Autism Diagnosis in Adults

Many adults go through life feeling different without knowing why. They may struggle with social interactions, sensory sensitivities, and routine changes, yet never consider that autism could be the reason. Autism Spectrum Disorder (ASD) is often diagnosed in childhood, but many adults remain undiagnosed due to limited awareness or misinterpretation of their experiences.

If you're wondering, "How can I check if I have autism as an adult?", this guide will help. We’ll explore common signs of autism in adults, self-assessment tools, and steps for an official diagnosis.

Signs of Autism in Adults

Autism presents differently in adults than in children. Many learn to mask their traits, making it harder to recognize. However, common signs include:

1. Social and Communication Differences

• Difficulty understanding sarcasm, jokes, or indirect speech.

• Struggling to initiate or maintain conversations.

• Preferring deep, structured conversations over small talk.

• Feeling exhausted after social interactions.

• Unintentionally coming across as blunt or unempathetic.

2. Sensory Sensitivities

• Being overly sensitive to sounds, lights, textures, or smells.

• Feeling overwhelmed in crowded or noisy places.

• Needing to wear headphones, sunglasses, or certain fabrics for comfort.

• Strong aversions or preferences to specific foods due to texture.

3. Rigid Thinking and Routine Preference

• Disliking unexpected changes or last-minute plans.

• Finding comfort in strict routines and predictability.

• Struggling with transitions or multitasking.

• Developing strong, focused interests (often called "special interests").

4. Emotional Regulation Challenges

• Feeling overwhelmed by emotions but struggling to express them.

• Experiencing meltdowns or shutdowns due to stress.

• Having difficulty identifying one’s own emotions.

• Being highly sensitive to criticism or rejection.

5. Executive Functioning Difficulties

• Struggling with organization and time management.

• Forgetting daily tasks or appointments.

• Feeling paralyzed when starting new tasks (even small ones).

• Needing structured lists, reminders, or routines to function efficiently.

If several of these traits resonate with you, you might be autistic. The next step is self-assessment.

How Can an Adult Check for Autism?

1. Take an Online Autism Self-Assessment

Several online tests can help identify autism traits. While not a diagnosis, they provide insights into whether further evaluation is needed.

Popular self-assessment tools include:

• Autism Spectrum Quotient (AQ-50 Test): Measures autistic traits in adults.

• RAADS-R Test: Helps differentiate autism from other conditions.

• Cambridge Mindreading Face-Voice Battery: Tests ability to interpret emotions.

These assessments can help you reflect on your experiences and decide if you should pursue a formal diagnosis.

2. Keep a Personal Journal of Your Traits

If you suspect autism, start writing down your experiences. Include:

• Social situations that felt confusing or difficult.

• Sensory sensitivities and their impact on daily life.

• Routine preferences and how changes affect you.

• Emotional challenges and how you respond to stress.

Having a record of your experiences can be helpful when discussing your concerns with a professional.

3. Seek Feedback from Family or Close Friends

Sometimes, those close to you can notice patterns you may not be aware of. Ask trusted family members or friends about:

• How they perceive your social interactions.

• Whether they’ve noticed sensory sensitivities.

• Childhood behaviors that could align with autism.

While autism presents differently in everyone, outside perspectives can offer valuable insights.

4. Consult a Healthcare Professional

If you strongly relate to autism traits, the next step is seeking an official evaluation. This process involves:

A. Finding the Right Specialist

Look for a psychologist, psychiatrist, or neurologist specializing in autism in adults. Some clinics focus on neurodivergent adults and provide comprehensive assessments.

B. The Diagnostic Process

A professional evaluation typically includes:

• Clinical Interview: Discussing personal history, challenges, and strengths.

• Behavioral Questionnaires: Assessing autism-related traits.

• Developmental History: Exploring childhood behaviors and experiences.

Unlike a simple test, a diagnosis considers your entire life experience to determine if autism is the best explanation for your traits.

Why Seek an Official Autism Diagnosis?

Getting diagnosed as an adult can be a deeply personal decision. Some prefer self-identification, while others find an official diagnosis helpful.

Benefits of an Official Diagnosis

• Self-Understanding & Validation: Helps explain past experiences and challenges.

• Access to Support & Accommodations: Workplace adjustments and therapy options.

• Connecting with the Autism Community: Finding others with shared experiences.

• Mental Health & Well-Being: Understanding your needs and how to support them.

If you're uncertain, speaking with a mental health professional can help you weigh the pros and cons.

Living as an Autistic Adult

Whether formally diagnosed or self-identifying, embracing your neurodivergence can be empowering. Here are a few ways to thrive as an autistic adult:

1. Find Autism-Friendly Communities

Online and in-person groups offer support, connection, and shared experiences. Some options include:

• Reddit’s r/autism community.

• Facebook groups for autistic adults.

• Local autism advocacy organizations.

2. Seek Workplace Accommodations

Autistic adults can request accommodations such as:

• Flexible schedules.

• Written instructions instead of verbal.

• Sensory-friendly workspaces.

The Americans with Disabilities Act (ADA) protects autistic individuals from discrimination in the workplace.

3. Embrace Self-Care & Sensory Needs

• Use noise-canceling headphones in overwhelming environments.

• Stick to structured routines to manage stress.

• Practice self-advocacy by setting boundaries and communicating needs.

Self-acceptance is key—autism is not a disorder to "fix" but a unique way of experiencing the world.

Conclusion

If you’ve ever asked, "How can I check if I have autism as an adult?", the process involves self-reflection, online assessments, and professional evaluation. Whether you pursue a diagnosis or self-identify, understanding your neurodivergence can lead to self-acceptance and improved well-being.

At Blossom ABA, we believe in supporting neurodivergent individuals at every stage of life. Whether through educational resources, therapy, or advocacy, we’re here to help autistic adults and their families navigate their journey with confidence. Contact us to learn more about autism support services.

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Frequently Asked Questions

1. Can I diagnose myself with autism?

No, self-diagnosis is not official, but self-identification is valid. Many adults find self-assessment helpful, but a formal diagnosis requires an evaluation by a healthcare professional.

2. What is the best test to check for autism in adults?

The Autism Spectrum Quotient (AQ) test and RAADS-R test are commonly used self-assessments. However, a clinical diagnosis involves interviews, behavioral evaluations, and medical history reviews.

3. What should I do if I think I’m autistic?

If you suspect you’re autistic, start by taking an online self-assessment, journaling your experiences, and consulting a healthcare professional for further evaluation.

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Sources:

1. https://embrace-autism.com/autism-spectrum-quotient/

2. https://www.autismspeaks.org/sensory-issues

3. https://www.ada.gov/topics/intro-to-ada/

4. https://www.steadystridesaba.com

5. https://iidc.indiana.edu/irca/articles/transition-time-helping-individuals-on-the-autism-spectrum-move-successfully-from-one-activity-to-another.html