Navigating the complexities of neurodivergence can be challenging, particularly when you are unsure why you feel the way you do and want clarity on your unique needs and strengths. In-person assessments provided by a qualified clinician offer the best route toward tailored treatment and effective support.

In-person assessments for neurodivergence provide a comprehensive approach to identifying specific neurodevelopmental conditions when performed by qualified professionals. These assessments are designed to identify individuals’ unique strengths and challenges, leading to a precise diagnosis and ruling out other conditions. Through professional testing, individuals can uncover their unique neurological profile and take steps to get tailored support to cultivate their strengths while receiving effective support.

Understanding Neurodivergence

Neurodivergence refers to variations in the human brain and its functioning that differ from what is considered “neurotypical” or broadly accepted by society. It exists on a spectrum where individuals exhibit neurodivergent tendencies with varying degrees of impact. Individuals with neurodivergent tendencies having greater impacts generally require a higher level of support.The distinction between individuals with a neurodivergent condition and those with passing states of quirkiness lies in the consistent presence of traits that significantly impact the quality of life and daily functioning.

Neurodivergence isn’t itself a condition; it encompasses many neurodevelopmental conditions, such as autism, ADHD, and dyslexia. It is a semantic alternative to the term “disorder,” which often carries negative connotations. This language shift highlights that neurodivergent individuals have many unique strengths and abilities. For example, many can focus intensely on specific interests, recognize intricate patterns, and have exceptional memory retention.

However, in addition to these strengths, neurodivergent individuals often require support to navigate daily life and maintain relationships. The need for support varies based on their unique neurological profile and the severity of their symptoms. Challenges may include difficulties with executive functioning (e.g., planning, organizing), sensory processing, social interactions, and emotional regulation. Understanding these needs is crucial for providing appropriate support and tailored interventions that enhance both their well-being and strengths.

The Role of In-Person Assessments for Neurodivergence

In-person assessments for neurodivergence are crucial components of the screening process to determine the presence of neurodevelopmental conditions and rule out other possible issues. The objective of these assessments is not to diagnose neurodivergence as a general condition but to identify specific neurodevelopmental disorders, if present, their impact on a person’s adjustment, and the level of support an individual may need.

The assessment process typically involves a multidisciplinary team of professionals, generally using a neuropsychological assessment as a foundation. Screening measures may include standardized tests, observational assessments, and interviews with the individual and their caregivers. Further testing may involve more detailed evaluations, such as cognitive and behavioral assessments, to gain deeper insight into the individual’s strengths and challenges.

For children, in-person assessments are recommended as part of routine wellness visits with a pediatrician at 9, 18, and 30 months. These screenings are essential for early detection of autism spectrum disorder (ASD) and other conditions. By comparing a child’s developmental milestones to age-related expectations, these assessments can identify potential concerns early on, allowing for timely intervention. While in-person assessments do not provide a formal diagnosis, they offer valuable information that can lead to a professional diagnosis and appropriate support.

Who is Qualified to Perform In-Person Assessments?

Professional assessments for neurodivergence should be conducted by qualified mental health professionals, physicians, pediatricians, neuropsychologists and nurse practitioners with specialized training and experience in neurodevelopmental conditions. These professionals must be familiar with the most recent DSM-5-TR criteria for diagnosing neurodevelopmental disorders to ensure accurate and reliable evaluations.

In-person assessments often involve a multidisciplinary team of professionals, each bringing a unique perspective to the evaluation process. Professionals may include:

• Clinical Psychologists
• Psychiatrists
• Social Workers
• Neurologists
• Physicians
• Speech-Language Pathologists
• Nurse Practitioners
• Occupational Therapists

Each professional contributes a different viewpoint based on their area of expertise. Psychologists and psychiatrists, in particular, often have extensive experience screening for neurodevelopmental conditions and providing effective support.

Comparing In-Person vs. Online Assessments

Due to their comprehensive and interactive nature, in-person assessments are considered the gold standard for evaluating neurodivergent conditions. These assessments allow for direct observation and interaction with individuals, providing a more accurate and nuanced understanding of their behavior and thought processes. The involvement of a multidisciplinary team ensures a thorough and reliable evaluation. Additionally, in-person assessments are more likely to be covered by insurance while providing transparency in the qualifications and expertise of the professionals involved.

Online assessments typically offer greater flexibility and convenience. However, these tests may lack the depth, accuracy, and multidisciplinary approach of in-person evaluations, as they do not provide the same opportunities for direct observation and interaction. Additionally, these assessments are not designed for self-evaluation, and it is never recommended that you perform these tests yourself.

Types of Neurodivergent Conditions

Neurodivergence is an umbrella term that encompasses a variety of neurodevelopmental conditions. Neurodevelopmental refers to disorders that affect the development and function of the brain, impacting mental, behavioral, and social functioning. These conditions typically present from early childhood and influence an individual’s functioning and experiences throughout their life.

