Autism
Understanding. Strengths. Support.
01Autism overview
What is autism?
Audio guide — Autism
~4 min listen · spoken aloud
Read transcript
This is a spoken guide to the Autism page at APIS Clinic. Autism is a lifelong neurodevelopmental difference in how a person experiences social communication, sensory information, routine and change. Many adults reach us after years of masking, exhaustion, or being told their difficulties were “just anxiety”.
We assess autism in adults and young people aged 16+ with care, curiosity and respect for your story. What is autism? Autism is a neurodevelopmental difference affecting social communication, sensory processing, routines, interests, and how a person manages change and demands. It is not an illness to be cured.
It is a profile to be understood, so that support can fit the person rather than the checklist. Why it is often missed in adults. Many autistic adults learn to mask: rehearsing conversations, copying others, pushing through sensory discomfort and appearing capable at a cost.
Anxiety, low mood, burnout, eating difficulties or ADHD can sit in front of the autistic profile, so the pattern underneath is not recognised until adult life becomes harder to sustain. Why a careful assessment matters. Autistic traits overlap with anxiety, ADHD, trauma, social anxiety, OCD and personality-related difficulties.
A checklist alone cannot tell these apart. We look at your developmental history, current functioning, masking and coping strategies, sensory profile, relationships, education, work, sleep, physical health and mental health. Where possible we include collateral information from someone who knew you earlier in life.
The aim is a formulation that makes sense of your experience, whether or not the outcome is an autism diagnosis. Signs you may recognise. Social interaction feels effortful, scripted or exhausting, even when it looks easy from the outside.
Rehearsing conversations, copying others or people-pleasing to fit in. Sensory sensitivity to noise, light, texture, smell, taste or busy environments. A strong need for routine, predictability and time to prepare for change.
Deep, focused interests that bring calm and energy. Taking language literally, or finding unspoken rules and small talk confusing. Shutdowns, meltdowns or burnout after periods of high demand.
Long-standing anxiety, low mood or exhaustion without a clear explanation. Recognising yourself here doesn’t mean you must be autistic. It means it may be worth exploring, and we can help.
Your assessment pathway. A clear, predictable pathway from first contact to ongoing support. Step 1.
Screening call & information. A friendly first conversation about what has brought you here. Step 2.
Questionnaires & objective tests. Completed in one place before your appointment, with objective measures where appropriate. Step 3.
Clinical assessment and conceptualisation. A specialist explores your story, history and current functioning. Step 4.
Feedback and report. Clear findings explained in plain English, with a written report. Step 5.
Support plan and next steps. Personalised recommendations built with you. Support after assessment.
Support after an autism assessment is personalised and practical. It may include:. Psychoeducation and understanding your autistic profile.
Sensory and environmental adjustments at home, work or study. Reasonable adjustments and clear communication plans. Strategies for energy, routine, transitions and recovery after demands.
Support for co-occurring anxiety, low mood or ADHD where clinically appropriate. Cognitive training or ILF neurofeedback where suitable. Support is collaborative, practical and neuroaffirming.
We do not aim to make you “less autistic”. We aim to make life more workable. Your care team.
You will be supported by clinicians experienced in ADHD, autism, AuDHD and mental health. We take time to understand your story, explain our thinking clearly, and build recommendations with you. That is the end of this guide.
The full text is on this page, and you can book an appointment or send an enquiry from here whenever you are ready.
At a glance
- What autism is and how it may present in adults
- Why it is often missed, especially with masking
- How autistic traits may affect daily life
- Support with or without a formal diagnosis
What is autism?
Why it is often missed in adults
02Signs & presentation
Signs you may recognise
- Social interaction feels effortful, scripted or exhausting, even when it looks easy from the outside
- Rehearsing conversations, copying others or people-pleasing to fit in
- Sensory sensitivity to noise, light, texture, smell, taste or busy environments
- A strong need for routine, predictability and time to prepare for change
- Deep, focused interests that bring calm and energy
- Taking language literally, or finding unspoken rules and small talk confusing
- Shutdowns, meltdowns or burnout after periods of high demand
- Long-standing anxiety, low mood or exhaustion without a clear explanation
Recognising yourself here doesn’t mean you must be autistic. It means it may be worth exploring, and we can help.

03Why it is missed
Why a careful assessment matters
Autistic traits overlap with anxiety, ADHD, trauma, social anxiety, OCD and personality-related difficulties. A checklist alone cannot tell these apart.
We look at your developmental history, current functioning, masking and coping strategies, sensory profile, relationships, education, work, sleep, physical health and mental health. Where possible we include collateral information from someone who knew you earlier in life.
The aim is a formulation that makes sense of your experience, whether or not the outcome is an autism diagnosis.
04Assessment pathway
Your assessment pathway
A clear, predictable pathway from first contact to ongoing support.
- Step 1: Screening call & informationA friendly first conversation about what has brought you here.
- Step 2: Questionnaires & objective testsCompleted in one place before your appointment, with objective measures where appropriate.
- Step 3: Clinical assessment and conceptualisationA specialist explores your story, history and current functioning.
- Step 4: Feedback and reportClear findings explained in plain English, with a written report.
- Step 5: Support plan and next stepsPersonalised recommendations built with you.
05Support · Fees · Care team
Support after assessment
Support after an autism assessment is personalised and practical. It may include:
- Psychoeducation and understanding your autistic profile
- Sensory and environmental adjustments at home, work or study
- Reasonable adjustments and clear communication plans
- Strategies for energy, routine, transitions and recovery after demands
- Support for co-occurring anxiety, low mood or ADHD where clinically appropriate
- Cognitive training or ILF neurofeedback where suitable
Support is collaborative, practical and neuroaffirming. We do not aim to make you “less autistic”. We aim to make life more workable.
Fees
Fees for the autism pathway are confirmed at your screening call.
£1,150
Autism assessment — online
Specialist assessment and individualised report
£1,450
Autism assessment — face-to-face
Specialist assessment and individualised report
- Follow-up appointmentPlease enquire
- Combined AuDHD assessmentADHD and autism assessed togetherSee AuDHD
- Reports and lettersAs agreed
Prices are subject to change. Terms apply.

Your care team
You will be supported by clinicians experienced in ADHD, autism, AuDHD and mental health. We take time to understand your story, explain our thinking clearly, and build recommendations with you.
- Specialist-led
- Neuroaffirming approach
- Personalised support
Autism: your questions answered
Do you assess autism in adults?
Yes. APIS Clinic assesses autism in adults and young people aged 16+. Many people we see were not recognised in childhood because they masked their difficulties or were supported by structure that later fell away.
What if I think I have ADHD as well as autism?
If both ADHD and autism are suspected, it is often better to consider them together. Our AuDHD pathway assesses both profiles and how they interact rather than assessing one in isolation.
Will you tell me if you do not think I am autistic?
Yes. We start from a neutral, curious position. If the pattern is better explained by something else, we explain why and what may help. You leave with a formulation and recommendations either way.
Can I get support without a formal diagnosis?
Yes. Trait-Led Support is for people who recognise traits or patterns but are unsure about assessment, or who want practical help first. You can move to a full assessment at any point.
Information on this website is for general guidance only and is not a substitute for individual clinical advice.
Ready to explore the autism pathway?
You don’t need a diagnosis to get support. We’ll help you find the right next step.
Online booking is opening soon. Send us your details and the team will arrange a time with you.
