Autism Evaluations for Adults
Respectful, affirming, confidential assessments for the clinical diagnosis of autism in adults.
Many will have been in therapy or other treatment, but continue to struggle with lingering effects of depression, anxiety, burnout or relationship challenges. Maybe they have questioned the possibility of being autistic, but were met with statements like…
“You’re too social and outgoing to be autistic”
“You’re just anxious.”
“You’re too emotionally attuned to be autistic.”
“You look me in the eye, you can’t be autistic.”
“Aren’t we all on the spectrum a little bit?”
For many years, autism was identified by what could be clearly observed by others. Unfortunately, this led to an enormous gap in our understanding of the autistic experience and has contributed to decades of misdiagnosis for high-masking individuals.
When a neuro-affirming assessment reveals or confirms their autistic brain style, everything begins to shift. Accurately identifying neurodivergence provides the context to understand their experiences and a framework to use for building meaningful support.
By the time adults seek out an autism assessment, they have likely already received one or more mental health diagnoses.
The Assessment Process
You can expect an assessment process that is collaborative and affirming. This will include a comprehensive review of your history (developmental, social, family, academic, health, etc), followed by a structured conversation focused on understanding your experiences with communication, relationships and sensory preferences/needs.
Through this dialogue, we will explore if the patterns throughout your life align with the autistic brain profile. In addition to the clinical interview, you will receive multiple assessment measures to identify the presence of autistic traits across multiple domains.
Prior to your final appointment, you will receive a written report that thoroughly details the evaluation process. This will include a summary of your unique strengths and differences with Language and Communication, Sensory Use and Interests, and Social Relationships and Emotions.
Your final appointment will be a time to review the report together, to answer your questions and to explore your options for next steps.
Commonly Asked Questions
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How long will it take?
Because every story is unique and each person will process at a different pace, some assessments may need more time than others.
Typically, the assessment interview will occur over the course of 4-5 appointments.
Each evaluation consists of three parts:
Assessment/Interview Process (4-5 hours)
Follow-up hours for reviewing and scoring information, as well as writing your summary report.
Final session to review the report, process your experience and explore recommendations for next steps (1 hour).
What is the cost?
The cost is $225 per 1 hour appointment.
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The primary diagnostic measure used will be the MIGDAS-2. This is a qualitative interview protocol designed to determine whether or not an adult displays a behavioral profile consistent with autistic brain differences, through the use of a sensory-based diagnostic interview.
In addition, the following measures will be included:
Underlying Characteristics Checklist, Self Report Adult (UCC2-SR Adult)
Social Responsiveness Scale, Second Edition (SRS-2)
Ritvo Autism Asperger Diagnostic Scale - Revised (RAADS-R)
Camouflaging Autistic Traits Questionnaire (CAT-Q)
Adult Repetitive Behaviors Questionnaire (RBQ-2)
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Autism Assessments are completed with Cara Joyner, LPC, ASDCS.
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Yes! If you choose to involve a partner, family member or close friend, their perspective can be a valuable piece of the evaluation.
You will have the option to have one assessment tool sent directly to them, so that they can share their observations. If you would like to invite them into the interview process, they are welcome to attend.
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For anyone living in the state of Virginia, assessments are available online, through a confidential telehealth portal.
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This evaluation will not include an ADHD assessment. If your report indicates the likelihood of ADHD, you will receive referrals for physicians or other clinicians who test and diagnose ADHD.
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For adults seeking an assessment for the purpose of identification, clarity and information to inform & support their therapeutic work, a full neuropsychological evaluation is not necessary in order to assess and diagnose autism.
There are situations where this would be the most appropriate route.
For those seeking documentation to be used when applying for disability services, they will likely need an evaluation covering a wider scope than simply assessing for autism.
If you plan to use your report to request accommodations at school or work, it is advised that you first speak with the organization to determine their requirements for testing.
If there are additional concerns related to cognition, memory or undiagnosed learning disabilities, a psychoeducational or neuropsychological evaluation would be necessary.
Schedule A Free Consultation Call
If you are interested in scheduling an evaluation or if you have questions about the process, let’s set up a time to talk.