Where to Get Tested for Autism in Adults
Autism Spectrum Disorder (ASD) is increasingly recognized in adults who may have gone undiagnosed during childhood. For many, seeking a formal autism diagnosis as an adult is a significant step toward self-understanding, accessing support, and improving day-to-day functioning. If you’ve ever wondered where to get tested for autism in adults, you’re not alone, and knowing where to begin can feel overwhelming.
Fortunately, there are professionals trained in adult autism evaluations who can help you navigate the evaluation and diagnostic process. Whether you’re exploring autistic traits for the first time or have long suspected you’re on the spectrum, this guide will walk you through what to expect, who to see, and how to take the next step.
Understanding Autism Spectrum Disorder in Adults
Autism Spectrum Disorder is a neurological and developmental condition that affects how a person communicates, processes social situations, and responds to sensory input. While autism is often associated with childhood diagnoses, many adults go undiagnosed for years, especially those who developed coping mechanisms that masked symptoms early on.
Adults on the spectrum may struggle with:
- Understanding social norms or unspoken communication
- Maintaining relationships or reciprocating emotions
- Interpreting facial expressions or tone of voice
- Managing change or transitions
- Regulating sensory input (e.g., lights, sounds, textures)
At the same time, many autistic adults possess strengths like social skills, intense focus, attention to detail, and deep expertise in special interests. A diagnosis doesn’t change who you are; it helps clarify why certain things feel challenging and opens the door to better support.
Recognizing Autistic Traits in Adulthood
Understanding your traits is often the first step toward seeking an evaluation. Autistic traits vary widely, but many adults describe a lifelong pattern of feeling “different” or misunderstood due to their symptoms. These traits can be internal or outwardly observable and may become more noticeable with increased life demands, such as relationships, parenting, or career expectations.
Common traits in autistic adults include:
- Difficulty with social-emotional reciprocity (e.g., sustaining conversations or reading emotions)
- Preference for routines and predictability
- Sensory sensitivities (e.g., discomfort with noise, clothing textures, or lighting)
- Difficulty maintaining eye contact or using facial expressions naturally
- Highly focused interests or hobbies
- Challenges with executive functioning (e.g., planning, organizing)
Recognizing these signs can help validate your experiences and prepare you for the assessment process. It can also guide the conversation with your healthcare provider or therapist when seeking support.
Adult Autism Diagnosis: What to Expect
Getting diagnosed with autism as an adult typically involves several steps. The process focuses on your developmental history, current behaviors, and how those traits affect your daily life. Unlike childhood evaluations, adult assessments often rely more heavily on interviews and self-reported experiences.
Here’s what the adult autism diagnostic process often includes:
- Initial Consultation: This may begin with a primary care provider, psychologist, or psychiatrist who evaluates whether further testing is appropriate.
- Developmental History: You may be asked about childhood milestones, relationships, school experiences, and behavior patterns.
- Clinical Interviews: These structured conversations explore current challenges with communication, behavior, and sensory processing.
- Standardized Assessments: Tools such as the Autism Diagnostic Observation Schedule (ADOS) or the Autism Diagnostic Interview-Revised (ADI-R) may be used.
- Input from Family or Caregivers: If possible, clinicians may also interview someone who knew you in early childhood.
After the evaluation, you’ll receive a written report with the clinician’s findings. This report often includes a formal diagnosis (if applicable), as well as recommendations for accommodations, therapy, or workplace support.
Why an ASD Diagnosis Matters
Some adults wonder if seeking a diagnosis is worth the effort, especially if they’ve adapted to life without one. But for many, the benefits go far beyond a label.
A formal diagnosis can:
- Provide clarity: It explains past experiences, from childhood struggles to current patterns of interaction.
- Open doors to support: Diagnosis may help you qualify for accommodations at work, therapy services, or government programs.
- Connect you to the community: Being diagnosed can help you find others with similar experiences through support groups or advocacy networks.
- Empower self-advocacy: Understanding your traits allows you to articulate needs and boundaries more effectively.
An ASD diagnosis doesn’t change your identity; it enhances your ability to navigate life with self-awareness and support.
Where to Get Tested for Autism in Adults
Finding the right primary care physician or professional to evaluate autism in adults is essential. Not all providers are trained in adult autism assessment, and approaches may vary depending on your location, insurance, and access to specialists.
Here are common pathways to get tested:
- Primary Care Providers (PCPs): Start by speaking with your doctor, who can provide referrals to specialists and rule out other medical conditions.
- Clinical Psychologists: These professionals are often trained in diagnostic evaluations and can use standardized tools to assess autism.
- Psychiatrists: While primarily focused on mental health diagnoses, psychiatrists can evaluate autism and may assist with medication management for co-occurring conditions like anxiety or ADHD.
- Neuropsychologists: These specialists conduct in-depth cognitive testing and may assess for autism alongside other neurodevelopmental disorders.
- University Clinics or Autism Centers: Some academic institutions offer adult autism testing services, often at reduced rates.