The most common neurodivergent conditions include:

• Autism Spectrum Disorder (ASD): A developmental disorder affecting communication, behavior, and social interaction.
• Attention Deficit Hyperactivity Disorder (ADHD): A condition characterized by inattention, hyperactivity, and impulsivity.
• Tourette Syndrome: A neurological disorder characterized by repetitive, involuntary movements and vocalizations.
• Communication Disorders: Delays in the development in one or more aspects of language.
• Dyslexia: A learning disorder that affects reading and language processing.
• Dyspraxia: A condition that impacts motor skill development and coordination.
• Dyscalculia: A learning disability that affects mathematical abilities and processing.

These conditions can co-occur, meaning an individual may experience more than one of these conditions simultaneously. Additionally, the experience of individuals with these conditions can vary widely, as each person’s neurological profile is unique. The purpose of in-person assessments and screenings is to identify which conditions may be present and to provide guidance toward a formal diagnosis if needed.

In-Person Assessments for Autism

Screening for autism is one of the most common types of neurodivergent assessments and is recommended for all children, as it allows for timely intervention and support. While autism screening is standard practice during pediatric wellness visits, adults can also be screened for autism. However, the adult assessment process involves different tests to capture age-related symptoms and experiences.

The screening process for children typically includes developmental surveillance at regular wellness visits, with specific screening at 9, 18, and 30 months. Parents can expect the pediatrician to use standardized questionnaires and observational checklists to identify early signs of autism.

If concerns arise, the child may be referred to a specialist for a comprehensive diagnostic evaluation. This process often includes a detailed developmental history, behavioral observations, and standardized diagnostic tools such as the Autism Diagnostic Observation Schedule-2 (ADOS-2) and the Autism Diagnostic Interview-Revised (ADI-R).

In-Person Assessments for ADHD

The ADHD assessment process begins with an initial screening to identify potential signs of hyperactivity, inattention, and impulsivity that have existed for longer than six months. This preliminary screening often involves completing standardized questionnaires and rating scales by the individual, parents, or teachers to provide a broad view of symptoms and their impact on daily functioning.

Following the initial screening, a team of clinicians may perform a comprehensive evaluation. This evaluation is a more in-depth assessment that includes behavioral observations, detailed interviews, and psychological testing. During this process, clinicians gather extensive information about the individual’s developmental history, current behavior, and performance at school and home. Clinicians should be well-versed in the DSM-5-TR criteria for ADHD to ensure an accurate diagnosis and rule out related conditions or comorbidities.

In-Person Assessments for Related Conditions and Comorbidities

In the presence of other neurodevelopmental conditions, such as dyslexia or Tourette’s syndrome, additional psychological assessments can be used to determine the type and severity of their condition. The screening process is broad and designed to determine the type and severity of neurodivergent conditions rather than provide a singular diagnosis. What it does provide is a basis for further testing, which can lead to a diagnosis of one or more conditions.

Neurodivergent conditions often co-occur, meaning that individuals may experience multiple conditions simultaneously. For example, ASD and ADHD frequently coexist, and dyslexia and dyspraxia commonly overlap. Additionally, neurodivergent individuals often experience anxiety and depression, which can significantly impact their symptoms and daily functioning.

Neurodivergent assessments take a holistic view by screening for multiple neurodevelopmental conditions simultaneously. This broad screening aims to accurately determine which conditions are present, their severity, and the specific type of support required.

Take the Next Step Towards Tailored Support With Start My Wellness

In-person assessments for neurodivergence provide a comprehensive approach to identifying and understanding various neurodevelopmental conditions. When conducted by qualified professionals, these assessments help pinpoint specific strengths and challenges, guiding individuals toward effective support and interventions following a professional diagnosis.

At Start My Wellness, we are committed to helping individuals navigate the complexities of neurodivergence. Our multidisciplinary team of experienced professionals, including psychologists, licensed counselors, social workers, and advanced nurse practitioners, is dedicated to providing thorough and accurate assessments. We understand the importance of early detection and personalized care and are here to assist you every step of the way.

Ready to take the next step? Contact Start My Wellness today at (248)-514-4955 to schedule an in-person assessment for you or a loved one to begin your journey toward tailored support.

Sources

1. Verywell Health: What Does ‘Neurodivergent’ Mean?
2. Start My Wellness: Is it Autism or am I Just Quirky?
3. Start My Wellness: Early Signs of Autism Spectrum Disorder
4. Start My Wellness: Online vs In-person ADHD Testing: What to Choose
5. Start My Wellness: 10 Warning Signs of a Bad Autism Evaluation
6. Start My Wellness: Is OCD Neurodivergent?
7. Start My Wellness: Understanding the Autism Diagnosis Process
8. Start My Wellness: Who Can Diagnose and Treat ADHD?