Recognizing Autism in Adults: Understanding the Signs
Deciding to go for an autism assessment as an adult can feel like a big, emotional step. Maybe you’ve spent years feeling like you’re “different” in ways you couldn’t quite explain. Maybe certain things—social interactions, sensory overload, or life transitions—have always felt more difficult than they seem to be for others.
Seeking an assessment isn’t about labeling yourself. It’s about understanding yourself better—and that’s a brave and empowering thing to do.
So, what actually happens during an autism assessment? Here’s a simple, supportive breakdown:

1. It Starts With a Conversation
The process often begins with a chat—either with your GP, a psychologist, or another mental health professional. You’ll talk about what led you to seek an assessment: things you’ve noticed, challenges you’ve faced, or maybe feedback you’ve received from friends or family.
There’s no need to “prove” anything here—this is about sharing your story in your own words.
2. Filling Out Questionnaires
You may be asked to complete some questionnaires about your experiences, behaviors, and preferences—both now and from earlier in life. These can feel a bit clinical at times, but try to answer honestly and without overthinking.
If you have someone close to you (like a parent, sibling, or long-time friend), they might also be asked to provide insight into your behavior, especially during your childhood. This isn’t always necessary, but it can help provide a clearer picture.
3. One-on-One Sessions with a Specialist
Next comes a more in-depth conversation—often with a psychologist, psychiatrist, or specialist trained in autism assessments. This might take place over one or more sessions and can include:
Talking about how you experience daily life: social interactions, work, relationships, routines.
Exploring how you process emotions, respond to sensory input, and cope with stress or change.
Sometimes, a structured assessment tool may be used, like the ADOS-2 (Autism Diagnostic Observation Schedule). It might include tasks, questions, or informal interactions to better understand how you communicate and process information.
These sessions are not tests you can “pass” or “fail.” They’re simply designed to gather a fuller understanding of how your brain works.
4. Waiting for Results
After the assessment, the specialist will review everything—your discussions, questionnaires, and behavioral observations. They’ll consider whether your experiences align with the criteria for autism.
Sometimes, other conditions like ADHD, anxiety, or social communication disorder might also be considered. The goal is always clarity and support—not judgment.
5. Getting Feedback and Support
Once the assessment is complete, you’ll be given clear feedback. If you’re diagnosed as autistic, your assessor will explain what that means for you personally—not just as a diagnosis, but as part of your life story. You’ll also receive recommendations for support, tools, or therapies that can help you thrive.
Many people feel a sense of relief at this stage—a feeling of finally understanding why they’ve always felt a certain way. It can be the beginning of a new chapter, one with more self-compassion and confidence.
It’s Okay to Be Nervous
Going through an autism assessment as an adult is deeply personal. It might bring up old emotions or make you feel vulnerable—but it can also be one of the most validating steps you’ll ever take.
No matter the outcome, seeking answers is an act of self-care. You deserve to understand yourself fully, and you’re not alone on this path.
Ready to take the first step?
You don’t need a referral to get started. Reach out today for a private, understanding conversation with someone who’s here to help.
Send a Message
Ask@ADHD-Autism.co.uk