When choosing a provider, ask if they have experience diagnosing autism in adults, what tools they use, and what to expect in terms of timeline and cost.
Adult Autism Testing: What the Process Involves
Once referred or connected with a specialist, the adult autism testing process typically involves multiple stages over several appointments. The process may take several weeks, depending on provider availability, assessment length, and whether a written report is included.
Here’s what to expect:
- Intake Questionnaire: You’ll complete forms about your social history, sensory experiences, and developmental milestones.
- Behavioral Observation: Some clinicians may use structured activities to observe behavior in real time.
- Cognitive Testing: Tests may assess memory, attention, and executive functioning to rule out or differentiate from other conditions.
- Autism-Specific Tools: Common tools include the ADOS-2, AQ (Autism Quotient), or RAADS-R (Ritvo Autism Asperger Diagnostic Scale–Revised).
- Family Interviews: If possible, input from family about your early childhood may strengthen the assessment.
The final step is a written report that includes diagnostic impressions and personalized recommendations. This document can be shared with therapists, schools, or employers to request accommodations or support.
Barriers to Autism Diagnosis in Adults
For many adults, pursuing an autism diagnosis is not a straightforward process. Long waitlists, lack of trained providers, and outdated misconceptions about who “fits” the autism profile can all make the path more difficult. Some adults may have had their symptoms misunderstood earlier in life as anxiety, ADHD, or even personality differences.
Common barriers include:
- Limited provider availability: Not all psychologists or psychiatrists are trained in adult autism assessment.
- Misdiagnosis or late diagnosis: Autistic traits may be masked, especially in women, people of color, and those with strong coping skills.
- Stigma or self-doubt: Adults may question whether they “deserve” a diagnosis if they’ve coped well or never had formal support.
- Cost and access: Testing may not be covered by all insurance plans, and some private providers charge high fees out of pocket.
Addressing these barriers means raising awareness, advocating for broader diagnostic access, and providing resources to help adults move forward confidently.
After the Diagnosis: What Comes Next?
Receiving an autism diagnosis as an adult can be both validating and overwhelming. Some feel immediate relief, while others experience a mix of emotions as they begin to process what the diagnosis means.
Here’s what many adults do after receiving a diagnosis:
- Connect with community: Many autistic adults find support, advice, and solidarity through online forums, local groups, and neurodiversity networks.
- Seek therapy or coaching: Working with a therapist familiar with autism can help you explore identity, relationships, and daily challenges.
- Request accommodations: A formal diagnosis can make it easier to seek workplace or academic accommodations, such as communication support or flexible schedules.
- Educate family and friends: Sharing your diagnosis with loved ones can foster better understanding and strengthen your support system.
- Revisit your story: Many adults reflect on past experiences through a new lens, reframing struggles with compassion and clarity.
A diagnosis isn’t the end; it’s a foundation. With greater self-awareness and the right tools, autistic adults can thrive on their terms.
Conclusion
Getting tested for autism as an adult can be a life-changing step toward self-understanding and meaningful support. Whether you’re just beginning to explore your experiences or seeking a formal diagnosis, knowing where to go and what to expect empowers you to take informed action. With the right professionals, tools, and support systems in place, autistic adults can gain clarity, community, and confidence in every stage of life.
Thinking about getting tested for autism as an adult? At Champions ABA, we recognize that diagnosis is more than a label; it’s a path to clarity, confidence, and support. Our experienced clinicians provide personalized evaluations and compassionate care for autistic adults seeking answers. Whether you’re navigating relationships, work challenges, or long-held questions, we’re here to walk with you every step of the way. Call (877) 242-1744 or visit our website to learn how we can help you move forward with understanding and support.
FAQs
How do I get diagnosed with autism as an adult?
To get diagnosed, start by speaking with a primary care provider or therapist who can refer you to a specialist in adult autism. The process usually includes interviews, questionnaires, and behavioral assessments. A psychologist or psychiatrist will evaluate your history and current traits to determine if you meet diagnostic criteria.
What are the 12 signs of autism in adults?
Signs of autism in adults may include social challenges, intense focus, sensory sensitivities, difficulty with eye contact, repetitive behaviors, preference for routines, struggles with small talk, anxiety in social settings, literal thinking, difficulty expressing emotions, special interests, and differences in facial expressions. Not every autistic adult will have all these traits.
How do you get an assessment for autism as an adult?
You can get an assessment through a psychologist, psychiatrist, or neuropsychologist with experience in autism diagnosis. The process involves a clinical interview, autism-specific screening tools, developmental history, and possibly cognitive testing. The goal is to understand your lifelong patterns of behavior to achieve an accurate diagnosis and how they affect your daily life.
Can my GP diagnose adult autism?
A general practitioner (GP) typically cannot make a formal autism diagnosis, but they can refer you to a qualified mental health provider or autism specialist for a diagnosis of autism. They may also help rule out other conditions and ensure you’re connected to the appropriate testing resources.