More information on who we are, how we do things and why
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We believe being Autistic, ADHD or otherwise neurodivergent is valuable, valid and vital.
This neurodiversity-affirmative perspective is reflected in everything we do, committed as we are to changing hearts and minds around the concepts of 'assessment’ and ‘diagnosis’.
As such, we recognise our language and perspective present autism, Autistic understanding and ADHD in a way you may not have encountered before
We actively avoid traditional deficit-based understanding, inherent in the diagnostic manuals and associated with ‘typical autism and/or ADHD assessment’. Indeed, we believe being Autistic and/or ADHD is better interpreted through the lens of identification and discovery, rather than diagnosis
Being Autistic and/or ADHD is not a ‘disorder’. Therefore, it is difficult to imagine applying a diagnosis to what is simply a way of being human. Importantly, numerous members of our team are also Autistic, ADHD or otherwise neurodivergent and we draw upon their valuable lived experience to inform our practice
We recognise you as the expert in your own experience. Your Assessment (Collaborative Identification) places you as an equal partner and your participation anchors everything. In building your story together, we are interested to understand your strengths and aspirations, while hearing about any challenging social situations and sensory sensitivities. Through our conversations, we will learn about your communication preferences, abiding interests and social experiences
Though we unapologetically celebrate being Autistic and ADHD, we also fully acknowledge how society disables and dismisses neurodivergent people. To this end, we actively offer support and advice to guide and empower you on your continuing journey, equipped with your new identity
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This article ‘What does it mean to be neurodiversity affirmative?’, published in the Psychologist and jointly written by Davida, Anna, Jessica, Maeve and Juliana from The Adult Autism Practice and Tara from Thriving Autistic, provides an accessible overview of this essential understanding
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Yes. There is no problem booking for an Autistic identification alone and then deciding either during the process or after to pursue looking into ADHD in more depth. However, if you think you may want this, we would recommend booking in with a psychologist who undertakes both Autistic and ADHD identification. This means that you would not need to change to a different psychologist for the ADHD piece.
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This very much depends on you. But you are probably best to book either a:
Consultation for both Autistic and ADHD experience, and then decide after which to pursue (or both).
A full Autistic and ADHD assessment (collaborative identification).
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This very much depends on you. But you are probably best to book either a:
Consultation for both Autistic and ADHD experience, and then decide after which to pursue (or both).
A full Autistic and ADHD assessment (collaborative identification).
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Unfortunately, not at the moment. We are currently only supporting ADHD identification if it is part of a possible Autistic identification.
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No, you will not.
This is because it would be a psychologist undertaking this work with you, it will not be possible for us to provide medication. Not only this, but a psychologist's "diagnosis" (formal identification) will not be enough for you to access medication. To access medication, this needs to come from a psychiatrist or other suitable medical profession, and they will want to do their own assessment. So, if you ever wanted medication in the future, you would need to redo the assessment with a psychiatrist or other suitable medical professional. However, if you would like to explore ADHD as a possibility, while knowing that medication will not be possible with our documentation, we can do this.
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Whilst we fully support self-identification, we also recognise that some people do wish to explore a formal ADHD identification. This might be for a variety of reasons, for example:
Providing a new lens through which to understand their way of being in and experiencing the world, which can support self-compassion and understanding for areas in which life can be difficult when ADHD neurology is misunderstood (e.g., planning and organising tasks; interest-based attention
Some people may have previously been given unhelpful labels (e.g., being 'lazy', someone who 'just doesn't listen' etc.) or mental health diagnoses that do not resonate for them
Formal identification of ADHD can make it clear that a person requires reasonable adjustments under equality legislation
Some people find it when applying for disability benefits to have a formal identification (we recognize it is the individual's choice to identify as disabled whilst recognising that an ADHDer may require financial supports such as that provided through DA or PIP
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Yes you can! All you need to do is fill in a new Booking form, where you will be given the option to book in for a 'Follow Up ADHD Identification.'
