MICHAEL A. FABRIZIO, MD, FAAP

Your pediatrician might be able to administer screenings, but most general doctors are not trained to formally diagnose autism. They might refer you to a qualified diagnostic clinician which include: 

• Developmental Pediatricians
• Child Psychologists
• Child Psychiatrists
• Pediatric Neurologists
• Pediatric Neuropsychologists

Your experience might look different depending on the type of clinician you choose. Many families prefer working with developmental pediatricians. Others might work with a psychiatrist or another specialist to get a different perspective.

A formal ASD diagnosis, or a medical diagnosis, helps you get the support your family needs, especially within the context of accessing medically necessary therapies and services.

• Insurance Coverage for Therapies: Medically necessary therapies for ASD are often covered by insurance including, but not limited to, speech therapy, ABA therapy, and occupational therapy. 
• Financial Support: A diagnosis is required when applying for social security or disability benefits. 
• Plan for Care: A diagnosis helps identify your child’s support needs. For example, your child might need to develop social communication and self-regulation skills.
• Future Research: The more data we gather through evaluations, the more we can improve services for autistic children and adults.

Check out Autism Diagnosis: The Complete Guide for Parents for more information.

The main role of developmental-behavioral pediatricians is to evaluate kids who aren’t developing, learning or behaving the way their peers are. You might be referred to one after an evaluation through school or from your state-run early intervention program. 

These specialists can help you understand certain behaviors you’re seeing and come up with a diagnosis. For example, if your child acts up at school and in other settings, you or the teacher may suspect your child has ADHD. But there are other issues that may look like, such as anxiety. And many kids will have more than one issue.