Getting Diagnosed as an Autistic or ADHD Adult: What to Know Before Testing

Written By: Molly Johnson, LCSW

If you’re an adult considering testing for autism or ADHD, it’s important to understand a few key points before diving into the process. While seeking a diagnosis can be incredibly affirming and helpful for self-understanding, there are a few things to keep in mind, especially if you’re considering a neurodivergent therapy or an ADHD/Autism assessment at DBT of South Jersey. 

What to Expect from ADHD and Autism Testing with an LCSW in New Jersey 

1. What the ADHD/ Autism Testing Can (and Can’t) Do

I can conduct diagnostic testing for autism and ADHD, but it’s essential to recognize that my role is not to provide formal disability certifications. If you’re seeking accommodations in areas like employment, higher education, or government services, the diagnosis we provide may not be accepted for disability purposes. Some institutions may have specific guidelines for what types of professionals can provide these diagnoses, so it’s always worth confirming whether an LCSW’s documentation will suffice for your specific needs.

2. New Jersey Autism Registry Considerations

In New Jersey, if you’re diagnosed with autism, you might be placed on the state’s autism registry. While this can link you to various services and resources, it’s also worth noting that the registry does not require the use of identifying information, which means you can still access it without the personal details being shared beyond what is necessary. If privacy is a concern, this system allows for some flexibility, but it’s important to weigh the pros and cons of registering.

3. Limitations of LCSW-Conducted Testing

During testing, I may be using tools like the MIGDAS, Brown Scales, or sensory inventories to assess autism or ADHD (depending on the level of testing needed), but these tools are not always as comprehensive as those administered by a psychiatrist or neurologist. If you’re seeking a medical treatment plan that includes medication or specialized therapies, you might need a diagnosis from a psychiatrist or neurologist. As an LCSW, I can provide a supportive, affirming experience, especially if you’re looking for personal validation or to better understand your neurodivergent identity, but these professionals cannot prescribe medication or provide the same level of neurological insight.

4. The Self-Validation and Affirmation Benefit

One of the most powerful reasons to pursue testing as an adult is for self-validation. Receiving a diagnosis can be deeply affirming, especially when the process is conducted by someone who understands neurodiversity and creates a supportive, non-judgmental space. It can lead to a clearer sense of identity, help you understand lifelong traits, and even reduce the cognitive dissonance many people feel when they’ve struggled without understanding why. For those who felt like they “didn’t fit” or who’ve always felt different, the diagnostic process can be an important step toward self-acceptance​

5. Accommodations and Paperwork

Some people seek a diagnosis to request accommodations at work or school. If this is your goal, make sure to confirm with the institution or employer whether an LCSW’s diagnosis is acceptable. Additionally, be aware that if you plan to use your diagnosis for insurance purposes or other documentation, having the codes listed on superbills can be a double-edged sword. On the one hand, they might help with insurance reimbursement, but on the other, they could also lead to unwanted stigma or higher premiums, depending on your insurance policy.

In short, getting tested for autism or ADHD as an adult is a personal decision that can bring many benefits, particularly around understanding yourself better. However, it’s important to be clear on what you hope to gain from the process, whether it’s self-affirmation, formal accommodations, or something else. If you’re considering testing with an LCSW/ neurodivergent affirming therapist in New Jersey, understanding the limitations and requirements ahead of time can help set realistic expectations for what the diagnosis will offer you.

The Benefits of Sensory Profile Testing in Autism/ADHD Assessments

Here is some information about why it might be helpful to add Sensory Profile Testing to your assessment. It might sound like just another step, but this addition can offer valuable insights into your neurodivergent traits—especially if you experience sensory sensitivities or seek sensory input in certain environments. Here’s a breakdown of what sensory profile testing is, why it’s helpful, and what you can gain from adding it to your assessment.

What is Sensory Profile Testing?

Sensory profile testing is a specific tool used to assess how an individual responds to sensory stimuli across various contexts. It helps identify sensory processing patterns and how they impact daily life. For Autistics or ADHD, sensory processing can significantly affect how they experience and interact with the world. This assessment typically includes evaluating responses to:

• Auditory stimuli (e.g., sensitivity to sound)
• Visual stimuli (e.g., difficulty with bright lights or visual distractions)
• Touch (e.g., aversion to certain fabrics or textures)
• Movement (e.g., seeking out or avoiding motion)
• Taste and smell (e.g., food preferences or sensitivities).

Why Add It to Your Autism/ADHD Assessment?

