Adult Autism Evaluations

Adult Autism Evaluations

Autism has become better understood and identified in children over the years, but there are many, many adults whose families and educators were unaware of this diagnosis when they were children. After years of feeling that something was different, many adults come to learn about autism after meeting friends who are familiar with ASD or having a relative diagnosed. Getting a good adult autism evaluation can be tricky for several reasons, but it can be really important for people to help them understand themselves and be able to better navigate the social world.Dr. Myszak recognizes that autistic adults who have not previously been diagnosed typically do not look “stereotypical” with obvious symptoms. Frequently, these individuals may be overlooked, not taken seriously, and unrecognized, even by many mental health professionals who do not specialize in this type of assessment. Dr. Myszak is aware of the different ways that autism can present in girls and women, and some of her testing focuses on their experience of “camouflaging” their symptoms and their internal experiences involving socialization. She is familiar with the concepts of Pathological Demand Avoidance (PDA), which many families have found and identify with.

Dr. Myszak completes many evaluations with adults who have wondered about autism but not received a diagnosis before—many have gotten other diagnoses along the way, including anxiety, depression, PTSD, bipolar disorder, and ADHD. Often, but not always, their intuition about whether they are on the spectrum is correct. Either way, she aims to help provide some guidance and support/recommendations. 

An Adult Autism Evaluation Consists of:

  1. The client completes several online measures prior to the appointment, which looks at symptoms of autism spectrum disorder, masking/camouflaging symptoms, and a personality measure. These help identify the types of difficulties a person is experiencing, how they manage these difficulties in their daily life, and other factors that may be at play.

  2. A 2 hour (typically virtual) appointment for a diagnostic evaluation to learn more about the client’s current and historical functioning and how they experience sensory and social events. 

  3. If it is possible, Dr. Myszak then completes phone interviews with the client’s parents to learn more about their early developmental history and sometimes other individuals (current therapist, spouse, etc.) to learn more about how their brain differences affect their relationships and daily functioning.

  4. With all of that information, Dr. Myszak scores a commonly used rating scale that assesses symptoms of ASD in individuals, and also compares symptoms to the diagnostic criteria to determine a diagnosis.

  5. A written report of results

  6. A feedback session over zoom, which includes an explanation of results, with recommendations and next steps for suggested follow-up. The goal is that by the end of this process, the individual has a clear understanding of their strengths and needs.

psychological evaluation for children

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This process works very well, and there are no difficulties completing this evaluation over telehealth (as long as you have a good internet connection).

For most, the rate for an autism evaluation is $1,500.  The total cost includes all sessions, a report of results and recommendations, and a feedback session to explain results and answer any questions that you may have. For additional concerns or needs, Dr. Myszak can address these needs for an additional cost at her hourly rate.

autistic adult still living with parents
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