Autism Testing & Diagnosis FAQ: Your Complete Guide

Neuropsychological testing for children, teens, and adults

Table of Contents

As San Diego’s leading autism testing specialists, KMN Psych provides expert neuropsychological evaluations for individuals of all ages. Whether you’re seeking answers for yourself or a loved one, this comprehensive FAQ addresses the real questions and concerns we encounter daily from families navigating the autism diagnosis process.

General Autism Testing Questions & Concerns

Doctor meeting wit patient regarding autism testing

These foundational questions cover the basics of autism testing and diagnosis, from the initial decision to seek evaluation to understanding what the process involves.

How do you get tested for autism?

Getting tested for autism is more accessible than many people realize. At KMN Psych, we’ve streamlined the process to ensure that anyone seeking answers can easily access high-level, specialized autism testing.

Here’s how simple it is to get started:

  1. Call us directly at (858) 224-2906. No referral needed.
  2. An initial phone consultation where we listen to your concerns and explain the process
  3. We handle Insurance verification for you to understand your coverage options.
  4. Schedule your comprehensive evaluation – typically within weeks, not months.
  5. Complete your assessment with our autism specialists who understand your unique needs.

Our mission is to ensure every client feels seen, heard, and understood throughout their testing journey. Whether you’re a parent concerned about your child, an adult seeking answers about yourself, or someone supporting a loved one, we make autism testing accessible without compromising on quality.

What is the difference between autism screening and autism testing?

Autism screening is a brief preliminary assessment (often just a questionnaire) that indicates whether further evaluation might be needed. Professional autism testing, also called a comprehensive autism evaluation, is an in-depth assessment conducted by qualified mental health professionals that can provide an official diagnosis. Only comprehensive testing can confirm or rule out autism spectrum disorder (ASD). 

What’s the point of getting an autism diagnosis if there’s no cure?

This is a common and valid question. While there’s no “cure” for autism (nor should there be – autism is a neurological difference, not a disease), diagnosis provides significant benefits:

  • Self-understanding and relief from years of self-blame
  • Access to accommodations at work, school, or in daily life
  • Better mental health treatment tailored to autistic needs
  • Connection with the autism community and appropriate resources
  • Validation that your struggles are real and not character flaws
  • Improved relationships through better communication about your needs

Isn’t autism just a “fad” these days?

Increased autism awareness, largely due to the rise of social media platforms like TikTok, X (formerly Twitter), and Facebook, has led to more people seeking a diagnosis, but this doesn’t mean autism is trendy or fake. What’s happening is:

  • Better understanding of how autism presents in adults and women
  • Reduced stigma makes people more comfortable seeking help
  • Recognition that earlier criteria may have been missed for many undiagnosed adults
  • Improved access to autism specialists and resources

People don’t fake neuropsychological evaluations. The comprehensive testing process at KMN Psych involves objective assessments that can’t be easily manipulated.

Will I use my autism diagnosis as an “excuse” for my behavior?

A diagnosis isn’t an excuse; it’s an explanation. Understanding that you have an autism diagnosis helps you:

  • Identify which challenges stem from autism vs other factors
  • Develop more effective coping strategies
  • Communicate your needs clearly to others
  • Take responsibility for your actions while understanding your limitations
  • Make informed decisions about accommodations and support

What’s the difference between a general doctor and an autism specialist?

General practitioners (GPs) often receive limited training in autism and may not recognize its presentation in adults. Autism specialists like those at KMN Psych have:

  • Extensive training in autism across all ages
  • Experience with comprehensive neuropsychological testing
  • Understanding of how autism presents differently in various populations
  • Access to specialized assessment tools
  • Knowledge of current research and diagnostic criteria

I got conflicting opinions from different professionals regarding whether or not I have autism. What should I do?

Unfortunately, this happens when providers have different levels of autism expertise. If you receive conflicting opinions:

  • Ensure you’re seeing qualified autism specialists, not general practitioners
  • Look for providers who use comprehensive, standardized testing, such as KMN Psych
  • Consider the depth of evaluation – brief consultations can’t provide an accurate diagnosis
  • Seek evaluation from psychologists or psychiatrists with specific autism training

Can I refer myself for autism testing?

At KMN Psych, you can contact us directly without a referral from your primary care doctor. We’ll discuss your concerns, verify insurance coverage, and help you schedule comprehensive testing. You don’t need to go through a GP first.

