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Autism Assessment Vancouver BC

AUTISM (ASD) ASSESSMENT
CHILDREN AND YOUTH

WHAT IS AUTISM SPECTRUM DISORDER?

Understanding Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person communicates, interacts socially, and experiences the world around them. ASD can often be identified as early as 18–24 months of age, although some individuals are diagnosed later in childhood or adolescence.

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Every Individual Is Unique

Autism is called a “spectrum” because each person with ASD has unique strengths, challenges, interests, and support needs. While some may have delayed speech and language development, others may be highly verbal and enjoy talking extensively about topics that interest them.

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Communication Differences

Children and adolescents with ASD may communicate differently from their peers. More verbal children and adolescents with ASD may have strong vocabularies and speak older than their age. Some may have excellent factual knowledge but may still experience challenges with the social aspects of communication, including understanding implied meanings, reading between the lines, or recognizing what others may already know or expect.Some may prefer speaking only with familiar people, while others may appear shy or reserved in social situations. Verbal and non-verbal communication skills can vary widely and may be used inconsistently.

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Eye contact may be limited, inconsistent, or typical, depending on the individual. Some children may also have difficulty interpreting facial expressions, body language, tone of voice, or other social cues.  Many with ASD process language differently. Some may struggle with open-ended questions and respond more successfully to specific, concrete questions. Others may interpret language very literally and take instructions, comments, jokes, sarcasm, or figures of speech at face value.

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Social Relationships and Understanding

Some children on the spectrum want friendships but find social interactions difficult. They may struggle to understand social rules, interpret others’ perspectives, recognize emotional cues, or understand another person's intentions and motivations. Some may be rule-bound and insist that others follow their way of doing things, while others may appear overly accommodating and eager to please.

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Many with ASD genuinely want social connections but may find it challenging to initiate conversations, maintain friendships, or navigate unwritten social expectations. Some may appear controlling during play, react strongly to perceived unfairness, or have difficulty understanding how their words and actions affect others.

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Interests, Behaviour, and Sensory Differences

Many individuals develop strong interests in specific topics or activities and may become focused on them. These interests can change over time and are often accompanied by extensive knowledge, strong memory skills, or an advanced vocabulary.

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Special interests are not always unusual. Interests can include age-appropriate activities such as reading, arts and crafts, or video games. Some individuals may also become invested in particular topics, values, or causes, such as animal welfare, environmental issues, politics, or social justice. What often distinguishes the interest is its intensity, depth of knowledge, and importance to the individual.

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Some children may also engage in repetitive behaviours, prefer routines, or find changes in their environment challenging. Sensory differences are also common, with individuals experiencing heightened or reduced responses to sounds, lights, textures, smells, tastes, or touch.

 

Flexibility and Rigidity

Many individuals with ASD prefer predictability and may find it difficult to adapt to changes in routines, expectations, or environments.

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For some, rigidity involves a strong preference for specific routines, schedules, or ways of completing tasks. Others may become highly focused on particular interests or topics and prefer spending significant amounts of time engaging with them.  Rigidity may also be reflected in social relationships. Some children strongly prefer interacting with a particular teacher, caregiver, family member, or friend and may have difficulty accepting support or direction from others.

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In some, rigidity is less about routines and more about needing situations to occur according to their preferences in the moment. They may struggle with compromise, changes in plans, or accepting alternative ideas and solutions.  

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Autism and Females

Autism can present differently in females than in males. Many females with ASD mask or camouflage their difficulties by observing and imitating others in social situations. Although many have friendships, they may experience difficulties maintaining them over time. Some may appear rigid, controlling, or rule-bound in social situations, while others may be overly accommodating and place the needs of others before their own. Social anxiety is also commonly reported. They are also more likely to internalize their difficulties, experiencing anxiety, perfectionism, emotional exhaustion, low self-esteem, or social isolation.

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Some females may receive diagnoses such as anxiety, depression, or ADHD, before ASD is recognized. In some cases, autism may not be identified until adolescence or adulthood when social demands become more complex and coping strategies are no longer sufficient.​

 

Individuals Strengths

While ASD can present challenges, many individuals also demonstrate unique strengths and abilities. These may include strong attention to detail, honesty, loyalty, creativity, exceptional memory, logical thinking, problem-solving skills, and deep knowledge in areas of interest.