For clients who have already attended us, the cost will be 600 Euro or 500 Sterling (if you are based in the UK)
You will then attend for 2 online sessions
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If you have very recently attended us (within the past 2-3 months) it may be worth sending your psychologist an email to see if they are undertaking additional ADHD identification
However, it is important to note that not all psychologists in our practice will be undertaking ADHD assessments
After you have paid, you will be sent a link to a team of psychologists to choose from (like you were previously). You can then pick a psychologist who is undertaking both Autistic and ADHD Identification (you will see this clearly stated under the pictures of the psychologists). You can book in with any of these psychologists
If you see that the psychologist you saw previously is doing both Autistic and ADHD Identification, then absolutely book in with them if you would like to!
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Apart from the questions related to Autistic experience, yes you do
We absolutely understand that filling in forms is both time consuming and frustrating, and that you were asked to fill in a lot of the information previously. However, things can change in people’s lives – they can change GP, or stop seeing a therapist, or be going through a particularly difficult time. So, we need to capture a more recent picture of all of this so that we can support you best
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Collaborative Autistic Identification (Assessment)— including a post-identification, peer-led coaching session costs £940 or €1100
Collaborative Autistic and ADHD Identification (assessment) - including post identification, peer led coaching session costs £1440 or €1700
*A payment instalment plan is available: click here for details
Consultation costs £225 or €260
No payment plan for Consultation
It is not necessary or required to have a Consultation before Identification, though it is possible to transition from Consultation to Identification, without additional waiting
If you ultimately decide to go ahead with Identification, the price of the Consultation is deducted from the final price of the assessment/identification.
Please be aware there are additional fees for additional requested documentation, e.g., a Disability Allowance or PIP letter
Clients paying tax in Republic of Ireland: You can claim back psychology visits at the standard rate of tax. Tax relief is also available for premiums paid for health insurance. The psychologist doesn’t need to be chartered
More info here: Tax relief on medical expenses
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No, you don't. If you are curious about exploring both and want to start with a Consultation, you can just book in for a Consultation to look at both Autistic and ADHD experience. You can decide after the Consultation then whether you could like to pursue either or both. It would be important in this case to book in with a psychologist who is undertaking both Autistic and ADHD identification (it will be clearly stated in their information when you get to booking stage).
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Our current wait time, from submitting your forms to first appointment, is roughly 2 months. This is the same for either Consultation or Assessment (Collaborative Autistic Identification)
After a consultation, if you decide to move on with identification, you can do this right away, with no further waiting
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We operate entirely online, so you will meet with your psychologist via Microsoft Teams
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It is important to us that all sessions happen in a kind and safe online space, where you feel comfortable to fully express yourself. We will work with you to achieve this and understand how difficult eye contact and video calls can be for lots of people
While we do ask for at least one video call, there is no expectation of sustained eye contact during sessions. You can face away from the camera, even wear sunglasses. Naturally, you can stim freely while communicating
We are happy to conduct one or two sessions over the phone. We are also happy to conduct shorter sessions, where instead of being online for the full time, you can email responses to questions. You may also find the Teams text chat function useful to communicate with your psychologist, for part of the time
We understand communication is achieved in multiple ways. Ultimately, our priority is making you feel comfortable and understood throughout your journey with us
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Adult Autistic identification is relatively new and as a resolutely neurodiversity-affirmative practice, we take a progressive perspective on Autistic identification and discovery. Consequently, our clinical approach is informed by Autistic academics, Autistic-led research and learning from the Autistic community. Though, of course, our professionally qualified and registered psychologists adhere to clinical autism assessment standards and our process is based on current diagnostic criteria for autism in the DSM-5-TR and ICD-11
While guided by the Autism Diagnostic Interview – Revised (ADI–R), to establish a broad outline of your experience, a deeper, richer understanding is achieved through in-depth conversation over three sessions with your psychologist
We do not use the Autism Diagnostic Observation Schedule (ADOS), as in our professional opinion (informed by understanding within the Autistic community), the current version does not adequately capture the adult Autistic experience
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In traditional terms, this is ‘the assessment process leading to clinical autism and/or ADHD diagnosis’. However, we prefer to frame this as Collaborative Autistic and/or ADHD Identification. More than mere rhetorical window dressing, this perspective is a signature stamp of our progressive, neurodiversity-affirmative ethos and commitment to respecting and valuing unique neurodivergent experiences
In our view, and in keeping with understanding within the Autistic community and neurodiversity movement, autism and ADHD are not ‘disorders’ to ‘diagnose’. They are not a ‘condition’ you ‘have’, handed to you in the form of a deficit-based diagnostic report.
