NeuroDiversity Assessments- Adults

What can be assessed?

A variety of neurodiverse presentations can be assessed for, including:

  • AUTISM (previously Aspergers)

  • ADHD/ADD

  • Sensory Processing disorder

  • OCD (Obsessive Compulsive Disorder)

 

Differential diagnoses are also screened for, which can include mood disorders, anxiety disorders, and so forth. 

Why should I invest in having an assessment? 

An assessment can be helpful if you identify with any of the following:

  • You relate to many of the characteristics of neurodiversity 

  • Previous therapy hasn't worked

  • You feel like an outsider

  • Life seems easy for everyone else, but difficult for yourself

  • You have a feeling as though something is 'not quite right'

  • Friends or family have suggested neurodiversity

  • You have a child or parent who is neurodiverse

  • You are curious and want to seek answers

  • Having a formal confirmation could assist with university or work environments

 

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What is involved in the assessment?

During the initial session, it will be discussed what aspects of NeuroDiversity you relate to, and how it came to be that you are seeking an assessment. 

A brief initial 'screening' assessment will be conducted, followed by a discussion of the next steps of the assessment (depending on what will be focused on). You will be provided an estimate on how many sessions it will likely take to finish the assessment (usually 3-4 in total). 

 

After the first session, you will be asked to complete some 'between session' assessment tasks, for example, self-administered questionnaires, friend/family/partner questionnaires, specific tasks to acquire observations or information. You might also be asked to complete questionnaires straight after the initial session in the waiting room (so leave half-an-hour free!). 

Session two to three will focus on collating the information from the various sources (e.g.,from the client, questionnaires, friends/family/partners, tasks, reports), clarifying any areas that are important, and then discussing the outcomes. ​​

The final session is a feedback session, in which you will receive the outcome of the assessment process. This is also an opportunity to discuss post assessment processes and options (e.g., therapy options, information sources, support groups). It is also a great time to ask any questions you might have about neurodiversity. 

Each session is 50-minutes duration. If neurodiversity is ruled out during the process, there is no need to continue with the assessment process unless you wish to explore alternative presentations. 

What assessment methods are used?

As there are no 'gold standard' assessment questionnaires for adult NeuroDiversity (particularly autism), Lily uses a variety of methods in order to 'crosscheck' assessment accuracy and to ensure thoroughness of the assessment process. This includes:

  • Clinical interview

  • Self-report

  • Self-report questionnaires

  • Partner/family/friend questionnaires

  • Observations

  • Previous reports or information

  • Psychometric tools 

Formal assessment questionnaires are of good psychometric properties and are restricted to be used only by clinical psychologists. 

What domains are typically assessed? 

As every person is unique, an individual approach will be taken to develop the right assessment domains for you. As a baseline, all assessments involve  history taking in the following areas:

  • Developmental 

  • Educational/Academic

  • Social

  • Personality traits

  • Employment

  • Health/illnesses

  • Family history or relationships

  • Family history of health/illness

  • Significant life events

 

Further assessment in other areas using psychometric tests, can include:

  • Executive functioning (e.g., working memory, planning. emotion regulation, adaptability) 

  • Social Responsiveness

  • Coping

  • Attention/concentration 

  • Anxiety & Mood disorders

  • Personality disorders

  • Other clinical psychological conditions

How do I prepare?

It can be helpful to have the following done before the initial session:

  • Previous psychology reports or letters

  • Any reports or assessments done in childhood such as from speech therapists, paediatricians, occupational therapists. 

  • Notes or dot points of anything you think might be important for Lily to know for your assessment.