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Many individuals with ASD are passionate, dedicated, and persistent when pursuing topics or activities that are meaningful to them. The combination of strengths, challenges, interests, and support needs varies considerably from person to person, reflecting the diverse nature of the autism spectrum.

AUTISM FUNDING

In British Columbia, children under 6 years of age with an ASD diagnosis are eligible to receive up to $22,000 annually, while children between 6 and 18 years of age may receive up to $6,000 annually for intervention services. In March 2020, the BC government announced that the existing autism funding program would be replaced by a new support model, with implementation expected by 2027.

 

Individuals aged 19 and over may be eligible for the Community Living BC (CLBC) Personal Support Initiative (PSI) if they struggle with independent functioning and meet CLBC eligibility criteria. Transitional planning for this support typically begins before the individual turns 19, sometimes as early as age 15.

UNDERSTANDING AUTISM THROUGH CHILDREN'S EXPERIENCES

Many people often think that signs of autism are confined to behaviors like avoiding eye contact, body rocking, arm flapping, being non-verbal, lining up toys, or always being alone. While these are more common indicators in very young children undergoing assessment, autism in older children can present differently. Older children with autism might show a greater interest in social settings, be more verbal, and display some interest in social interactions, though they may still experience challenges in these areas.

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​For some examples, please view the video clips below showing how autism signs can vary across ages.

Sophie, a 13-year old with autism, shares her unique perspective on friendships, sensory experiences, and daily challenges.

Eric, a boy with autism, shares about his sensory sensitivities, intense interests, and experiences connecting with others.

HOW IS ASD ASSESSED?

Families can pursue a publicly-funded ASD assessment for free through BCAAN, which requires a referral from a pediatrician. If you are concerned that your child may have ASD, your first step is to talk to your family doctor to obtain a referral to see a pediatrician.

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For children under 6 years of age, they should have been seen or have an appointment booked with a pediatrician and a speech and language pathologist before booking an assessment with us. Though not required, we also recommend that children aged 6 and over be seen by a pediatrician.

We are a private clinic, providing assessments for a fee (NON-BCAAN), and our assessments adhere to BC ministry guidelines.

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We also offer speech and language assessments conducted by a registered speech and language pathologist.

ASSESSMENT PROCESS

Our services are based on an hourly rate. Fees for an assessment include both direct and indirect services. Direct services typically involve scheduled in-person or virtual appointments. Examples of indirect services include scoring tests, interpreting test results, and writing an assessment report. Occasionally, a child may require additional hours of testing. The time required for an ASD assessment typically ranges from 10 to 15 hours, depending on the child’s age and needs.

AUTISM SPECTRUM DISORDER ASSESSMENT

  • Parent Interview (by phone or in-person: 2.5 to 3 hours)

  • Behavioral observation (1 to 2 hours)

  • Cognitive functioning testing (1.5 to 2 hours)

  • Academic functioning testing (3 hours recommended for children over 6 years of age)

  • Tests scoring time (1 to 1.5 hours)

  • Preparation of report  (6 to 8 hours)

  • Feedback for parents (virtually or by phone: 1 hour)

SPEECH AND LANGUAGE PATHOLOGY (SLP) ASSESSMENT

  • Speech and language assessment (1.5 to 2 hours)

  • School observation (if needed: 1 to 2 hours + travelling time)

  • Home video reviewing (if needed)

  • Tests scoring and preparation of report  (3.5 to 4 hours)

  • The parent interview is typically conducted alongside the in-person child assessment.

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​A typical SLP assessment for children under 6 years old includes a 1.5-hour in-person session with a report, costing $800. This fee is calculated at an hourly rate of $160 for a total of 5 hours. Additional fees will apply if the child requires extra assessment time.

Excited Children in Science Class
Autism Assessment in Vancouver, Richmond, Burnaby, and Surrey, BC.

ASSESSMENT OUTCOME​

 

A feedback session and an assessment report will be provided at the end of the autism assessment. The report typically includes the client’s developmental history, areas of concern, test results, diagnosis (if any), and recommendations related to the given diagnosis. If the individual does not meet diagnostic criteria for ASD, the report will explain why they do not meet the criteria and will include recommendations.

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Feedback sessions for speech and language assessments are provided upon request only. Typically, families receive a report to support their autism assessment, whether conducted at our clinic or elsewhere.

Address: #202 – 3540 West 41st Ave, Vancouver, BC. V6N 3B8
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