Q: What is the cost of assessment

The following cost applies to self-paying parents/carers INITIAL ASSESSMENT Initial Assessment for up to 60 minutes: £400 This assessment is offered when there is lack of clarity of what diagnosis to progress with or for other specific situations like assessment of sleep problems etc. This is not the cost of Autism or ADHD or Dysrpaxia assessment which will be separately provided on request. FOLLOW UP ASSESSMENT Follow up to 30 minutes: £200 to £250 dependent on complexity Please note follow up assessments cannnot be converted to Autism or ADHD or Dyspraxia assessment COST of ADHD or ASD: The cost of Autism and ADHD assessment depends on a number of factors including the age of the child and complexity of presentation. We request parents to contact Autism Doctor for specific cost relevant to their child. OTHER Any additional time spent over the set limit for assessment, when available, may incur cost of £200 per 30 minutes or part thereof. Please note specialist assessments by other professionals such as Speech and Language Therapist, Occupational Therapist and Clinical or Education Psychologist, investigations etc. may incur additional cost if not advised initially. All investigations requested as a part of assessment are not included in the assessment cost. They are payable directly to the concerned third party. There is a small charge for medication prescriptions outside of consultation appointment for example repeat prescriptions. Cancellation charges: Any cancellation without a prior notice of at least 48 hrs may be subject to administrative charge of £100/- to cover admin/ room hire fees etc. Please pay to the invoice using BACS ( bank transfer) prior to the appointment.

Question 1

Is your private diagnosis accepted the UK?

Accepted Answer

Yes

A private diagnosis is widely recognised by NHS services, schools and Local Authorities when it is completed in line with recognised diagnostic criteria and NICE guidelines. Autism Doctor offers consultant-led assessments that meet these standards. Our comprehensive evidence based reports are also frequently used to support EHCP applications and other purposes.

We are always happy to discuss individual circumstances and offer advice where helpful.

Question 2

What is the cost of assessment

Accepted Answer

The following cost applies to self-paying parents/carers
​
INITIAL ASSESSMENT

Initial Assessment for up to 60 minutes: £400

This assessment is offered when there is lack of clarity of what diagnosis to progress with or for other specific situations like assessment of sleep problems etc.

This is not the cost of Autism or ADHD or Dysrpaxia assessment which will be separately provided on request.

FOLLOW UP ASSESSMENT

Follow up to 30 minutes: £200 to £250 dependent on complexity

Please note follow up assessments cannnot be converted to Autism or ADHD or Dyspraxia assessment

COST of ADHD or ASD:

The cost of Autism and ADHD assessment depends on a number of factors including the age of the child and complexity of presentation. We request parents to contact Autism Doctor for specific cost relevant to their child. 
 
OTHER

Any additional time spent over the set limit for assessment, when available, may incur cost of £200 per 30 minutes or part thereof.

Please note specialist assessments by other professionals such as Speech and Language Therapist, Occupational Therapist and Clinical or Education Psychologist, investigations etc. may incur additional cost if not advised initially. 
​
All investigations requested as a part of assessment are not included in the assessment cost. They are payable directly to the concerned third party.
 
There is a small charge for medication prescriptions outside of consultation appointment for example repeat prescriptions.
​
Cancellation charges:  Any cancellation without a prior notice of at least 48 hrs may be subject to administrative charge of £100/- to cover admin/ room hire fees etc.
​
Please pay to the invoice using BACS ( bank transfer) prior to the appointment.

Question 3

Are your assessments face to face or online

Accepted Answer

We offer a mixture of telephone and face to face appointments in most circumstances. 
These are arranged at a time that is mutually convenient to both parties.
We endeavour to have face to face appointments for every child.

Question 4

How soon can we expect the assessment

Accepted Answer

We are able to offer the first appointment usually within 4-6 weeks of us receiving the referral information on our electronic system.
 
The reports take up to 4 to 6 weeks or so after the last assessment is completed or the information received in most circumstances.

Question 5

How is Autism assessed

Accepted Answer

Broadly speaking as per the guidelines, Autism Assessment includes

No two Autistic children are the same so there may be variations in assessments of individuals.

The assessments can be a mixture of above steps ie while taking history we may also observe the child or young person.

The most important contribution in the assessment of Autism is that of clinical history. We tailor this part of the assessment to each child based on the standardised recommendations. ​

The assessment is often multidisciplinary which means more than one expert is involved. ​We recommend the right experts who will be able to assess your child for specific aspects of Autism such as their social interaction and communication style etc.
 
You will be given a clear plan of what assessment tests are being offered that meet your child's needs
​
In rare circumstances where all of these steps may not be possible, Autism Doctor will suggest alternative options, again keeping best practise at the core of assessment.
​ 
For Autism assessments we use a combination of assessment tools depending on the presentation of the child or young person.
 