While our professionally qualified psychologists, assuredly work within clinical best practice, we firmly believe Autistic and ADHD identification is best explored and established within a collaborative framework.
Though actively positive and strengths-based in our approach, we take full account of your individual support needs and understand the realities of everyday Autistic and ADHD living
It is not necessary or required to have a Consultation before Identification, though it is possible to transition from Consultation to Identification, without additional waiting
If you ultimately decide to go ahead with Identification, the fee for Consultation is deducted from the fee for Identification
For more details, click here: Identification
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If you self-identify as, or otherwise believe you are Autistic, this is an opportunity to meet with your psychologist for an exploratory, one-hour conversation. A safe space to explore the ‘What if…?’and ‘Does this mean…?’ type questions you may have. To talk about your experience and discuss the potential pros and cons of formal identification. After this exploratory conversation, there is no expectation or requirement to pursue our Collaborative Autistic Identification
It is not necessary or required to have a Consultation before Identification, though it is possible to transition from Consultation to Identification, without additional waiting
If you ultimately decide to go ahead with Identification, the fee for Consultation is deducted from the fee for Identification
For more details, click here: Consultation
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Yes. All our psychologists are professionally qualified, registered with either the Psychological Society of Ireland (PSI), the British Psychological Society (BPS) or the UK Health & Care Professions Council (HCPC) and work to clinical autism assessment standards. As such, your Autistic identification with us is recognised within the Irish and British health and social care systems, providing access to relevant support services
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There is a few points to this.
Firstly, yes, the assessment will be thorough and best practice and undertaken by a qualified and skilled psychologist. So there will be no issue with either your Autistic or ADHD identity being “accepted.”
However, you will not be able to access stimulant medication from a GP with our documentation, and for example in the UK if seeking NHS prescribed medication, you would need to attend an NHS psychiatrist for another assessment
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Yes. During Assessment (Collaborative Identification), you will have the opportunity to discuss your work or college life, to explore your strengths and address environmental and/or social aspects not set up to allow you to perform at your best. Your psychologist can help you identify equitable requirements — changes in your work or college — that will help reduce stress and allow you to access your strengths
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We understand the shortcomings and short-sightedness of legacy Autistic understanding and how this has sadly marginalised and missed many Autistic people, particularly Black and Asian people, women and the LGBTQ+ community. We also understand how many Autistic people are identified later in life, having been misunderstood and missed as children. Therefore, as a practice informed by rich Autistic experience and actively assimilating new understanding, we recognise Autistic people have unique social and cultural histories and present in myriad different ways
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Yes. As a team, we are cognizant of the evolving PTSD and minority stress research in relation to the Autistic experience and are mindful of this when working with you. Furthermore, many of our team have minority stress, trauma and post-traumatic stress training and experience
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No. There is certainly no requirement or expectation you involve anybody else
However, it is entirely your decision and if you prefer involving a parent, partner, family member or friend for support during your meeting, then this is perfectly possible and they are most welcome to join you. We encourage you to do what you feel supports you best and this extends to involving any supportive pets!
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Payment is required before booking your appointment. You will receive an email notifying when you are at the top of the waiting list and can book an appointment
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Payments are made easily using your credit/debit card, via an online link
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If you have private insurance, we can provide all the necessary details for you to claim on your insurance
Please note: for claims, when choosing your psychologist, you will likely be required to choose a psychologist based in your country of residence
Please note: if you are based in Ireland, you must choose a Chartered Member of the PSI if you want to claim on insurance
Information about each psychologist will be given to you clearly at the time of booking
Please check with your insurance provider before booking if you have any queries
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Yes. We want our service to be as accessible as possible and understand payment in one go may be difficult for some. Therefore, we have a payment plan to cover the Collaborative Autistic Identification (Assessment) fee. The booking form has an option to request this plan
Click HERE for details about our payment plan for people in the UK, Ireland and other countries.
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Click on the ‘Make a Booking’ button, anywhere you see it — there is one located at the bottom of this page
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When you make a booking, you will need to complete three forms:
The Consent Form
This outlines details about us and the regulations we are bound by. You will choose either Consultation or Assessment (Collaborative Autistic Identification), provide contact details, specify some preferences and ultimately provide your consent to proceed
The Intake Form
This asks for detailed information about you as a person, e.g., your communication preferences and how you have experienced social relationships. In this form you can share what makes you ‘you’
The CORE Form
This is a standardised questionnaire to establish your current mental health, e.g., have you had thoughts of self-harm recently?
