Swank Autism Center at Nemours/Alfred I. duPont Hospital for Children

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.

Yes, a psychiatrist is a good person to speak with regarding medication for your child. While you might have an idea of what might work for your child, it’s best to have a conversation with a medical professional, such as a psychiatrist. What works for one autistic child may not work for another, so consider your child’s individual needs and goals. 

If you’d like to explore prescription medications or supplements for your child, weigh your options and concerns with your child’s medical team and create a plan. Discuss developments and side effects with your child’s doctor and adjust as needed.

When you visit a neurologist, they’ll assess your child’s needs, run some tests (think imaging or EEG), and diagnose. From there, they’ll create a customized treatment plan. Medication, lifestyle tweaks, or maybe even a referral to another specialist could be on the table.

There unfortunately isn’t one test for all neurodevelopmental conditions. Most likely you will go into a visit to test one or two medical conditions. If you are looking for a comprehensive autism evaluation, developmental pediatricians, psychologists, or neuropsychologists are the preferred specialists who can diagnose autism.

No, neurologists focus mainly on non-surgical interventions. If your child needs surgery, neurologists might point you in the direction of a pediatric neurosurgeon.

A mental health professional (such as a pediatric psychologist) can help concerns around anxiety, depression, trauma, eating disorders, ADHD, behavioral challenges, OCD, grief/loss.

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.

You can get your child an AAC device a few ways:

• Add it to your child’s IEP. If your child has an IEP, you can request that an AAC device be made part of it, and that they always have access to it in school. (Some schools will allow you to take the device home, too.)
• Ask your child’s doctor. You can request an evaluation for an AAC device through your child’s doctor. This requires an evaluation, and your child’s insurance should cover part (or all) of the costs.
• Buy one yourself. Many AAC devices are just apps installed on regular iPads or a tablet. They can be a bit pricey, but getting insurance to pay for AAC devices can take a long time.