Adult Autism Evaluation
Strengths-Based, Neurodiversity-Affirming Assessment Designed for Clarity: Not Labels
Three visits over three to four weeks. About five hours of clinical time — including an extended 90-minute Visit 1 to do justice to the depth adult autism evaluation actually requires.
Most adult autism evaluations get rushed or default to childhood-focused criteria that don't fit how autism shows up in adults. Karina takes extra time at Visit 1 — 90 minutes instead of 60 — because adult autism evaluation needs that kind of depth to do well.
If you've spent years wondering whether autism might explain your experience, or if you've been dismissed by clinicians who said you "don't seem autistic," this is the kind of evaluation that takes your experience seriously.
Why a Five-Hour Evaluation
More time produces better answers. For adult autism, depth matters even more.
Adult autism doesn't fit the textbook.
Most diagnostic criteria were built around childhood presentations — and around boys specifically.
Adult autism, especially in women and high-masking adults, looks different. Catching the actual pattern
requires more time, not less.
Masking complicates the picture.
If you've spent decades developing strategies to fit in, those strategies don't disappear in a 60-minute appointment. We need time to look past the mask and understand what's actually been going on underneath.
Sensory and social experiences need real exploration.
Standard checklists ask about social difficulty in superficial ways. We dig into your specific sensory landscape, your social communication style, and the specific situations where things get hard — because those details determine what kind of support actually helps.
The Three-Visit Evaluation Process
Each visit has a specific clinical purpose. Each visit is its own payment. Visit 1 is extended (90 minutes) to accommodate the depth adult autism evaluation requires.
Extended Initial Consultation & Developmental History
90 minutes
$950
Visit 1 is intentionally longer than the ADHD evaluation Visit 1 — 90 minutes instead of 60. We need the time. Adult autism evaluation involves a structured developmental history (childhood patterns, school experience, sensory experiences, social development), a current functioning review (work, relationships, daily life), and an in-depth exploration of the experiences that brought you here.
Karina takes detailed notes throughout. She asks follow-up questions specific to adult autism presentation — masking patterns, sensory sensitivities, social exhaustion, special interests, transitions, and the gap between how you present externally and how things actually feel internally. By the end of Visit 1, we have a working clinical picture and a plan for what assessment in Visit 2 will look like.
Specialized Autism Assessment
60 minutes
$550
Visit 2 is the assessment visit. Depending on what makes sense for your specific case, this may include:
• Validated rating scales (RAADS-R, AQ-50, CAT-Q for masking measurement)
• Cognitive and executive function assessment with Creyos
• Structured interview tools tailored to adult autism presentation
• Sensory profile review
• Specific exploration of social communication patterns
Tools support clinical judgment — they don't replace it. Karina interprets the assessment data alongside the clinical conversation from Visit 1.
Diagnosis & Care Plan Review
60 minutes
$550
Visit 3 is when we sit together and review what we found. You'll receive:
• An integrated diagnostic picture in plain language — autism, autism + co-occurring conditions, or an alternative explanation if autism isn't the right answer
• A written care plan tailored to your profile
• Specific recommendations for supports — sensory strategies, social communication considerations, work and relationship guidance, and any clinical follow-up that makes sense
• Time to ask every question that's come up
If you're in NJ or NY and we'll be providing ongoing care, we set up your next steps. If you're in DC, FL, or CA, we walk through how to coordinate with your local prescriber for any co-occurring conditions that need medication management.
Total for Autism evaluation: $2,050
Paid as $950 (Visit 1) + $550 (Visit 2) + $550 (Visit 3), due at each appointment.
Comprehensive Diagnostic Report — $450
If you need formal documentation for workplace accommodations, university disability services, or formal accommodations elsewhere, we can prepare a comprehensive diagnostic report. Most patients don't need this — your care plan is sufficient for clinical purposes.
What's Included in Your Evaluation
Detailed clinical interviews and developmental history review
Across all three visits, structured to understand how autism shows up in your real life — childhood patterns, current functioning, sensory experiences, social communication.
Validated assessment tools
RAADS-R (Ritvo Autism Asperger Diagnostic Scale-Revised), AQ-50 (Autism Spectrum Quotient), CAT-Q (Camouflaging Autistic Traits Questionnaire), and structured interview tools tailored to adult autism presentation.
Cognitive testing with Creyos when appropriate
Measures working memory, attention, executive function, and reasoning. Helpful for understanding cognitive profile alongside autism identification.
Strengths inventory alongside challenges
Most evaluations focus only on what's hard. We map what's working too — special interests, deep focus, pattern recognition, the strengths that come with how your brain works.
