Autism spectrum disorder (ASD) is often diagnosed in childhood. However, many adults are now recognizing lifelong traits linked to autism. In the past, autism signs were often missed or misunderstood. This was largely due to limited awareness and stricter diagnostic criteria.
Getting assessed for autism as an adult can provide clarity, understanding, and access to appropriate support. However, navigating the assessment process can feel overwhelming. Questions about where to start, what to expect, and how to proceed are common—and completely normal.
In this article, we walk you through every aspect of an adult ASD assessment. What does it involve? What should you expect? And how much does an autism diagnosis cost in Canada?
Autism Spectrum Disorder (ASD) in Adults
While everyone’s experience with autism is unique, some common patterns differ between adult men and women. Below, we take a closer look.
Signs of Autism in Adult Men
Overall, autism research has largely focused on men. At one point in time, it was thought to be solely a male diagnosis.
Adult men with autism may focus intensely on specific interests. This often involves systems, patterns, or technical topics. They might find it challenging to maintain eye contact during conversations. They may also struggle with understanding unwritten social rules. Many experience difficulties in building and maintaining friendships. In fact, many autistic men prefer solitary activities or structured social interactions.
Other common signs include:
- A preference for routine and difficulty adapting to unexpected changes.
- Direct communication style that others might perceive as blunt.
- Sensitivity to sensory experiences like loud noises, bright lights, or certain textures.
- Challenges in reading social cues and understanding others’ emotions.
- Strong adherence to rules and protocols.
- Difficulty with small talk or maintaining casual conversations.
Signs of Autism in Adult Women
Autism often presents differently in women. This can lead to underdiagnosis.
Common signs in adult women include:
- High ability to mask social difficulties in public settings.
- Strong empathy but difficulty expressing it in expected ways.
- Intense interests that may appear more socially acceptable.
- Tendency to analyze and internalize social interactions.
- Experiencing social fatigue from maintaining expected behaviours.
- Challenges with sensory processing that may affect daily activities.
- Perfectionist tendencies and high attention to detail.
At the same time, it’s worth noting that not every person will have all of the signs listed above for men or women. It can vary from person to person.
Average Age of Autism Diagnosis in Canada
In Canada, autism is typically diagnosed in childhood, with a median age of diagnosis of 3.7 years. However, many adults are now being diagnosed later in life, sometimes in their 30s or 40s. This trend is more common among women, who often receive diagnoses four to five years later than men.
Factors contributing to this later diagnosis include:
- Changes in diagnostic criteria over time.
- Greater awareness of autism in adults.
- Better understanding of autism in women.
- Improved access to diagnostic services.
- Recognition of masking behaviors in adults.
At Bhatia Psychology Group, we can assist in evaluating and determining an autism diagnosis. We offer autism assessments for both adults and children, helping you understand your unique strengths and challenges. Our team is here to guide you through the process and offer support every step of the way.
Getting an Adult ASD Assessment
Whether prompted by research, life challenges, or a healthcare provider’s advice, an ASD assessment can help you understand yourself better. So, what should you expect?
What to Expect During an ASD Assessment
A comprehensive ASD assessment includes several steps to ensure a complete evaluation. It starts with an intake session. In this session, clinicians learn about your experiences and developmental history.
Next, you’ll undergo interviews and tests to assess your thinking, communication, emotions, and behaviour. The clinician will also observe how you interact with others and gather details about your daily life.
How Long Does ASD Assessment Take?
Adult ASD assessments are thorough processes that typically span several sessions. The complete assessment usually takes between six to eight hours. The full assessment includes:
- An initial consultation for history-taking.
- A formal assessment and testing sessions.
- Follow-up discussions for feedback.
Your clinician will also spend time between sessions analyzing results. Afterward, they prepare a comprehensive report with recommendations.
ASD Assessment Cost
The cost of an adult ASD assessment in Ontario typically ranges from $1200 to $5000. This exact cost depends on the assessment’s complexity and specific requirements. Some private insurance plans may cover a portion of the assessment cost. It’s also worth checking with your provider about available coverage.
Private ASD Assessment
Private ASD assessments offer many benefits for adults seeking a diagnosis. Wait times are shorter, usually two to four weeks, compared to months with public services. They also offer flexible scheduling and thorough evaluations.
How to Get Tested for Autism in Ontario
In Ontario, there are several pathways to pursue an autism assessment. The first step often involves discussing your concerns with your family doctor. They can provide a referral to appropriate specialists.
While public healthcare options exist, they often have lengthy wait times. This is why many adults choose to pursue private assessments.
Who Can Diagnose Autism in Ontario?
Autism spectrum disorder can only be diagnosed by specific regulated healthcare professionals. These include:
- Psychologists and psychological associates registered with the College of Psychologists of Ontario.
- Medical doctors such as psychiatrists.
- Developmental pediatricians.
Receiving An Adult Autism Diagnosis
Receiving an autism diagnosis as an adult can be a profound and life-changing experience. For many, it provides a framework for understanding lifelong experiences and challenges.
After your assessment, you’ll receive a comprehensive report. This report outlines:
- Your results.
- Specific areas of strength and challenge.
- Recommendations for moving forward.
In turn, it can enable you to find appropriate support or workplace accommodations.
Bhatia Psychology Group: Adult ASD Assessment
At Bhatia Psychology Group, our experienced team of psychologists provides comprehensive ASD assessments for adults and children. We focus on creating a comfortable space where you can share your experiences openly and honestly.
Our thorough assessment process not only determines whether you meet the criteria for ASD in adults. It also provides you with valuable insights into your cognitive and emotional patterns. Ultimately, we aim to help you better understand yourself and access the resources you need to thrive. Contact us today to schedule your Adult ASD assessment. It’s never too late to get a proper diagnosis.
