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Assessments

Adult Autism & ADHD assessments in Melbourne.

Maybe the question has been building for years — reading about Autism or ADHD and recognising yourself, wondering why things others find easy have always cost you more. Many people reach adulthood undiagnosed precisely because they don't fit the stereotypes.

Dr Gabrielle Klepfisz offers neurodiversity-affirming assessments for adults (18+) exploring whether they are neurodivergent. As a parent of a neurodivergent child, she understands the importance of a safe, supportive, collaborative space for these questions — the goal isn't just a label, but a deeper understanding of yourself.

Assessment options

Options & pricing.

Gabrielle recommends assessing for both Autism and ADHD together, given how often they co-occur — a combined presentation (often called AuDHD) can look quite different from either alone, which is one reason so many people stay undiagnosed until adulthood. Every assessment type comes in two forms: a comprehensive assessment with a detailed report (background, test results, diagnostic interview findings, formal diagnoses if applicable, and recommendations) plus a follow-up feedback session — or an assessment with a summary letter, without the feedback session.

Combined Autism & ADHD

The recommended option, given the high co-occurrence.

Comprehensive report — $2,500
Summary letter — $2,000

Autism assessment only

For those specifically exploring Autism.

Comprehensive report — $2,000
Summary letter — $1,500

ADHD assessment only

For those specifically exploring ADHD.

Comprehensive report — $1,700
Summary letter — $1,250

Unsure which option suits you? Call (03) 9131 8737 or email stkilda@claritypsych.com.au and we'll talk it through.

Worth knowing first

If medication is your goal.

If you're seeking an ADHD assessment because you're interested in medication if diagnosed, we recommend seeing a psychiatrist instead — psychiatrists usually conduct their own assessment before prescribing, even where a psychological report exists, so going to them directly may save you time and money.

If medication isn't your goal — or you're unsure — a psychological assessment offers something different: genuine self-understanding, and a collaborative conversation about the strategies and accommodations that can support your wellbeing in the context of your neurodivergence.

What to expect

The assessment process.

01

Intake & initial consultation

You'll complete an intake form, then meet Gabrielle for a 50-minute consultation covering your concerns, developmental history and psychological background. You're welcome to bring a support person.

02

Questionnaires & background

Self-report questionnaires, completed at your own pace. Input from someone who knew you as a child, someone who knows you now, or old school reports can add evidence — helpful, but not required.

03

Diagnostic assessment

A 2–3 hour session using gold-standard tools — the MIGDAS-2 and/or DIVA-5 — focused on Autism and/or ADHD.

04

Report & feedback

With the comprehensive option, a feedback session around 6–8 weeks later walks you through your report, results and recommendations. Summary letters are emailed, with no feedback session required.

Common questions

Frequently asked questions.

Why assess Autism and ADHD together?

Because they very commonly co-occur, and a combined presentation (AuDHD) can look quite different from either alone — traits can mask or offset each other, which is one reason so many people reach adulthood without a diagnosis. Assessing both at once gives the fullest picture.

I don't have school reports or family who remember my childhood. Can I still be assessed?

Yes. Childhood information adds helpful evidence, but it is not required for the assessment to go ahead.

Can the assessment be done by telehealth?

Yes — assessments are available in person at St Kilda or via telehealth, whichever suits you.

Will the report get me NDIS access?

We can't guarantee that. Our reports are comprehensive and completed to a high standard, and can include NDIS-relevant recommendations — but the NDIS assesses eligibility on individual functioning levels among other factors, and we're unable to assist with the access request process. If NDIS access is your primary goal, alternative services may suit you better.

How do I book?

Call (03) 9131 8737 or email stkilda@claritypsych.com.au to discuss the options and schedule your initial consultation.

What are the main signs of autism in adults?

Common threads: social interaction that requires conscious effort others don't seem to need, exhaustion from masking, deep focused interests, strong need for routine and predictability, sensory sensitivities (sound, light, texture), and a lifelong sense of processing the world differently. Many adults — especially women — arrive after years of explanations like anxiety that never quite fit.

What is the "mildest" form of autism?

There isn't one, formally — current diagnosis uses support levels rather than mild-to-severe rankings, and what people usually mean ("level 1", "high-functioning", or the retired Asperger's label) often looks like competence at enormous hidden cost: holding down work and relationships while masking, then crashing in private. "Mild" measures how others experience you, not how hard your days are. If that hidden-cost pattern is familiar, assessment can be clarifying regardless of labels.

What are the types of autism?

Current diagnosis uses one umbrella — autism spectrum disorder — with individualised support levels, replacing older separate labels like Asperger's. The spectrum isn't a line from mild to severe; it's a profile of differences across social communication, sensory processing, and flexibility that varies person to person.

What causes autism?

The evidence points to genetics as the dominant factor — autism runs strongly in families — interacting with early brain development. It is nobody's fault, and it isn't caused by parenting or life events. Autism is a neurodevelopmental difference present from early life, even when recognition comes decades later.

What is 90% of autism caused by?

The "90%" figure floating around online comes from twin studies estimating that most of the variation in autism is heritable — roughly 80–90% attributable to genetics. That's real science, but it's often repackaged online as if a single cause had been found. There is no one gene and no environmental culprit: autism reflects many genes interacting with early brain development. What the research firmly rules out: parenting, vaccines, and anything you or your family did.

What is the 6-second rule for autism?

Not a clinical rule — it's a social-media communication tip suggesting you pause several seconds after asking an autistic person a question, allowing extra processing time before expecting a reply. As a courtesy, the underlying idea is sound: many autistic people process verbal information more deliberately, and silence isn't disengagement. But it has no role in diagnosis, and no fixed number of seconds applies to anyone.

Can a psychologist help with autism?

Yes, in two distinct ways. Psychologists with the right training can assess and diagnose autism in adults — that's the assessment work described on this page. Separately, therapy can help with what often travels alongside autism: anxiety, low mood, burnout from masking, and working out the strategies and accommodations that fit your life. Good autism-related therapy is neurodiversity-affirming — it supports you as an autistic person rather than trying to make you less autistic.

What assessments are done for autism in adults?

A comprehensive adult assessment involves detailed clinical interviews about your developmental history and current life, standardised measures, and where possible input from someone who knew you young — though assessment without childhood informants is still very possible. You receive a full written report with recommendations.

Is an autism assessment covered by Medicare?

Partially, in some circumstances — it depends on referral pathway and item eligibility. The honest answer is that funding for adult assessment is patchy, which is why we explain costs clearly before you commit. Full details: is an autism assessment covered by Medicare?

Get started

Understanding yourself is worth the asking.

Whether the answer turns out to be a diagnosis or simply clarity, the process is collaborative from the first conversation.