For Autism some of the following assessment tools/methods may be used.

Question 6

What is an ADOS-2 assessment

Accepted Answer

Overview of the Autism Diagnostic Observation Schedule-Second Edition (ADOS-2)

The Autism Diagnostic Observation Schedule-Second Edition (ADOS-2) is a practical assessment tool used by trained clinicians to evaluate communication skills, social interactions, and imaginative play in individuals who may have autism spectrum disorder (ASD). Developed by Dr. Catherine Lord and her team, the ADOS-2 ensures that ASD-related symptoms and behaviours are observed consistently across different clients, clinicians, and settings. It is widely recognised as the “gold standard” in ASD assessment.

Who Can Benefit from the ADOS-2?

The ADOS-2 is suitable for people of all ages, from as young as 12 months old through to adulthood. To participate effectively, individuals need to have at least a 12-month developmental level and should not have significant sensory or motor impairments, such as blindness, deafness, or being wheelchair-bound.

The ADOS-2 is versatile because it consists of several modules. Clinicians select the appropriate module based on the individual’s language ability (ranging from non-verbal to verbally fluent) and their age.

What Happens During an ADOS-2 Assessment

The ADOS-2 itself takes about 30-60 minutes to administer. When toddlers or young children are assessed, parents may be asked to remain in the room, mainly to observe, although the clinician might ask them to interact with the child at certain points. For teenagers and adults, the ADOS-2 is typically conducted with only the client and the clinician present.

After the Assessment

The ADOS-2 results, along with the rest of the comprehensive evaluation, are reviewed with the family after the assessment. This is usually at a follow-up session arranged to go over the results and discuss recommendations. Families will also receive a detailed written report with recommendations at the end of the assessment.

Important Considerations

Although the ADOS-2 is recognised as the “gold standard” for assessing ASD, it’s important to remember that it is just one piece of the puzzle. The ADOS-2 alone is not sufficient to diagnose ASD. It should always be part of a comprehensive evaluation that typically includes the person’s developmental history, input from parents and other key individuals, observations during and outside of the ADOS-2, and the professional judgment of experienced clinicians.

Question 7

What is BOSA assessment

Accepted Answer

BOSA, or Brief Observation of Symptoms of Autism, is a newer diagnostic tool in the assessment of Autism. It is an adaptation of another tool used for assessment of autism in children, the Autism Diagnostic Observation Schedule (ADOS-2). 
 
It provides opportunities for a parent to engage with the child through semi-structured activities, creating a context in which to observe symptoms of autism. 
​
It involves you as parent to administer series of timed activities with your child using standardised toys and activities. You will be given instructions on how to administer these on the day. The instructions are fairly simple and no preparation is required.
​
The clinician will observe, ask additional questions as required and analyse the observation and report it.
 
The main clinician will confirm the final diagnosis after collating information from other sources, developmental history and other tools for assessments and information from the BOSA.

Question 8

How is ADHD assessed

Accepted Answer

ADHD Assessment requires careful consideration of the child’s history and behaviour at home, and how it correlates with the child's presentation in another setting such as at school. We use tailor made tools to take a standardised DSM-5 criteria based history and correlate it clinically.  No two children with ADHD are the same, hence adaptations may be required for assessments.

Typically the ADHD assessment includes

Question 9

What is a Qb Check

Accepted Answer

Qb check also referred as Qb test is a computer based test that looks for the three important measures of ADHD.

It is a screening tool which provides objective information to aid the assessment of ADD/ADHD. The test uses age and gender matched comparisons to assess a child’s ability to concentrate, their movement and impulsivity. The Qb Test results are used in conjunction with other ADD/ADHD assessment tools to aid clinical judgement.

The test usually lasts for 15 to 20 minutes. A camera is used to track your child’s movements but your child won't be filmed during the test.

We will need you to complete the rating scale based on DSM 5, describing patterns of behaviour associated with ADHD. You should select the option that best describes the test takers behaviour during the last six months. 
We need your consent to perform a QB check. A separate consent form is requested.
The test takers date of birth, gender and test taker ID will be saved in the database and displayed on the QbCheck report.

Before the test

When testing young children, it might be a good idea to ask if they need to use the toilet before starting the test since it is not possible to take a break during the QB test. 
Chewing gum or similar are not allowed during the test and should be removed before starting the session.
Eating or drinking is not permitted during the test.
Please remove your child’s coat or jacket prior to the assessment if applicable.
Both parents and children are requested to ideally turn off or completely mute, not leave on vibrate or sound, any mobile phones to prevent any kind of notifications. You may wish to use the flight mode on instead.
Before starting the test your child will get instructions and take a practise test.
The test should be completed in one go.

