How autism can present in adults
Many autistic adults reach adulthood without a diagnosis, particularly those who learned to adapt their behaviour to fit in. Autistic adults may appear outwardly capable while experiencing high levels of internal strain.
- Social exhaustion or burnout
- Difficulty maintaining relationships despite wanting connection
- Sensory overload in everyday environments
- High anxiety in social or unpredictable situations
- Rigid thinking or difficulty with change
- Feeling “different” without knowing why
- Needing significant downtime to recover
For adults, diagnosis focuses on current functioning and lived experience, alongside evidence of autistic traits across the lifespan, even if these were not recognised in childhood. For many people, a diagnosis brings validation, understanding and self-compassion rather than limitation.
How the assessment works
Every adult pathway begins with screening to help identify whether a full diagnostic assessment is appropriate.
Initial contact with our team
Your journey begins with a conversation with our friendly team. We discuss your concerns, explain the screening process, answer questions and guide you through the next steps.
Screening forms
We email you forms to complete. These help us understand your or your child's experiences.
Initial Screening Consultation
You attend a structured interview with one of our clinicians. A calm, supportive conversation. Alongside it we use evidence-based tools suited to age and presentation.
Multidisciplinary team (MDT) review
Your assessment is reviewed by our multidisciplinary team, which includes psychiatrists, psychologists and specialist clinicians. This ensures every assessment is NICE-compliant, thorough and clinically safe.
Screening Assessment outcome & detailed report
You receive a comprehensive clinical report within 21 working days, including the conclusion, a clear explanation of the evidence, tailored recommendations for school, work and home, and signposting to further support. If criteria are not met, we still provide clear guidance and next steps. Where the screening findings indicate that a full ADHD or autism diagnostic assessment is appropriate, we will explain the next stage and arrange a further appointment.
Fees
Cancellations within 7 working days, or non-attendance, are charged in full. Rescheduling within 4 weeks of your appointment incurs a £150 fee. Changes to booked consultation dates outside four weeks incur a £55 administration fee.
We offer a free initial telephone chat to help you understand your options and choose the most suitable pathway.
Why a diagnosis matters
Receiving a diagnosis is not simply a label, it is a framework for understanding yourself. It can:
- Provide long-overdue clarity and self-understanding
- Explain lifelong patterns in learning, behaviour or emotional responses
- Unlock tailored support, coaching and practical strategies
- Improve wellbeing, confidence and day-to-day functioning
- Help schools, employers or families support you better
- Open access to treatment or accommodations where needed