1. Identifying Sensory Sensitivities: One of the key benefits of sensory profile testing is that it helps pinpoint specific sensory sensitivities or seeking behaviors that may otherwise be overlooked. For example, you might not even realize how certain textures, lights, or sounds are affecting your day-to-day life. This kind of information is essential because sensory sensitivities are common in both autism and ADHD, but they can be hard to notice without a formal assessment. Understanding these triggers helps you adjust your environment to be more comfortable and reduce overwhelm​/overstimulation.
2. Improving Self-Awareness: Knowing how your sensory processing works gives you a better understanding of your body’s responses. For many neurodivergent individuals, sensory overload or seeking behaviors can be misunderstood or misinterpreted. The sensory profile gives you concrete data on why certain environments or experiences feel overwhelming, which helps increase self-compassion and empowerment. It can also clarify why some situations feel more challenging than others, making it easier to self-advocate in social or work settings.
3. Guiding Environmental Changes and Accommodations: Once sensory needs are identified, professionals can provide recommendations to make adjustments in your environment. For instance, if bright lights or noisy environments cause stress, your sensory profile can lead to suggestions like using noise-cancelling headphones or adjusting lighting. Similarly, if certain textures or clothing materials are uncomfortable, recommendations may include wearing specific fabrics or choosing clothing styles that better suit your sensory needs. These suggestions can greatly improve daily functioning and overall well-being.
4. Supporting Coping Strategies: Sensory profile testing doesn’t just highlight areas of sensitivity—it also provides valuable recommendations for coping strategies. For example, if you’re sensitive to loud noises, you might be advised to use sensory breaks or find quiet spaces when feeling overwhelmed. The test can also help identify sensory-seeking behaviors (e.g., the need for movement or deep pressure) and suggest strategies to safely fulfill those needs without disrupting others. This gives you tangible tools for managing sensory challenges both at home and in public spaces.
5. Affirming Sensory Experience: For many neurodivergent individuals, being told that sensory sensitivities are “just in your head” or are “overreacting” is a common experience. Sensory profile testing provides affirmation that your sensory experiences are valid and part of your neurodivergent traits. This validation can be a powerful experience, helping you feel seen and understood. The recommendations and coping strategies that come out of the sensory profile assessment are personalized, so they directly relate to your individual experiences, offering tailored solutions instead of generalized advice.

The Testing Process

If you’re adding sensory profile testing to your autism or ADHD assessment, you might be asked to fill out a questionnaire and take part in an informal discussion. While the process itself is non-invasive, it’s important to keep in mind that it’s just one piece of a larger picture. The results will be used in conjunction with other diagnostic criteria to create a comprehensive profile of your neurodivergence. By adding this to your overall assessment, you gain a fuller understanding of how sensory issues may be affecting your life—and how to address them effectively.

To Summarize

Adding sensory profile testing to your autism or ADHD assessment offers a wealth of benefits, from increasing self-awareness to providing practical strategies for managing sensory sensitivities. Whether you’re seeking validation, better coping strategies, or environmental adjustments, the insights you gain from this testing can make a significant difference in your day-to-day functioning. Plus, knowing your sensory triggers helps you advocate for yourself and create a more comfortable, supportive environment tailored to your needs.

So, if you’re going through the assessment process, consider adding a sensory profile test—it could offer the clarity and support you’re looking for!

Finding Clarity and Support in Your ADHD and Autism Testing Journey

There is so much to consider, and this is so much information! If you made it this far, you are likely overwhelmed. It’s okay and understandable. Below are some major takeaways.

If you’re an adult exploring testing for autism or ADHD, understanding the scope and limitations of the assessment process is key. At DBT of South Jersey, we offer affirming evaluations designed to support self-understanding and neurodivergent identity—not formal disability certifications. Conducted by a master’s-level clinician, our autism and ADHD assessments can be validating and insightful, especially for adults seeking personal clarity or self-acceptance. However, for medication or accommodations requiring medical documentation, additional evaluation by a psychiatrist or neurologist may be necessary. 

You might also consider sensory profile testing, a valuable add-on that helps identify sensory sensitivities common in neurodivergent individuals. This can improve daily functioning, inform environmental adjustments, and boost self-awareness. From understanding masking and burnout to advocating for your needs, our approach is supportive, nonjudgmental, and identity-affirming. 

Reach out to us at DBT of South Jersey to learn more. We’re happy to help you navigate this overwhelming and (hopefully) exciting process.

Finding Clarity and Confidence Through ADHD/Autism Testing and Neurodivergent Therapy in South Jersey

If you are ready to better understand yourself, our neurodivergent therapy can guide you toward meaningful insights and self-acceptance. We offer ADHD/Autism testing and neurodivergent therapy in South Jersey designed to provide validation and practical next steps for your unique needs. Contact DBT of South Jersey today to start your journey toward clarity and support. Follow these three simple steps to get started: 

1. Contact us to book a free consultation with our intake team.
2. Meet with one of our skilled neurodivergent affirming therapists.
3. Start finding support for your unique needs!