During Test

There will be a computer check first. There will be a practice test after that. Then there will be a real test.
Your child will sit comfortably on the chair or stool provided. Your child will be seated about 60 centimetres from the camera.
The camera won't film you child during the test. During the camera check the test taker ( your child) will be able to see their own image on screen. This is however not recorded during before or after the test. Instead the computer will only track the test takers ( child’s) movement based on the outline of their face .
The parents or guardians should leave the room after the instruction video. Your presence in the test room could cause distraction for the test taker and should therefore be avoided during the test.
Before starting the practise test, we will check whether your child has understood the instructions. We would be happy to repeat the instructions if necessary.
We will be seated behind your child during the assessment.

After the test

The recommended action after the QB test depends on the  result. This may vary per test taker. The result provides information about the likelihood of ADHD like symptoms. The report may not be available immediately to share with you but can be sent to you at a later date.

Other Information

If for some reason even after explanation, it is not possible to conduct the test up to four times, the test will be discontinued.
Your child will be expected to respond to all consecutive targets and not only to identical pairs.
Your child can wear glasses if they normally do, during the assessment.
The whole process could take up to 30 to 45 minutes in total. 
We may not be able to start the actual test if we are not sure that the test taker has really understood the instructions.
A report will not be made available when a test is not completed or when a test taker disengages for longer than two minutes during the test. 
A completed test is required for an accurate norm group comparison and therefore a result cannot be generated in case of an incomplete test. 
One can discontinue an ongoing test by pressing the escape button. Once interrupted, it is not possible to restart an interrupted test.

For more details on a Qb Test:

Question 10

What is the role of Paediatricians in neurodevelopmental assessment

Accepted Answer

Paediatricians are best suited to establish a good developmental history which is essential for a diagnosis of Autism.
 
Paediatricians can also consider other possible diagnosis including serious conditions like epilepsy, Developmental Delay, Dyspraxia, medical syndromes, and other a range of medical diagnosis.
 
Paediatricians are specifically trained for medical examination of children and young people. NICE guidelines recommend physical examination as an essential part of diagnostic assessment  of Autism Spectrum Disorder.

Question 11

Do your clinicians have NHS experience

Accepted Answer

Most clinicians working for Autism Doctor have experience of working in the NHS. Our lead clinician Dr Deepshikha Thakur works for the NHS at Hertfordshire Community NHS Trust. She is the lead doctor for Autism and principal Investigator of KASPAR research project related to interventions in Autism. In addition she is the Designated Medical Officer (DMO) in West Hertfordshire. She has strategic role in supporting children and young people with Special Education Needs and Disability (SEND).

Question 12

Do you assess children covered under insurance

Accepted Answer

Yes we do. Our lead clinician Dr Deepshikha Thakur is recognised by major insurance providers such as
​
Aetna
Aviva
AXA
BUPA
Cigna
Healix
Vitality Health
 
You will need to obtain an authorisation code to book the first appointment. ​
Speak to your insurance provider if you are not sure. You will need an authorisation code and a GP referral letter​ prior to contacting us for any assessment under insurance. 
Please contact us for individual circumstances.

Question 13

How can a timely diagnosis help

Accepted Answer

There are often long and unclear pathways for assessment of Autism and other Neurodevelopmental conditions like ADHD (Attention Deficit Hyperactivity Disorder) , Developmental Delay, Dyspraxia etc. Lengthy waiting times for assessment is frustrating to families and in the absence of clear diagnosis parents and professionals may not be able to adequately support the child's needs.
 
Delayed diagnosis can lead to increased stress and strain on relationships. It can also deny the child the help they need. ​Research has established that early interventions can be effective for many children.

Question 14

What is the age range of children and young people that you assess

Accepted Answer

We offer assessments of children and young people from birth to 16 years and 11months.

Question 15

I have medical insurance but I am not sure if I am covered?

Accepted Answer

Our lead clinician Dr Deepshikha Thakur is recognised by major insurance providers such as
​
Aetna
Aviva
AXA
BUPA
Cigna
Healix
Vitality Health
​
Speak to your insurance provider if you are not sure. You will need an authorisation code prior to contacting us for any assessment under insurance.
​
Please contact us for individual circumstances.

Question 16

What is DSM 5

Accepted Answer

The DSM-5, or the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, is a comprehensive classification of officially recognised psychiatric disorders, published by the American Psychiatric Association (APA). It is widely used by clinicians around the world.

