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Autism Spectrum Disorders

Assessment and Support for Adults

Many adults only realize late in life that their perception and experience fundamentally differ from those of other people. What was long seen as a quirk, shyness, or simply "being different" sometimes only gets a name after many years.

A diagnosis in adulthood can be relieving – it explains experiences that were previously hard to categorize. But it is also a process that should be conducted carefully.

Autism Is Not a Disease
Autism is not a disease in the traditional sense but rather a different way the brain processes information. Difficulties often arise only when environmental demands interact with individual differences.

Neurobiological Background

Social Cognition: Facial expressions, gestures, and unspoken rules are grasped less intuitively
Sensory Processing: Stimuli may be perceived more intensely or differently
Information Processing: Often detail-oriented, with strengths in pattern recognition and systematizing

These differences are not inherently pathological – but they can lead to significant distress, especially when the environment allows little flexibility.

Why Diagnosis in Adulthood?

Exhaustion from constant adaptation (masking)
Life crises or transitions that overwhelm coping strategies
Co-occurring conditions such as depression, anxiety, or ADHD
Suspicion arising through personal research or family input

Diagnosis

1

Comprehensive History

Life story, development, current difficulties, and individual strengths.

2

Standardized Questionnaires

Validated self-report instruments for assessing autism-typical characteristics.

3

Collateral Information

Conversations with family members or significant childhood contacts when possible.

4

Document Review

School records, previous assessments, or reports as additional sources of information.

5

Differential Diagnosis

Distinguishing from ADHD, anxiety disorders, or personality traits.

Thoroughness Over Speed
Autism is currently suspected more often than before – not always correctly. We make diagnoses only when criteria are truly met. In some cases, we recommend specialized centers for further assessment.

After Diagnosis

Counseling

Understanding the diagnosis and support in dealing with the new perspective on your life story.

Treatment of Co-occurring Conditions

Depression, anxiety, exhaustion, or ADHD – medication and/or psychotherapy.

Support with Next Steps

Psychotherapy, self-help resources, and, if applicable, accommodations.

Autism itself is not "treated" – but quality of life can often be significantly improved.

Cost

The assessment is billed according to the German physicians' fee schedule (GOÄ). We are happy to provide a cost estimate before starting, which you can submit to your insurance.

Total costs depend on the scope of the assessment (with or without collateral information, document review, etc.). We discuss the individual process and expected costs during the initial consultation.

Appointments

Appointments are usually available within a few days. The process typically includes an initial consultation, an assessment phase with multiple appointments, and a detailed results discussion.

Assessment and counseling are available in English.

Autism and ADHD

Autism and ADHD
Many of our patients present with suspected overlap between both conditions. We have experience in differential diagnosis and can assess whether one, both, or neither condition is present. Learn more about ADHD assessment →