Co-occurring conditions assessment
Adult autism frequently co-occurs with ADHD, anxiety, depression, and trauma responses. We assess for these to give you a complete picture — including AuDHD when both autism and ADHD are present.
Written care plan
Concrete recommendations: sensory strategies, social communication considerations, work and relationship guidance, and any clinical follow-up. Yours to keep, share, or refer back to over time.
After Your Evaluation: What Comes Next
What ongoing care looks like depends on where you are.
If you're in New Jersey or New York
Karina is DEA-licensed in both states and provides ongoing care for autistic adults, including:
- Medication management for co-occurring conditions when clinically appropriate (ADHD, anxiety, depression)
- Follow-up appointments at the cadence you need
- Care plan adjustments as your life changes
- Coordination with other providers (therapist, primary care) when relevant
Follow-up visits are $175 each. Cadence varies based on what's helpful — some patients see Karina monthly, others quarterly, others on an as-needed basis.
If you're in Washington DC, Florida, or California
Your care plan is the clinical guide your local prescriber uses if medication management is part of your care. The plan includes specific recommendations for any co-occurring conditions that need medication, plus the autism-specific support strategies that don't require prescribing.
Most patients coordinate easily with their existing PCP or psychiatrist using the care plan. Our office can communicate directly with your prescriber if questions come up.
If your care plan needs updating later, you can return for a follow-up visit ($175) — telehealth or in-person — to revise the plan with Karina.
Real Patients, Real Progress
Explore Autism Evaluation That Honors Who You Are
If you are seeking clarity, validation, and an autism evaluation grounded in neurodiversity-affirming principles, Neurokin is here to help.
You do not need to be certain before you reach out. You do not need to have it all figured out. You just need a place that takes your experience seriously and can help you understand what you have been living with.
You deserve an autism evaluation that respects who you are and supports your authentic self-understanding.
Your Questions About Adult Autism Evaluation, Answered
How long does the evaluation take?
Three visits over three to four weeks. About five hours of clinical time total. Visit 1 is extended (90min) for adult autism — the depth of developmental history and lived experience review needs the time. Visits 2 and 3 are 60 minutes each.
How much does an autism evaluation cost?
$2,050 total, paid across three visits ($950 + $550 + $550). Visit 1 is more expensive because it's longer and more in-depth. The optional comprehensive written report adds $450 if you need formal documentation. We accept HSA/FSA cards directly and provide a superbill for out-of-network
reimbursement.
Why is Visit 1 longer than the ADHD evaluation?
Adult autism evaluation requires more depth at the developmental history stage. We're looking at childhood patterns, sensory experiences across decades, social development, masking strategies, and the specific situations where things have been hard — all of which take more conversation time than ADHD evaluation does. The extended Visit 1 is intentional, not an upcharge.
What assessment tools do you use?
RAADS-R, AQ-50, CAT-Q (for masking measurement), Creyos for cognitive assessment, and structured interview tools tailored to adult autism. We use what makes sense for your case, not a fixed battery.
What if you find ADHD instead of autism — or both?
That happens often. Many adults coming in for autism evaluation actually have AuDHD (both autism and ADHD), and we identify that during the process. If we find ADHD without autism, your care plan addresses ADHD specifically. If we find AuDHD, we recommend transitioning to AuDHD evaluation pricing for the additional ADHD-specific assessment work needed in Visit 2 — we'll discuss that with you transparently before any additional charges.
Will I be diagnosed during my evaluation?
If autism is identified clinically and supported by the comprehensive assessment, yes — you'll receive a clear diagnostic picture at Visit 3. Some patients come away with a clear autism identification.
Others come away with clarity that autism isn't the right explanation, and we discuss what is. Both outcomes are valuable.
Can I do the evaluation by telehealth?
Yes. The full three-visit autism evaluation can be done by telehealth in any of our five licensed states (NJ, NY, DC, FL, CA). In-person is available at our Westfield NJ office and Midtown Manhattan office.
What happens after evaluation?
In NJ and NY, you can stay in care with Karina for ongoing support. In DC, FL, and CA, your care plan is the guide your local prescriber uses for any medication management associated with co-occurring conditions. Either way, you walk away with clarity, language for your experience, and a concrete plan for what comes next.
What if I need formal documentation for accommodations?
The optional comprehensive diagnostic report ($450) is designed for formal documentation needs — workplace accommodations under ADA, university disability services, or other accommodations. The standard care plan included with every evaluation is enough for clinical purposes; the comprehensive report is for situations where you need formal documentation an organization will rely on.
Can existing patients keep original pricing?
Yes. Existing patients in continuous care since [LAUNCH DATE] are grandfathered at the original $150 follow-up rate. New patient pricing applies to evaluations and follow-ups for new patients booked after launch.