Here are some key points about the DSM-5:

Purpose: The DSM-5 provides standardised criteria and language for the diagnosis of mental health disorders, ensuring consistency and reliability across various professionals and settings.
Structure: The manual is organised into chapters based on different categories of mental health disorders. Each disorder is described in terms of diagnostic criteria, associated features, prevalence, development and course, risk and prognostic factors, culture-related diagnostic issues, and functional consequences.
Diagnostic Criteria: For each disorder, the DSM-5 outlines specific symptoms and the duration and severity required for a diagnosis. This includes a set of diagnostic criteria that must be met, as well as a differential diagnosis section to distinguish the disorder from similar conditions.
Revisions: The DSM-5 represents the most current revision, released in May 2013. It updates and replaces the DSM-IV-TR, reflecting new research findings and changes in the understanding and conceptualization of mental health disorders.
Examples of Disorders: The DSM-5 includes a wide range of mental health conditions, such as neurodevelopmental disorders (e.g., ADHD, Autism Spectrum Disorder), schizophrenia spectrum and other psychotic disorders, bipolar and related disorders, depressive disorders, anxiety disorders, obsessive-compulsive and related disorders, trauma- and stressor-related disorders, dissociative disorders, somatic symptom and related disorders, feeding and eating disorders, and more.
Use in Practice: Mental health professionals use the DSM-5 to diagnose patients, inform treatment plans, and communicate with other healthcare providers. It also plays a critical role in research, as it provides a common framework for studying and understanding mental health conditions.
Cultural Sensitivity: The DSM-5 includes guidelines for considering cultural variations in the presentation and diagnosis of mental disorders, emphasising the importance of cultural competence in mental health care.

Overall, the DSM-5 is an essential tool in the field of mental health, providing a systematic and evidence-based approach to diagnosing and understanding mental health disorders.

You may come across the term DSM -5 based history which simply means we have used the framework to take relevant history and assess systematically against the diagnostic criteria of a condition like Autism or ADHD.

Question 17

Which guidelines/diagnostic tools do you use?

Accepted Answer

All our assessments are based on recommended standard or national guidelines such as National Institute of Clinical Excellence (NICE) guidelines and Diagnostic statistical Manual-5 (DSM-5). 
 
For COVID-19 we follow Public Health England Guidelines for face-to-face assessments.
 
We are undertaking some assessments online as per new protocols in order to provide safe and standardised care. Please refer to our COVID-19  safety policy.
​
Diagnostic tools are specific to your child's needs.

Question 18

Do you offer a multi-disciplinary assessment?

Accepted Answer

Yes we offer assessments by different clinicians such as speech and language therapist, clinical psychologist, education psychologist, occupational therapist, physiotherapist etc. as required for the child. 
​
Our clinicians are handpicked and experts in their field and have experience of working with children and young people.

Question 19

Can you help in Education Health and Care Plan (EHCP)?

Accepted Answer

A lot of parents often want support in the Education Health and Care Plan (EHCP) process. At a small additional cost we can help with completing the medical information on the EHCP form when requested by the local education authority following our assessment.

Question 20

What information do you need for an assessment?

Accepted Answer

It is helpful to understand why you have come to us for an assessment. If we understand this we can help you best.
​
We need information from other sources for a comprehensive assessment. For most children who are in an educational setting, we will request school information via parents. 
​
We also request parents to send all relevant previous assessments and reports e.g. Speech and Language Therapist (SALT), Clinical Psychologist assessments or Education Psychologist reports, ideally prior to the initial assessment.

Question 21

What are the NICE guidelines for Autism Assessment?

Accepted Answer

NICE recommends that the autism assessment team should include:
 
paediatrician and/or child and adolescent psychiatrist
speech and language therapist
clinical and/or educational psychologist
The autism team should either include or have regular access to the following professionals if they are not already in the team:
 
paediatrician or paediatric neurologist
child and adolescent psychiatrist
educational psychologist
clinical psychologist
occupational therapist
 
The autism team should either have the skills (or have access to professionals that have the skills) needed to carry out an autism diagnostic assessment, for children and young people with special circumstances including coexisting conditions such as
 
severe visual and hearing impairments,
motor disorders including cerebral palsy,
severe learning (intellectual) disabilities, complex language disorders or
complex mental health disorders
looked-after children and young people. 
At Autism Doctor we are proud to offer assessements that fit in with NICE Guidelines

Question 22

What are the typical  symptoms Autism

Accepted Answer

The symptoms of Autism can vary widely from person to person, but some of the common signs include:

- Delayed or no speech development 
- Difficulty in making eye contact
- Repetitive behaviours such as hand flapping, rocking or spinning
- Avoidance of physical contact and touch 
- Difficulty in understanding social cues and body language 
- Lack of interest in playing with peers 
- Difficulty in adapting to changes in routine 
- Sensory sensitivities such as being oversensitive to noise, lights, or textures

It is important to note that not all individuals with Autism will display all of these symptoms, and some may have additional symptoms not listed here. If you suspect that  your child may have Autism, it is important to seek an evaluation from a qualified healthcare professional.

Question 23

What are the signs of Autism in High functioning Autism

Accepted Answer

In high functioing Autism the signs are:
 
Verbally fluent but not able to hold conversations
Melt downs and Emotional Dysregulation
Obsessional Interests or Deep knowledge

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