I see so many people wondering why adults don't just get an autism diagnosis when they suspect that they are autistic. Let me share my experience with seeking an autism diagnosis thus far, and maybe you can begin to understand why an official diagnosis is FAR more difficult to get than people assume it should be:
- First, I went to my PCP to get a referral. He agreed that it was likely I have autism and ADHD and should be assessed.
- I then went on to my insurance provider's website to find someone who was capable of diagnosing autism. You can't just get diagnosed by any psychological specialist or therapist. Most doctors qualified to diagnose autism only work with children. Many psychologists will say that they can help to TREAT autism in adults, but they will not diagnose the condition.
- Out of all of the results, only two would diagnose autism in adults, and only one didn't exclusively practice ABA (I have zero interest in ABA therapy and don't feel like I can trust an ABA practitioner). This psychologist was over an hour away. I have good insurance from a large insurance company. I live in a major metropolitan area with one of the largest populations in the US, and this was all I could find.
- I made an appointment with the psychologist and went through pages of paperwork documenting my social and medical history. This process took hours to complete. The soonest they could get me in was in 3 months.
- Without insurance coverage, the assessment would cost $4,000 for autism, and an additional $2,000 for ADHD assessment. Many insurance providers do not consider assessments (only treatment) to be necessary and will not cover them at all. I was told my insurance would cover at least some of the cost, but was told me to figure out with my insurance provider how much I would owe on my own prior to my appointment.
- Less than a month before my appointment, they called to tell me that insurance would not approve the doctor that they had assigned me to (they were a new doctor who had never worked with my insurance before. They already had doctors in the office who do work with my insurance and chose to pass me off to someone who MIGHT be able to take my insurance), and getting an appeal would be a lengthy and difficult process. Rather than go through that, they told me they would refer me out... to a psychologist who was even farther away and only diagnosed children
- The only other psychologist who does autism assessments in adults within three hours of my home, and solely practices ABA, is not accepting new patients.
These are only some of the barriers that face adults seeking an autism diagnosis. I agree that we definitely need a better system for diagnosing the many adults who slipped through the cracks, but we have GOT to stop being so shitty to adults who suspect autism but do not have an official diagnosis in the meantime.