Adult Autism Assessment Process with Wirtz Mindful Psychiatry & Wellness (18+)
Do you feel like you’ve always been different but aren’t quite sure why? Whether you struggle with social interactions (beyond anxiety), experience sensory sensitivities, have a strong need for routine, or simply feel out of sync with the world around you — you’re not alone. If you’re wondering whether you might be autistic or otherwise neurodivergent, you’re in the right place.
My approach to adult autism assessment is empowering and grounded in a neurodiversity-affirming perspective. I am committed to supporting you in understanding how your brain works, recognizing your unique strengths and needs, and exploring your questions in a compassionate, supportive space.
If you are Autistic, you have always been and will always be Autistic, regardless of whether that identity has been formally confirmed. Depending on your goals and needs (such as self-identification or formal diagnosis), the process can range from two to four appointments.
Step 1: Initial Contact
Complete the brief form on the Contact page and be sure to indicate your interest in an autism assessment.
Step 2: Patient Portal & Intake Paperwork
You will be invited to join our secure patient portal, where you will then complete consent forms and intake paperwork. Completion of these is required before scheduling your first appointment.
Step 3: Appointment #1 - Psychiatric Evaluation
This initial 60 minute evaluation establishes care and carefully considers differential diagnoses to ensure an accurate assessment.
Covered by in-network insurance or $300 self-pay
Step 4: Completion of Screenings and Questionnaires
On your own time, you will complete several screenings and questionnaires electronically and submit them via the patient portal prior to Appointment #2.
Step 5: Appointment #2 - Informal assessment and processing
This 45 minute session focuses on reviewing your questionnaire results and discussing the likelihood of being autistic or neurodivergent based on this information. We will also explore the concepts of self-identification versus formal diagnosis helping you consider what path best aligns with your goals.
Covered by in-network insurance or $220 self-pay.
If you decide that a formal diagnosis is not aligned with your goals, you’re welcome to conclude the process at this point.
Step 5: Appointment #3 - Formal Autism Evaluation
This 2-2.5 hour session involves an in-depth conversation about your history, behaviors, and experiences utilizing the MIGDAS-2 and SRS-2. I have been trained by Marilyn J. Monteiro, PhD, the creator of the MIGDAS-2.
$1,000 self-pay. Due to insurance limitations, this appointment is self-pay only and cannot be billed to insurance.
Step 6: Appointment #4 - Feedback Session
A 45 minute session to review your evaluation results, process your assessment experience, and explore resources.
Covered by in-network insurance or $220 self-pay.
Optional: A formal written report detailing the evaluation findings is available for $150 self-pay.
Please note: If you require formal accommodations (e.g., IEPs, 504 Plans), disability benefits, or legal documentation, you may be referred to a clinical psychologist for comprehensive neuropsychological testing, as these typically require the highest burden of proof.