Who is qualified to diagnose autism?

Proper autism diagnosis requires specific training and qualifications:

Qualified to diagnose:

  • Licensed psychologists (PhD or PsyD) with autism assessment training
  • Psychiatrists with neurodevelopmental disorder expertise
  • Developmental pediatricians (primarily for children)

Not qualified to diagnose:

  • General practitioners (though they can refer)
  • Most therapists and counselors can recommend testing
  • School psychologists can identify educational needs, but not provide a medical diagnosis

At KMN Psych, Dr. Doshay and our clinical team possess the specialized training and experience necessary for accurate autism diagnoses using evidence-based assessment tools.

What early signs should parents watch for in young children?

Common early autism signs in toddlers and young children include:

  • Delayed or absent speech past expected milestones
  • Limited eye contact or social smiling
  • Sensory sensitivities – covering ears for normal sounds, avoiding certain textures, or seeming not to feel pain
  • Need for preparation before changes or new experiences
  • Repetitive behaviors or intense interests in specific topics
  • Difficulty with social interaction or parallel play rather than interactive play

At what age can you get tested for autism?

Autism testing can be performed at any age, from toddlers to seniors. While early diagnosis is beneficial, it’s never too late to seek answers. We provide autism evaluations for:

  • Children and toddlers: As young as 18-24 months
  • School-age children: Elementary through high school
  • Teens and adolescents: Including those preparing for college transitions
  • Adults: Including those who suspect they may have undiagnosed autism

Can you get tested for autism as an adult?

Absolutely. Many adults seek autism testing after recognizing patterns in their behavior, learning about autism through family members’ diagnoses, or struggling with workplace or relationship challenges. Adult autism diagnosis is increasingly common and can provide valuable insights for improving daily functioning and mental health.

I’ve always felt “off” my whole life. Could this be autism?

Many adults seeking autism testing describe feeling different, “off,” or like they don’t quite fit in throughout their lives. This persistent feeling of being different from others can indeed be a sign of undiagnosed autism, especially when combined with other traits like social communication differences, sensory sensitivities, or intense interests.

It’s important to note, however, that the only way to confirm or rule out an autism diagnosis is through comprehensive professional neuropsychological testing. Many conditions can cause similar feelings of being different, including ADHD, anxiety, depression, or other neurodevelopmental differences. A thorough evaluation at a neuropsych testing facility like KMN Psych can help determine whether your experiences align with autism or suggest other explanations, providing you with the clarity and understanding you seek.

I’m scared of getting an autism diagnosis. Is this normal?

Fear about autism diagnosis, or any mental health diagnosis, is entirely normal and understandable. Many people worry about stigma, labels, or how a diagnosis might change their lives. However, for most of our patients, an autism diagnosis brings relief, self-understanding, and access to helpful resources and accommodations.

What if my doctor dismisses my concerns about autism?

Unfortunately, some healthcare providers lack sufficient knowledge about autism, particularly in adults. If your doctor dismisses your concerns, you can:

  • Ask them to document the conversation in your medical chart
  • Request a referral to a specialist, or seek one out yourself
  • Consider seeking a second opinion from another provider
  • Contact autism testing specialists directly (like KMN Psych) who understand the complexities of autism diagnosis

Am I too old to be diagnosed with autism?

You are never too old for an autism diagnosis. Adult diagnosis is increasingly common and just as valid and vital as childhood diagnosis. Many adults find that getting diagnosed later in life helps them understand themselves better, access appropriate support, and improve their quality of life. Adult autism challenges can be just as significant as childhood ones, as more is expected of adults in work, relationships, and daily functioning.

Why do some doctors seem not to take adult autism seriously?

Unfortunately, some healthcare providers have an outdated understanding of autism and may not recognize how it presents in adults, especially women and people who may have developed coping strategies. This doesn’t mean your concerns aren’t valid. Professional testing can help you be sure whether or not you have autism and provide the clarity you’ve been seeking.

Will an autism diagnosis affect my child’s future?

An autism diagnosis opens doors to appropriate support services, educational accommodations, and therapies that can significantly improve your child’s quality of life. Early intervention and understanding of autistic traits lead to better outcomes in school, relationships, and independence.

Why is it so hard to find autism testing providers?

