Autism / Asperger’s Assessments

What is autism?

Autism is a developmental disability that affects children and how they communicate and relate to others around them. Autism can’t be cured but there is lots of support that can help children learn to cope with their difficulties.

Autism is also known as Autism Spectrum Disorder (ASD). The spectrum part of ASD means that, while all people with autism share certain areas of difficulty, their condition will affect them in different ways.

Autism brings strengths

Many people with autism like to focus in on very small details of things, in great depth. Channelled in the right way this could make them brilliant artists, mathematicians or computer programmers.

Autism brings difficulties

Generally autism brings difficulties in three main areas:
  • Communication: Development of language is often delayed in children with an ASD. Both verbal and non-verbal (e.g. gestures) communication can appear unusual. Children may make fewer gestures than “normal” children, such as pointing. They often struggle to make eye contact with others. Conversation with a child on the autistic spectrum may feel disjointed and not synchronised with the person they are talking to/with. Such children may struggle with the “to and fro” nature of a two-way conversation, and may dominate or avoid conversations. People on the autistic spectrum tend to be “black and white thinkers”, and struggle to understand phrases that are not concrete or where the meaning is not obvious.
  • Social interaction: Every environment has social rules, such as turn-taking and good manners. People with ASD can struggle to see others’ perspectives, so rules like turn-taking are often difficult to grasp. Some rules may seem illogical and confusing to a child with ASD. Why would you use different words when you’re talking to a child as opposed to an adult? Why are there rules about who you can play with in the playground and who you can’t? Why do I have to wait my turn?
  • Obsessions and Rituals: Because they often find the world unpredictable and scary, and are good at focusing on fine detail, people with ASD often develop intense and specialist interests. These interests may become obsessions. Common ones are trains/ Thomas the Tank Engine, and science fiction, but they can be almost anything. An obsession can be positive as it gives a child a “specialist subject” which they can be expert on. They can help build a child’s self-esteem as well as being enjoyable. If an obsession begins to take over a child’s life in a negative way however, and other things get pushed out, it’s important to seek help.
  • Asperger’s syndrome.

    One autism spectrum disorder is Asperger’s syndrome. Children with this syndrome can have significant difficulties in social interaction, and sometimes repetitive patterns of behaviour and interests. Children with Asperger’s can have highly functioning speech and ability. Physical clumsiness and peculiar use of language are also frequently seen.

    Are there any quick tests?

    Unfortunately not. Every child with autism is different and so diagnosing takes input from different professionals and different assessments.

    There are a couple of useful tools which you may wish to try. The national autistic society website provides information on The Checklist for Autism in Toddlers (CHAT) and The Australian Scale for Asperger’s Syndrome (Garnett and Attwood 1998). By no means should these tools ever be considered as a diagnosis.

  • National Autistic Society Website
  • Will a diagnosis help my child?

    This is understandably a big step for parents. On one hand, having a formal diagnosis can enable the family to move forward and plan how best to support the child’s strengths and weaknesses. On the other hand, parents are often worried that having a ‘label’ will be a negative thing for their child.

    There is no easy answer to this dilemma however a diagnosis is often a positive thing for the family.

    How do we assess for ASD at Everlief?

    At Everlief our assessments are conducted with input from a multi-disciplinary team. We base our approach on that used by the ‘Lorna Wing centre for Autism’ in Bromley (National Autistic Society). There are four parts to the assessment, the largest of which is the DISCO. Through many years of research and practice Dr Judith Gould designed the DISCO along with Lorna Wing and colleagues. We combine this with a cognitive assessment (conducted by a second psychologist), OT assessment and finally an observation in a different setting. The range of assessments is designed to ensure accuracy of diagnosis.

    The overall report is written by Dr Lucy Russell who is a specialist in autism. Dr Russell led the autism specialist service in a local NHS CAMHS team and also has a brother with Asperger’s Syndrome. This theory with ‘real life’ experience is very valuable.

    It is important to note that the assessments can never guarantee a diagnosis. If your child does have autism then this will come out through the assessments. Whether or not a diagnosis is given, the comprehensive set of reports will focus on helping your child with their difficulties.

    Details on the assessment components:
  • Initial pre-assessment appointment. This will look at existing reports, difficulties and general history
  • DISCO (diagnostic interview for social and communication disorders) which is structured parent interview with a psychologist
  • Cognitive assessment, either the WISC (weschler intelligence scale for children) or WPPSI (weschler preschool and primary scale of intelligence) depending on the age of the child.
  • Observation ideally at school or nursery
  • Occupational Therapy assessment our partners Leap Therapy
  • Will Everlief be there to help after diagnosis?

    Absolutely. We will start by being there to answer any questions you have after reading the reports.

    Next, there may be some prioritisation to be done on the recommendations.

    Finally, we can support your child therapeutically (for instance with social skills, anxiety or obsessions). We are also continually expanding our network of other therapists (e.g. music, yoga, nutrition) to ensure we can recommend others who can help your child get the support they need.

    How much impact can therapy make?

    Every child is different and so this is a really difficult question to answer.

    The aim of therapy will be to reduce the impact of your child’s difficulties. With our help your child should be able to learn how to cope and adapt to minimise the difficulties. In our experience this can have a very positive knock on effect on how they build friendships and their general happiness.

    Contact us for more information
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