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In collecting your personal story, the forms may take some time to complete. Perhaps best to complete them when you have plenty of time to spare and minimal distractions
Please note: you do not need to complete the forms in one sitting (you can save and return); however, unsubmitted forms are automatically deleted after 60 days and cannot be recovered. Please ensure to submit your completed forms within 60 days
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Submitting your form adds you to our waiting list. You will receive an email confirmation
You will also receive some additional forms. Completing these is optional
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No. You can book directly. Click on the ‘Make a Booking’ button, anywhere you see it — there is one located at the bottom of this page
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Most of the time, yes. After payment, you will be sent a link to a selection of psychologists with availability to see clients. Here, you can read the psychologists’ bios, and watch a brief introductory video. This way, you can make an informed choice in selecting a psychologist that best suits you
Of course, we also understand you may feel overwhelmed in selecting a specific psychologist, and are happy to help you choose. If you simply provide us some pointers in what is important to you in a psychologist, this will guide us in recommending one or two psychologists for you
If you are wondering if you may be ADHD as well as Autistic, we recommend booking in with a psychologist who undertakes work in both areas. This will be clearly written in the psychologists' information after booking
It should be noted that there may be some occasions where there will be no choice because there may be just one suitable psychologist available for you. This does not happen often though
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Yes. We have a gender mix of psychologists
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Yes. You can choose either an Ireland or UK-based psychologist. Though, if you intend to claim through health insurance, you will likely be required to choose a psychologist based in your country of residence. Please check with your insurance provider before booking
Important Note: If you are based in Ireland and want to claim back from private insurance, you will need to choose a Chartered Member of the PSI
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We mostly see clients from Ireland, the UK and wider Europe
However, we do see people living in other countries. If you currently live in a country outside Ireland, the UK and wider Europe, please email us at info@adultautism.ie, to see if your country can be covered
If you live outside Ireland or the UK and hope to use your formal Autistic identification to access disability supports or other assistance, please check local legislation regarding the acceptance of a diagnosis from outside your country of residence
Unfortunately, we cannot see clients residing in the USA or Canada, as regulations in these countries require your psychologist be registered in the specific US state or Canadian province in which you live
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Many typical autism/ADHD diagnostic services simply end with handing you a turgid, invalidating report. However, we recognise the personal significance of discovering your Autistic and/or ADHD identity.
Therefore, to support the important next steps of your journey, a follow-up support session from Thriving Autistic is available with Collaborative Identification, should you wish
Founded by Post-identification Support Lead, Tara O’Donnell-Killen, Thriving Autistic is our partner organisation. With a range of skilled, neurodivergent practitioners, your psychologist can help you choose someone best suited to set you on your way
Your psychologist will also signpost you to various helpful resources and routes to link in with the vibrant, online Autistic, ADHD and otherwise neurodivergent community network
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Discovering you are not Autistic, can be as significant as discovering you are. If together in Collaborative Autistic Identification we discover you are not Autistic, you will of course be offered appropriate support and guidance to meet your needs, including the option of a follow-up support session from Thriving Autistic
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Yes. We work closely with our equally neurodiversity-affirmative partner, Thriving Autistic. Tara O’Donnell-Killen, who supervises our post-identification support, founded this wonderful, Autistic-led organisation
After an initial post-identification session, many of our clients continue their support relationship with Thriving Autistic, providing great feedback
Tara and team will be happy to discuss your particular support needs. Contact hello@thrivingautistic.org for more information
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Yes. However, there is an additional €100 fee
A robust letter of this kind requires additional time gathering relevant information from you. We need to go into detail to ensure we provide appropriate evidence to support you. To provide a detailed letter, we must charge to cover the additional staff costs and admin time required
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If you have any questions, at any time, help is just an email away. Contact info@adultautism.ie and we will respond quickly
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Our official address is 51 Sandycove Road, Dun Laoghaire, Co. Dublin A96 WK44. However, we do not see people there for identification work. We only see people online. This address is used as a postal address only. No work is undertaken there.