The shortage of autism testing providers stems from several factors. First, a comprehensive autism evaluation requires specialized training in neuropsychological assessment that not all psychologists receive. Many general practitioners and even some mental health professionals lack the expertise needed for accurate autism diagnosis, particularly in adults. Additionally, the demand for autism testing has significantly increased as awareness has grown, while the number of qualified specialists hasn’t kept pace. Many regions, especially rural areas, have wait lists of 6 months to 2 years for autism evaluations through hospital systems or community mental health centers.

At KMN Psych in San Diego, we’ve structured our practice specifically to address these challenges. We specialize in autism evaluations for individuals of all ages and work with various insurance plans to make testing accessible.

I can make eye contact. Does this mean I can’t be autistic?

This is a harmful misconception. Many autistic people can make eye contact, especially adults who have learned to mask their natural tendencies. Eye contact is just one potential sign among many, and its presence doesn’t rule out autism. A comprehensive autism assessment examines the full spectrum of traits, not just isolated behaviors.

I keep getting told I don’t have autism, but I still think I do. What should I do?

The most crucial step is to seek one comprehensive neuropsychological evaluation from qualified autism specialists rather than continuing to seek multiple opinions. Many people may receive dismissive responses from general practitioners or providers without specific autism expertise, which isn’t the same as a thorough professional assessment.

At KMN Psych, our comprehensive evaluation process is designed to either confirm autism or identify other conditions that may explain your experiences. A negative autism result doesn’t invalidate your experiences; it simply means your difficulties may have different underlying causes that can still be addressed with appropriate support and treatment. The goal is to get an accurate diagnosis, whether it be autism or something else. 

I’ve spent years thinking I was just a “terrible person.” Could this actually be autism?

Many undiagnosed autistic adults go through life blaming themselves for social difficulties, sensory overwhelm, or feeling different. You may believe you’re lazy, antisocial, or fundamentally flawed. This self-criticism often develops after years of being told to “just try harder” or “be more social.” Neuropsychological testing can provide clarity on your experiences and help you understand that these challenges stem from neurological differences, not personal failings or character defects.

What if my family doesn’t believe in autism or testing?

Family resistance to autism testing is a common phenomenon. Consider sharing educational resources about autism and explaining how testing can provide helpful insights, regardless of the outcome. Professional guidance can also help address family concerns.

Can you have autism and not know it?

Yes, many people, especially those assigned female at birth, may go undiagnosed into adulthood. Autism can be masked by learned coping strategies, and historical diagnostic criteria have missed many individuals who are now recognized as autistic. A professional neuropsychological evaluation can offer clarity if you think you may have ASD. 


The Testing Process

Doctor giving high five to child patient seeking autism testing and diagnosis

Understanding what happens during autism testing can help reduce anxiety and prepare you for the evaluation experience.

What does autism testing involve?

Autism testing at KMN Psych includes:

  • Initial phone screening to gather background information
  • A comprehensive clinical interview about developmental history and current concerns
  • Standardized autism assessments, including behavioral observations
  • Cognitive and neuropsychological testing to understand strengths and challenges
  • Parent/caregiver interviews (for children) or self-report measures (for adults)
  • Review of school, medical, or work records when relevant

How long does autism testing take?

The testing session typically lasts 3-4 hours, although this can vary depending on individual needs and age. The entire process, from initial contact to receiving results, usually takes a few weeks, including time for test analysis and report preparation.

What should I expect during the autism evaluation?

During the evaluation, you or your child will complete various activities and assessments in a comfortable, supportive environment. These may include:

  • Conversation and social interaction tasks
  • Problem-solving activities
  • Play-based assessments (for children)
  • Questionnaires about behaviors and experiences
  • Tests of cognitive abilities and executive functioning

The process is designed to be as stress-free as possible, with breaks as needed.

How should I prepare for autism testing?

For children:

  • Ensure they’re well-rested and fed
  • Bring comfort items if needed
  • Prepare them by explaining they’ll be doing activities and playing games
  • Gather any previous evaluations or school reports

For adults:

  • Get adequate sleep before the appointment
  • Bring any previous mental health records
  • Consider bringing a trusted friend or family member for support
  • Prepare questions you’d like to ask about the process

What questions are asked during autism testing?

Questions typically cover:

  • Early developmental milestones
  • Social communication patterns
  • Repetitive behaviors or restricted interests
  • Sensory sensitivities
  • Daily living skills and adaptive functioning
  • Family history of autism or related conditions
  • Current challenges and concerns

Understanding Results

Picture of adult woman having a visit at female doctor's office

Once your autism evaluation is complete, you’ll naturally have questions about what the results mean and what comes next.

