An Autism assessment gathers comprehensive information about an individual’s behaviour, development, social interaction and functional capacity. An Autism assessment can provide support and guidance for individuals and families by offering an understanding of the individuals neurotype as well as strengths and challenges. It can help individuals and families access appropriate resources and support services. TP Assessments use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) criteria for Autism, which is the preferred method of assessment by the National Disability Insurance Scheme (NDIS). Our Autism assessments and reports can be used to apply for the NDIS.
TP Assessments also ensure that our Autism assessments align with the Autism CRC National Guidelines for the assessment and diagnosis of Autism in Australia. These guidelines state Autism assessments may be undertaken as a Lead Practitioner Diagnostic Evaluation or a Consensus Team Diagnostic Evaluation.
A Lead Practitioner Diagnostic Evaluation is suited to clients whose clinical presentation is sufficiently clear and a diagnostic decision can be reliably made with high confidence by one suitably qualified and experienced clinician (i.e., paediatrician, or a clinical, educational/developmental, or neuro psychologist).
Consensus Team Diagnostic Evaluations are suited to individuals whose presentation is more complex or subtle, and where an accurate diagnostic determination of these individuals requires assessment from a broader multidisciplinary team.
TP Assessments primarily undertake Lead Practitioner Diagnostic Evaluations by clinical psychologists. A Lead Practitioner Diagnostic Evaluation will result in one of the following three outcomes:
Where needed, TP Assessments can conduct a Consensus Team Diagnostic Evaluation . In these cases, two psychologists (at least one being clinically endorsed) will perform these assessments. In the rare case where a high confidence diagnostic decision cannot be made by TP Assessments due to the complexity of the presentation, referral recommendations will be provided, and TP Assessments will collaborate with other clinicians as required to further the assessment.
The following link provides further information regarding assessment for Autism:
Autism is a neurodevelopment difference, or different neurotype, meaning an Autistic brain is structured differently to a neurotypical brain type. Individuals with an Autistic neurotype think, feel, interact with others and experience the environment in unique ways. The diagnostic criteria for Autism includes differences in the following areas:
Autistic individuals and the autistic community engage with social interactions differently and have different social norms to neurotypical individuals and communities. For example, an Autistic individual’s social world might thrive on shared interests, alternative forms of communication, including detailed sharing of knowledge or 'info dumping', and mutual understanding. These difference can often mean that Autistic people find a neurotypical social world confusing, overwhelming and stressful.
Autistic people tend to have difficulty developing and maintaining relationships in a neurotypical social world. This tends to be due to having a different approach to how one engages with and understands social interactions. This can look like appearing withdrawn or distant, getting overwhelmed by too much social contact, preferring to spend time alone or having a small number of friends, preferring to interact with people who are a lot younger or older and finding it difficult to understand more subtle social rules and cues.
Autistic people can have particular preferences for how they move their body and use speech. Often there is a preference for speech and movement to be repetitive. These preferences can feel pleasant, soothing and enjoyable. Traits might include rocking the body, hair twirling, finger/hand twisting, using particular phrases of speech repetitively or saying things a certain way.
Autistic individuals use their body in different ways when communicating. For instance, Autistic individuals tend to find eye contact awkward and uncomfortable and prefer not to look in someone’s eyes when talking to them. Other differences can include using gestures less or a lot more or using facial expressions differently.
Autistic individuals tend to have a strong preference for sameness and consistency. They can find changes to their routine or expectations very distressing and can find it difficult to do things differently or transition between different tasks. This also means that Autistic people tend to have routines or rituals that they like to follow. This can look like eating the same food every day, needing to follow a particular routine when getting ready in the morning or going to bed, or having strong preferences for things being done a particular way.
The Autistic brain tends to process sensory information differently to the neurotypical brain. This looks different for everyone, but a common experience is a high sensitivity to noise and finding loud noises uncomfortable and even distressing. Other sensory differences might include having strong preferences or aversions to certain textures, finding bright lights painful, being over or under sensitive to temperature or having preferences or aversions to different forms of touch.
Autistic individuals tend to engage with their interest strongly and tend to have a small number of passions or “spins” (special interest) that they are an expert in, rather than having a large range of interests that they know a little bit about. Spins or passions can sometimes play a very large part in someone’s life, and an Autistic person might have a strong desire to regularly talk about or spend time engaging with this interest. Autistic people can experience a lot of pleasure and enjoyment engaging with their spins, and this engagement is often rejuvenating. When focusing on a spin, the Autistic brain can stay focused and entertained for a long amount of time. These interests tend to be how Autistic individuals connect with others.
Other common Autistic experiences include differences in how someone experiences and responds to their emotions, the ability to learn and engage with social norms or expectations to “fit in” (masking or camouflaging), differences in their intellectual abilities and profile, an ability to think creatively and outside the box and persistent feelings of anxiety.
Another criterion to receive an Autism diagnosis is that the individual experiences functional impacts. This means that the individual has difficulty doing what is needed to get through life. These difficulties can occur across a range of life domains, such as self-care, social, work, school and community use. Specific examples of functional activities that an Autistic person might find challenging include completing household chores, making and maintaining social connections, accessing forms of transport, using the phone, completing schoolwork, finding or maintaining a job, or taking care of themselves. It is important to remember that functional difficulties occur when there is a poor fit between the environment and the individual. Given the world is designed for neurotypical brain types, Autistic individuals often do not experience a good fit between themselves and the environment around them. This is not the fault of the individual, and with appropriate supports, accommodations and understanding, these difficulties can often be reduced, and can help someone move from surviving to thriving within their environment.
The Autistic neurotype is thought to exist on a spectrum. The Autism Spectrum is not linear and varies greatly from one individual to another, reflecting the diversity within the Autistic community. This means that not one Autistic person is the same as another, in the same way that not one neurotypical person is the same as the other. A person’s Autistic experiences are also not static, and can change over their lifetime.
There is no treatment or “cure” for Autism, as it is a difference in how the brain works and does not need to be cured or fixed. Rather, neuro-affirming supports focus on implementing strategies that are tailored to the individual’s unique needs and goals. This can be quite varied, and might look like helping an Autistic person identify their sensory preferences to help them self-soothe, helping them to identify and express their needs in a way that feels comfortable for them or helping them to connect with the Autistic community in their area.
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