The Comprehensive Assessment and final report provides a very thorough approach and includes:

• A thorough assessment and final report, with official diagnosis (when applicable).

• I’ll finish and debrief your final report with you in 5 to 10 days, assuming you are reasonably available to speak with me for this. It’s a regular phone call, between ~45 and 75 minutes, depending on how many questions you have.

• Personalized recommendations, actionable insights, and a set of resources and general recommendations—based on what you request and also what I think may benefit you.

• Diagnostic impressions, including a summary of major themes observed, any substantial clinical findings, and notable patterns that arose during the interview and testing.

• Evaluate results using DSM5-TR criteria: we consolidate and map each test, its subscales, and interview results against DSM criteria, depicting the collective evidence of each autistic trait, to offer an overview of your results.

• Test results, subscales, & interpretation: the appendix details your test scores, with select tests further elaborated in this section, complemented by graphs illustrating your results against established norms or thresholds.

• Behavioural Observations or “mental status examination”: these are derived from the clinical interview, a standard practice where the interviewer notes aspects of your presentation during the conversation.

• Comparative graphs of your test scores analyze convergent validity patterns among various tests. Established statistical relationships between well-studied tests, like correlations between AQ’s social skills and CATI social interactions scores, are observed to reinforce confidence in results.

• A final debrief/feedback session (~60 minutes, as needed) to review the report, discuss findings and rationale, answer questions, and process your reactions to the results.

• Support: continued availability for follow-up questions and resource suggestions through email. In the months or years after we complete your assessment, you can always email me (Iain) with any questions you may have.

• Letter of accommodation: provided for requests in workplaces or academic settings, where a statement from the assessor is required. More complex requests may incur a fee, but your first, standard template letter is typically provided at no cost.

The Extended Assessment and final report includes everything from the previous tier, as well as:

• Advanced testing suite for auxiliary clinical domains: for enhanced thoroughness this option includes tests covering areas like executive functioning, depression, anxiety, OCD, etc., to provide supplementary information.

• Screening for learning difficulties: this is a thorough ‘screening test’ looking at areas such as reading, writing, listening, math, time, organization, and similar. It is not in-depth cognitive or educational testing, and we would not be able to diagnose learning differences or similar as a result of this screening, though of course it can provide some indications about strengths and weaknesses and perhaps suggest if further inquiry seems merited.

• Receive your final report in 1 to 2 days after the interview, assuming you are reasonably available for me to speak with you.

• A more robust set of summative comments in the diagnostic impressions section. The ‘comprehensive’ option includes this section generally, and in this ‘extended’ report option, more detail is included in the section.

• A visual and analysis of test data related to how much you are masking and how burned out you are, compared against average autistic scores on those tests (from research and a practice average from my clients).

• Background information related to relevant medical and family health.

• Overview of differential Diagnosis considerations. A thorough assessment must carefully evaluate possible alternate explanations for the experiences in question, and all versions of assessments here do so. In this report option, some of the details of your differential diagnosis will be noted.

• Additional test score data included in the appendix (for the ‘data nerds’ among us, myself included).

• Free access to everything in my Pay What You Want store.

• Discussion of discordant results and client strengths: These additional sections in the report discuss any discordant results, detailing how the assessor made sense of such disparities—examining relevant test questions, written answers, collateral, and the interview.

• Optional three month follow-up phone call: A 15-45 minute call approximately three months post-assessment to discuss how you’re progressing on your journey of self-discovery, process thoughts, ask questions, find additional resources as needed, and so on.

Neurodivergent people often face challenges in a neurotypical world, which is sometimes reflected language used in tests. I've excluded overly stereotypical tests, carefully selecting recognized ones balancing the slow evolution of academic and medical standards against a neuro-affirming perspective. This ensures that any diagnosis made is thorough and withstands scrutiny.

All versions of the assessment include these tests related to autism:

• Autism Quotient, Adult version (AQ)

• Adult Repetitive Behaviour Questionnaire-2 (RBQ-2A)

• Adult ADHD Self-Report Scale (ASRS-5)

• Kessler Psychological Distress Scale (K10)

• Camouflaging Autistic Traits Questionnaire (CAT-Q)

• Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R)

• Social Responsiveness Scale (SRS-2)

• Comprehensive Autistic Trait Inventory (CATI)

• Modified Girls Questionnaire for Autism Spectrum Condition 2020 (GQ-ASC)

• Sensory Perception Quotient (SPQ)

• Perth Alexithymia Questionnaire (PAQ)

• Adverse Childhood Experiences Quiz (ACE)

• Prodromal Questionnaire (PQ-B)

• PTSD Checklist for DSM-5 (PCL-5)

• Weiss Functional Impairment Rating Scale Self-Report (WFIRS-S)
  

A collection of written questions are also sent to you. Some are brief questions, and some are open-ended, so you can provide detail if you want to.

If you chose to include the ADHD add-on service, you’ll also receive the following tests:

• Barkley Adult ADHD Rating Scale-IV (BAARS-IV) for current symptoms

• Barkley Adult ADHD Rating Scale-IV (BAARS-IV-C) for childhood symptoms

• Barkley Deficits in Executive Functioning Scale (BDEFS)

• Barkley Functional Impairment Scale (BFIS)

• Wender Utah Rating Scale (WURS-25)

• Conners' Adult ADHD Rating Scales (CAARS)

• Diagnostic Interview for Adult ADHD (DIVA-5) semi structured interview
  
  Note: this ADHD assessment does not include cognitive or psycho-educational testing, nor does it involve the use of any software for continuous performance tests such as the Test of Variables of Attention (TOVA), MOXO CPT, QbTest, or the Conners’ CPT 3rd Edition. If you want an assessment that includes those forms of tests, you’ll have to look elsewhere (it will also likely need to be completed in-person)

Given the distinct nature of each individual, supplementary tests (e.g., the MMPI3) may be occasionally introduced in addition to our standard procedures, on an as—needed basis. The incorporation of these tests, when pertinent, ensures a thorough examination.