How accurate is autism testing?

When conducted by qualified professionals using standardized, evidence-based assessments, autism testing is highly accurate and reliable. The comprehensive nature of neuropsychological evaluation at KMN Psych contributes to this accuracy through multiple validation methods.

What happens after autism testing?

After testing, you’ll receive:

  • A comprehensive 8-12 page report detailing findings and any diagnoses
  • Specific recommendations for treatment, accommodations, or support services
  • Optional consultation with Dr. Doshay to review results and discuss next steps
  • Referrals to appropriate resources based on your needs

Can autism testing be wrong?

While rare, when appropriately conducted, diagnostic accuracy depends on the clinician’s expertise and the comprehensiveness of the evaluation. At KMN Psych, our specialized training and thorough assessment process minimize the risk of misdiagnosis.

What if the test shows I don’t have autism?

If testing doesn’t confirm autism, the evaluation may reveal other conditions that explain your concerns, such as ADHD, anxiety, learning disabilities, or other mental health conditions. The comprehensive nature of our testing ensures you’ll still get valuable insights into your or your child’s functioning.


Cost and Insurance

Patient shaking advisors hand regarding insurance coverage

Financial considerations are important when planning for autism testing. Here’s what you need to know about costs and coverage options.

How long do I have to wait for autism testing?

Wait times vary significantly by provider and location. Some areas have multi-year wait lists for autism testing, which can be frustrating and discouraging. At KMN Psych, we understand the importance of timely answers and work to minimize wait times, typically scheduling evaluations within weeks rather than months or years. Contact our team today at (858) 224-2906 to learn more about current scheduling options and wait times. 

Can autism testing be “faked” or manipulated?

No, a comprehensive neuropsychological evaluation for autism is extremely difficult to fake successfully. The testing at KMN Psych involves multiple objective, standardized assessments that cross-validate each other, making deception nearly impossible.

Our evaluation includes cognitive assessments that reveal automatic processing patterns, behavioral observations of natural responses that can’t be consciously controlled, a detailed developmental history that must be consistent across multiple sources, and clinical interviews that explore patterns spanning years or decades. Dr. Doshay and our clinical team are trained to identify any inconsistencies in responses or presentation.

The comprehensive nature of neuropsychological testing means that even if someone could manipulate one area, the multiple data sources and cross-validation would reveal discrepancies. Autism involves consistent neurological differences that show up across various assessments in predictable ways.

What if I can’t find autism testing resources in my area?

If local resources are limited:

  • Contact autism organizations for provider directories
  • Consider telehealth options where available
  • Look into private practices specializing in autism that may have shorter wait times
  • Research university psychology programs that may offer testing services
  • Consider traveling to specialized testing facilities like KMN Psych

How much does autism testing cost?

The cost of autism testing varies based on several factors, including the specific assessments required, age, the complexity of presentation, and other relevant factors. At KMN Psych, we provide detailed cost information during the initial screening process and work with you to understand your financial options.

Many PPO insurance plans cover autism evaluations when medically necessary, and our compassionate team will help verify your insurance coverage as part of our screening process. We also work with individuals who don’t have insurance to make testing more accessible. During your initial consultation, we’ll explain your specific costs and coverage options, allowing you to make an informed decision about moving forward.

Do I need a referral for autism testing?

Requirements vary by location and insurance. At KMN Psych, you can contact us directly to discuss autism testing without needing a referral from your primary care doctor. We’ll help verify your insurance coverage and determine the best path forward.

How do I advocate for myself when seeking autism testing?

Self-advocacy tips:

  • Come prepared with specific examples of autism traits you’ve noticed
  • Ask providers to document any refusal to provide referrals in your medical chart
  • Be persistent – it’s okay to seek multiple opinions
  • Contact autism specialists directly rather than relying solely on general practitioners
  • Bring trusted friends or family members for support if needed

Does insurance cover autism testing?

Many PPO insurance plans cover autism evaluations when medically necessary. As part of our screening process, we help verify your insurance coverage and explain your benefits. We also work with clients who don’t have insurance coverage.


Age-Specific Autism Testing Questions

Huddles in the sunlight. Low angle shot of an affectionate family of five huddled on the beach

Autism presents differently across age groups, and each life stage brings unique considerations for testing and diagnosis.

