How to Get an Autism Diagnosis: Recognizing Signs of Autism in Adults
Autism in adults can manifest in various ways, often differing from childhood presentations. Many individuals develop coping mechanisms that mask their challenges, making it harder to recognize the condition. However, certain patterns in behavior, communication, and sensory processing may indicate autism. Understanding these signs can be the first step toward seeking a formal evaluation and accessing support services.
Common Signs of Autism in Adults
Adults with autism may exhibit a range of characteristics that affect their daily lives.

Social Communication Challenges
One of the most noticeable signs of autism in adults is difficulty with social communication. This may include:
- Struggling to maintain eye contact during conversations.
- Finding it hard to interpret body language or tone of voice.
- Taking language literally and missing implied meanings.
- Preferring solitary activities over group interactions.
Repetitive Behaviors and Routines
Many adults with autism rely on routines to navigate their world. Disruptions to these routines can cause significant stress. Repetitive behaviors, such as hand-flapping or rocking, may also be present. Some individuals develop strict rituals around daily activities, like eating the same foods or following a precise schedule.
Sensory Sensitivities
Sensory issues are another hallmark of autism. Adults may be overly sensitive to lights, sounds, smells, or textures. For example, fluorescent lighting or crowded spaces might feel overwhelming. Conversely, some individuals may seek out sensory input, such as touching certain fabrics or listening to loud music.
How to Get an Autism Diagnosis
Obtaining a formal autism diagnosis as an adult involves several steps. The process typically begins with self-reflection and research, followed by consultations with healthcare professionals. A thorough evaluation may include interviews, questionnaires, and observations to assess behavior and developmental history.
Step 1: Self-Assessment
Before seeking a professional opinion, many adults find it helpful to complete self-assessment tools. These questionnaires can provide insight into whether further evaluation is warranted. However, they are not a substitute for a formal diagnosis.
Step 2: Consult a Primary Care Provider
A primary care provider can offer guidance and referrals to specialists. They may rule out other conditions that could explain the symptoms, such as anxiety or attention-related challenges.
Step 3: Seek a Specialist Evaluation
Diagnosing autism in adults often requires a specialist, such as a psychologist or psychiatrist with experience in autism. The evaluation may include:
- A detailed developmental history.
- Observations of social interactions.
- Standardized assessments tailored to adults.
Comparison of Autism Assessment Tools
Tool | Purpose | Age Group |
---|---|---|
Autism Spectrum Quotient (AQ) | Self-assessment of autism traits | Adults |
Ritvo Autism Asperger Diagnostic Scale (RAADS-R) | Clinical evaluation of autism symptoms | Adults |
Adult Repetitive Behaviors Questionnaire (RBQ-2A) | Measures repetitive behaviors | Adults |
Support and Resources
After receiving a diagnosis, adults with autism can access various resources to support their needs. These may include therapy, support groups, and workplace accommodations. Many organizations offer guidance on navigating daily challenges and building on strengths.
Understanding autism in adults is an ongoing journey. With the right support, individuals can lead fulfilling lives while embracing their unique perspectives. If you suspect you or a loved one may be autistic, seeking a professional evaluation can be a transformative step toward self-discovery and empowerment.
References:
Autism Speaks
Centers for Disease Control and Prevention
American Psychiatric Association