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    What is Autistic Spectrum Disorder/Condition

    Autism is a lifelong developmental condition which affects how people communicate and interact with the world. More than one in 100 people are on the Autism spectrum and there are around 700,000 autistic adults and children in the UK (National Autistic Society).

    Screening

    Screening is not diagnostic but can help to identify an individual may have Autism. Different screening questionnaires are used for different ages.

    ASD diagnostic criteria

    DSM V Diagnostic Criteria for Autism Spectrum Disorder. It will help you to have some basic idea about the essentials of diagnosis.

    Read More
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    Autism Post-Diagnostic Psychoeducation: Key Areas

    1. Understanding Autism Spectrum Condition (ASC)
    • Definition and characteristics of autism
    • Neurodiversity and strengths-based perspectives
    • Common traits: communication differences, sensory sensitivities, routines, and social interaction styles
    1. Diagnosis Explanation
    • What the diagnosis means
    • How autism is identified (assessment process)
    • Reframing past experiences through the lens of autism
    1. Emotional Impact of Diagnosis
    • Reactions to diagnosis: relief, confusion, grief, acceptance
    • Supporting emotional adjustment for individuals and families
    • Importance of self-identity and self-acceptance
    1. Communication and Social Interaction
    • Understanding communication styles (verbal and non-verbal)
    • Social reciprocity differences
    • Strategies for improving understanding and connection
    1. Sensory Processing
    • Overview of sensory differences (hypersensitivity/hyposensitivity)
    • How sensory issues can affect behaviour and comfort
    • Practical strategies for sensory regulation
    1. Executive Functioning and Daily Living
    • Planning, organization, flexibility, and time management challenges
    • Supporting independence and daily routines
    • Using visual aids and structure to reduce anxiety
    1. Support Strategies for Families and Caregivers
    • Communication strategies
    • Managing stress and meltdowns
    • Promoting autonomy and resilience
    1. Navigating Education and Support Services
    • Educational rights and accommodations
    • Accessing support (e.g., EHCPs in the UK, IEPs in the US)
    • Community resources, autism charities, and support groups
    1. Mental Health and Wellbeing
    • Recognizing and managing co-occurring conditions (anxiety, depression)
    • Emotional literacy and self-regulation
    • Promoting self-care and healthy routines
    1. Autism Across the Lifespan
    • How autism may present at different stages: childhood, adolescence, adulthood
    • Planning for transitions (e.g., school to work, independent living)
    • Long-term support and advocacy

    Assessment Process

    1. Booking appointment
    2. Pre-assessment information
     i. Developmental report by parent
     ii. Structured school report
     iii. Psychometric tests by parent
    3. Autism Diagnostic Interview R by Prof. Aurakzai (90-120 min)
    4. Autism Diagnostic Observation Schedule (ADOS) by Sarah, speech and language therapist (90 min)
    5. Multidisciplinary meeting (more than one clinician is involved in the assessment).
    6. Feedback to parent diagnosis and plan.

    How is our assessment different?

    1. We always use ADI-R and ADOS assessment as a gold standard.
    2. We offer post diagnostic support
    3. We can offer additional support (sensory integration, parenting class)
    4. We work together with local NHS
    5. We work with education
    6. We will keep sending important updates and information after discharge
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    Autism Diagnostic Interview-revised (ADI-R)

    This is a diagnostic instrument for assessing Autism in children and
    adults.
    ADI-R is a revised version of the original ADI.
    This focuses on behaviour in three main areas: qualities of reciprocal
    social interaction; communication and language; and restricted and
    repetitive, stereotyped interests and behaviours.
    This can preferably be face to face as it can provide an additional opportunity to observe your child but it can also be carried at online with parents.

    ADOS (Autism Diagnostic Observation Schedule)

    • This is a semi-structured, standardised assessment of communication, social interaction, and play or imaginative use of materials used in an interactive assessment with the young person.
    • ADOS looks at current behaviour and skills.
    • ADOS can be used from toddlers to adults and for individuals who are non-verbal to those with fluent speech.

    What does it mean to have a diagnosis?

    • There is a general consensus that an early intervention for children with ASD can make a significant difference in their lives. Treatment should begin as soon as diagnosis is made.
    • Early intervention can improve social and communication skills.
    • Early intervention stops problematic behavior from becoming a habit. It helps overall development so they can learn new skills and can have more independence in their lives.
    • Once the diagnosis is confirmed, a plan of support and intervention can be recommended
    • Early school help makes a difference for a child and his/her achievement.
    • ASD cannot be prevented therefore early diagnosis and early intervention/support results in improve
      behaviour, skills and language development.

    D. Granpeesheh, et al. “The Effects of Age and Treatment Intensity on Behavioral Intervention Outcomes for Children with Autism Spectrum Disorders. Research in Autism Spectrum Disorders. Volume 3, Issue 4, October–December 2009, Pages 1014-1022

    Working with the NHS & Education.

    • Continued care is important for children with ASD.
      Therefore, we work with our NHS and education colleagues.
    • We encourage you to go back to your local ASD NHS service for continued care and we work with our NHS colleagues.
    • Working together with school and other professionals is
      crucial
    • We can offer the ongoing care but this will be your choice
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    SENSORY INTEGRATION

    Every day children receive a lot of information from their senses, be it sight, hearing, touch, movement or taste. These are just a few of the sensory systems and there is a growing understanding of the range of sensory issues any of us may have. Sensory information is very important in providing children with information they need about their body and their environment.
    For some children, they experience sensory differences or difficulties which means they struggle to correctly perceive the sensory world around them. The information they are getting isn’t being processed or interpreted well and they are left feeling either under responsive or over responsive. 
    This effects their ability to function at home, in school and socially. They can present as dysregulated, inattentive, have difficulty sleeping/eating/getting dressed and poor motor or play skills. It can affect simple tasks like sitting on a chair, getting dressed or playing games.
    Occupational Therapists can assess the sensory difficulties and provide advice and activity ideas to help the child develop their sensory processing. This can help the incoming sensory information flow in a well-organised manner, and the brain interpret it more efficiently.
    Occupational therapists use standardised tests and clinical observations to evaluate sensory integration and appropriate interventions can be carried out. These aim to improve the quality of the life of the child and should also improve their gross and fine motor skills, increase their self-confidence and self-esteem and improve their cognition, language and academic performance.