my team can do things as well as I.”
“My ability to notice and remember small details makes me exceptional at my job.”
“I never understood why other people didn’t see the pattern in the information that I could.”
“My ability to maintain my focus on something that interests me has allowed me to do some great things.”
“I’m really good at telling other people about what I’m thinking or feeling. I don’t expect them to read my mind, and I think that helps us to understand each other.”
“Growing up, people said I was rude, but when I finally found my tribe (or began to work with people from another culture), they saw that I was just being honest.”

Clearly, the challenges and strengths associated with autism can vary depending on the situation in which you find yourself. Further, adults and children demonstrate the challenges in different ways. Because adults with autism have typically spent years trying to figure out how to blend in or camouflage their differences from others, identifying the symptoms of autism can be rather challenging for an evaluator. As a result, the amount of time spent gathering information (and the breadth of information collected) is often greater for autism evaluations because a person may present typically but be masking the work needed to do so or be hesitant to discuss how difficult it was for them to develop the skills to present like others.

How we can help

An ANNW evaluation includes a comprehensive interview to understand where you are today, as well as how you arrived at this point. Understanding your complex history is necessary to distinguish between developmental issues and challenges that arose from life events. Unfortunately, many neurodivergent individuals have traumatic experiences that limit clarity even further and need to be understood to help inform treatment planning and recommendations.

What we use to make an accurate diagnosis
Developmental and health/medical history: As part of the comprehensive diagnosis intake process, we review various potential factors that may contribute to your challenges. This includes a review of your health history beginning during your mother’s pregnancy and continuing to the present day.  We may gather information through both intake forms and discussions that cover your developmental history, as well as your family’s medical and psychiatric history. All of this information can help your doctors differentiate between the complex factors at play and help to determine the best treatment approach for you.

Collateral Information: Your doctors will work to gather information about your cognition and behaviors from sources, including friends/family or teachers. This enables a more vivid representation of potential challenges and helps you understand how your behavior may affect others. Family members may also have a better understanding of your childhood behaviors, and teachers can speak to the impact of executive functioning on learning. Family or friends can provide valuable insights into how executive functioning difficulties affect relationships. Not only can this be beneficial in clarifying diagnoses, but it also allows your doctor to consider treatment approaches or recommendations that have the greatest impact on your mental health and overall functioning.

Testing data: We gather testing data about intellectual functioning, language expression and reception, attention, working memory, processing speed, executive functioning (problem-solving, organization, cognitive flexibility, impulse control, analysis and reasoning for visual and auditory information), memory for both what you see and hear, social perception, and social communication, along with behavioral data about social perception and social communication gleaned from hours of face-to-face interactions. Formal assessment of mood and personality is included to better understand how mood may impact your functioning. All of this data, in combination, informs treatment recommendations or accommodations for work and school as needed and appropriate.

How a Diagnosis is Made
The DSM-V diagnostic criteria serve as a basis for our understanding, although these criteria can be difficult to see in a capable individual who has spent years learning to compensate or mask their challenges. This results in a person who may be able to manage, but may fall far short of their optimal functioning. Having both comprehensive data available from an evaluation, along with the clinical knowledge gained from years of working with patients, allows our doctors to identify challenges that may not be apparent from a simple rating scale. 
If you are interested in Autism/ASD testing for yourself or your child, please contact us by phone or complete the contact form on the website. You will receive a call to schedule a time to get your answers and receive help. The costs and a detailed description of the evaluation are provided below.

Autism/Autism Spectrum Disorder Evaluation ($3,500) 

What’s included: 

  • A review of records 
  • A collaborative intake conversation to understand your life story, strengths, and concerns
  • Collecting information from collateral sources when available
  • Testing across all of the domains above, as well as IQ testing to compare your performance across domains
  • Personality and sensory-style assessments to explore how you interpret the world and relate to others
  • Recommendations for accommodations at school, work, or home environments
  • A comprehensive, strengths-focused report tailored to your goals and needs

We find this approach to be especially helpful for those seeking clarity, validation, or support for navigating life with a unique cognitive style.