How do I know if my toddler needs autism testing?

Consider child autism testing if your toddler shows:

  • Limited eye contact or social smiling
  • Delayed speech development
  • Repetitive behaviors or intense interests
  • Difficulty with changes in routine
  • Unusual sensory responses
  • Challenges with social interaction or play

Should I get my teenager tested for autism?

Teens may benefit from teen autism testing if they experience:

  • Social difficulties or feeling different from peers
  • Intense, specific interests
  • Challenges with transitions or changes
  • Sensory sensitivities
  • Difficulty understanding social cues
  • Academic struggles despite intelligence
  • Mental health concerns like anxiety or depression

What are the signs of autism in adults?

Adult autism signs may include:

  • Difficulty with social communication and relationships
  • Need for routine and predictability
  • Sensory sensitivities
  • Intense interests in specific topics
  • Challenges with executive functioning
  • Feeling “different” or misunderstood throughout life
  • Masking or camouflaging autistic traits

Treatment and Support

Doctor shaking hands with happy patient

Autism testing is often the first step toward accessing appropriate support and resources. Here’s what typically happens after diagnosis.

What happens after an autism diagnosis?

After diagnosis, you may pursue:

  • Applied Behavior Analysis (ABA) therapy
  • Speech and language therapy
  • Occupational therapy for sensory and motor challenges
  • Social skills training
  • Educational accommodations (IEP or 504 plans)
  • Mental health support for co-occurring conditions
  • Family counseling and support

Does autism testing help with school accommodations?

Yes, a comprehensive autism evaluation provides the documentation needed for educational accommodations such as:

Can autism be treated or cured?

Autism is not a disease that needs to be “cured.” Autism is a neurological difference that affects how individuals perceive, process, and interact with the world. Just as we wouldn’t seek to “cure” someone of being left-handed or having a different personality type, autism is an inherent part of how someone’s brain works; it comes with both challenges and unique strengths.

That being said, various therapies and interventions can help autistic individuals develop skills, manage challenges, and improve their quality of life. The goal is to support the person’s strengths while addressing areas of difficulty.


Scheduling and Next Steps

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Ready to move forward with autism testing? Here’s everything you need to know about getting started with KMN Psych.

How do I schedule autism testing at KMN Psych?

To schedule autism testing:

  1. Call us at (858) 224-2906 to discuss your concerns
  2. Complete our online contact form for a callback within 24 hours
  3. Verify your insurance coverage with our help
  4. Schedule your comprehensive evaluation

What makes KMN Psych different for autism testing?

At KMN Psych, we offer:

  • Specialized expertise in autism across all ages
  • Comprehensive evaluations tailored to individual needs
  • Quick turnaround for results and reports
  • Insurance verification assistance
  • Compassionate, understanding approach
  • Convenient San Diego location

Should I get a second opinion on autism testing results?

While our comprehensive evaluations are thorough and accurate, seeking a second opinion is always your right. We’re confident in our diagnostic process and welcome questions about our findings.

Ready to Get Answers?

If you’re concerned about autism for yourself or a loved one, don’t wait to seek clarity. Professional autism testing can provide the answers you need to move forward with confidence and appropriate support.

We’re here to help you understand autism and find the support you need. Schedule your comprehensive autism evaluation today and take the first step toward better understanding and improved quality of life.


References

1. Webb, S. J., & Jones, E. J. (2009). Early Identification of Autism: Early Characteristics, Onset of Symptoms, and Diagnostic Stability. Infants and young children, 22(2), 100–118. https://doi.org/10.1097/IYC.0b013e3181a02f7f

2. Jawed, A., Graham, H., & Smith, J. (2023). Digital trends in autism: a scoping review exploring coverage of autism across YouTube, Twitter, and Facebook. Frontiers in digital health, 5, 1222187. https://doi.org/10.3389/fdgth.2023.1222187

3. Maksimović, S., Marisavljević, M., Stanojević, N., Ćirović, M., Punišić, S., Adamović, T., Đorđević, J., Krgović, I., & Subotić, M. (2023). Importance of Early Intervention in Reducing Autistic Symptoms and Speech-Language Deficits in Children with Autism Spectrum Disorder. Children (Basel, Switzerland), 10(1), 122. https://doi.org/10.3390/children10010122

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