How autism can present in children
Autistic children may present in many different ways. No two autistic children are the same, and all children develop at their own pace.
- Differences in social communication, such as literal interpretation
- A preference for routine and predictability
- Strong interests or focused passions
- Sensory sensitivities or sensory seeking
- Distress during transitions or change
- Differences in play or peer relationships
In toddlers, early signs can include limited response to their name, delayed speech or gestures such as pointing, repetitive play, and strong reactions to sounds, lights or textures.
Some children — particularly girls — may appear socially engaged or highly compliant while experiencing significant internal distress.
How the assessment works
Every child and young person's assessment follows the same clear, five-stage pathway, so you always know what is happening and why.
Initial contact with our team
We start with a calm, friendly conversation to understand your concerns and decide the best next steps for you or your child. You can contact us by phone or email.
Screening forms
We email you digital forms to complete. These help us understand your or your child's experiences.
- ADHD/autism rating scales (for you or your child, and someone who knows you well)
- Developmental history
- School or teacher questionnaires (if assessing a child)
- Background and wellbeing information
Diagnostic interview
You attend a structured diagnostic interview with one of our clinicians — a calm, supportive conversation. Alongside it we use evidence-based tools suited to age and presentation.
- Standardised ADHD/autism questionnaires
- QbCheck (for ADHD, if appropriate)
- ABAS-3 adaptive functioning tools
- Observational and developmental assessments
- Screening for co-existing or overlapping conditions
Multidisciplinary team (MDT) review
Your assessment is reviewed by our multidisciplinary team, which may include psychiatrists, psychologists and specialist clinicians. This ensures every assessment is NICE-compliant, thorough and clinically safe.
Diagnostic outcome & detailed report
You receive a comprehensive clinical report within 21 working days, including the diagnostic 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.
Age guidance
There is no fixed minimum age for an autism diagnosis within NICE guidance. Autism can be assessed in very young children where clinically appropriate, although NICE advises that diagnostic uncertainty may be greater under 24 months. We screen and diagnose children for autism from the age of 3.
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