Understanding the Process of Psychological Testing for Autism
The official name is Autism Spectrum Disorder (ASD). But most people just say “autism.” ASD is a developmental disability that is typically diagnosed during childhood. While each case of autism can be very, very unique, the underlying causes lie in the existence of differences in the brain. This is also called neurodivergence.
People with ASD may encounter difficulties in areas like learning, communication, and movement. In a world that is far from adapted to their needs, the person with autism can become confused, agitated, and withdrawn. To learn more about their needs, psychological testing and assessment are required.
Signs of ASD During Childhood
As stated above, this is when a diagnosis will likely take place. Thus, it’s quite helpful to understand the signs. There are far too many to list here, but these are a few of the foundational symptoms:
Play
Doesn’t like to share
Chooses solo play and has difficulty making friends
Does not engage in pretend play
Expression
Facial expressions seem unconnected to the situation
Does not reposed to their parents’ facial expressions
Can’t identify other people’s feelings
Doesn’t make eye contact
Fixation
Can memorize numbers, songs, music, letters, words, etc.
Engages in repetitive behaviors (e.g., flapping hands, rocking, repeating sounds, etc.)
Stays focused only on certain activities
Sensory
Prefers routine and ritual and struggles with change
Avoids physical contact
Displays extreme sensitivity to particular types of light, scents, textures, and sounds
The Process of Psychological Testing for Autism
The team of folks running such tests includes psychologists, neurologists, and developmental pediatricians. They have the training to know that some people with ASD will mask symptoms. In addition, concurrent conditions must be identified. This may commonly include anxiety disorders and/or Attention Deficit Hyperactivity Disorder (ADHD).
Standardized Tests
It is common for parents, teachers, and therapists to suggest testing whenever a child shows possible delays. Such tests can gauge academic ability, IQ, and neuro-psychological factors. For children with ASD, however, there typically are some obstacles. These may fall into three broad categories:
Language deficits
Difficulty paying attention
Behavioral issues
Therefore, a skilled team will adapt testing to accommodate the child’s needs. This can range from rapport-building to adjusting the environment and beyond.
The Elements of Testing for Autism
Reviewing Records
The parents will be asked to complete questionnaires, as will others, like daycare providers and/or teachers. If their child has been previously evaluated, those records will be requested, too. The goal is to gather enough background information to assist the clinicians.
Parent Interviews
This is a critical component as the parents or caretakers are the people most familiar with their child’s behaviors and tendencies.
Assessing the Child
Here is where the aforementioned standardized tests are administered. All the while, the clinicians can interact with and observe the child in action. Fortunately for the child, all of this appears and feels like play. This is the longest part of the process, and it is typically necessary to prepare the child. It’s a great idea for parents to bring snacks (for their child and themselves). Also, comfort items may come in handy.
Feedback Session
Of course, there will be a session where the clinicians and the parents meet without the child present. All of the background information and testing are factored in, and recommendations are made to the parents on how to move forward. Parents will get a complete written report later, but the feedback session is a crucial time to ask questions and get clarification.
Working with a mental health practitioner for a child psychological assessment is a valuable way to care for your child and yourself. If you need help navigating the process described above, I’m here. Let’s connect soon.
