Autism Diagnosis at Cadabam’s Child Development Center
Finding the right answers about your child’s development can feel overwhelming. At Cadabams CDC, our evidence-based autism diagnosis process is designed to give parents clarity, hope, and a practical roadmap forward. This guide walks you through every stage—from first questions to post-diagnosis support—so you know exactly what to expect.
1. What Is Autism Diagnosis?
Definition of Autism Spectrum Disorder
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a child communicates, interacts, and experiences the world. It is called a “spectrum” because each child’s strengths and challenges are unique.
Why Early Diagnosis Matters
- Better Outcomes: Early intervention before age 4 is linked to significant gains in language, social skills, and independence.
- Family Support: Parents can access training and reduce stress sooner.
- School Readiness: Early identification helps secure appropriate classroom accommodations.
Difference Between Screening & Formal Diagnosis
- Screening (e.g., M-CHAT-R) is a brief check to see if further evaluation is needed.
- Formal Diagnosis uses standardized tools, clinical observation, and developmental history to confirm ASD.
2. Our Autism Diagnosis Process
Cadabams CDC follows a five-step, family-centered approach:
Step 1: Initial Intake & Screening (M-CHAT-R)
A 10-minute questionnaire completed by parents; results indicate whether a full evaluation is recommended.
Step 2: Comprehensive Developmental History
We gather information on pregnancy, birth, milestones, medical issues, and family patterns through parent interview.
Step 3: Standardized Diagnostic Tools
- ADOS-2: Play-based observation of communication and social interaction.
- CARS-2: Rating scale completed by clinicians and parents.
- Cognitive & Language Tests: To rule out or co-diagnose intellectual or language disorders.
Step 4: Multidisciplinary Team Review
Our child psychologist, speech-language pathologist, and developmental paediatrician meet to reach consensus, ensuring no detail is missed.
Step 5: Feedback Session & Report
Within one week, parents receive:
- A clear explanation of findings.
- Severity level (1, 2, or 3) and support needs.
- Personalised next-step recommendations.
3. DSM-5 Diagnostic Criteria Explained
Social Communication Deficits Checklist
- Limited eye contact or gestures by 12 months.
- Difficulty sharing interests or emotions.
- Challenges with back-and-forth conversation.
Restricted & Repetitive Behaviours Checklist
- Hand-flapping, lining up toys, intense interest in specific topics.
- Sensitivity to sounds, textures, or lights.
- Need for sameness in routines.
Severity Levels & Support Needs
| Level | Description | Example Support |
|---|---|---|
| 1 | Requires support | Social skills group |
| 2 | Requires substantial support | Daily therapy sessions |
| 3 | Requires very substantial support | Full-time special educator |
4. Diagnostic Tools We Use
- ADOS-2: Gold-standard, play-based assessment for ages 12 months and up.
- CARS-2: Quick 15-item scale useful for initial severity rating.
- Developmental & Neuropsych Testing: Evaluates IQ, memory, and executive function.
- Parent & Teacher Questionnaires: Gathers real-world behaviour across settings.
5. Signs Your Child May Need an Autism Evaluation
By 18 Months: Red Flags
- No babbling or pointing.
- No response to name.
- Loss of previously acquired words.
Toddler Signs (2–3 Years)
- Limited pretend play.
- Echolalia (repeating words).
- Extreme distress at minor changes.
School-Age Indicators
- Difficulty making friends.
- Monologues on favourite topics.
- Sensory meltdowns in noisy environments.
6. Comparing Diagnosis Options: Pros & Cons
| Option | Pros | Cons |
|---|---|---|
| Single specialist | Faster appointment | May miss co-occurring issues |
| Multidisciplinary team | Comprehensive view | Slightly longer process |
| Telehealth screening | Convenient | Not suitable for final diagnosis |
| Private centre (Cadabams CDC) | Shorter wait, holistic care | Out-of-pocket cost |
| Public hospital | Lower cost | Wait time 3–6 months |
7. What to Expect During Your Visit
Duration of Assessment
- Total time: 3–4 hours split over one or two days to avoid fatigue.
Parent & Child Roles
- Parent: Provide history, complete questionnaires.
- Child: Engage in play-based tasks; breaks and snacks are offered.
Comfort Measures for Sensory Sensitivities
- Quiet waiting area with dim lighting.
- Noise-cancelling headphones, fidget toys, and visual schedules available.
- Flexible appointment times (early morning or late afternoon).
8. Post-Diagnosis Support & Next Steps
- Intervention Planning: We create a therapy schedule (ABA, speech, OT) aligned with your child’s goals.
- School Advocacy & IEP Support: Our team helps draft Individualised Education Plans and attend meetings.
- Parent Training Programs: Workshops on behaviour management, communication strategies, and self-care.