Neuro-affirming autism evaluations in Lexington, KY for children, teens, and adults — designed for nuanced, high-masking, and PDA-trait presentations with clear reporting.
Autism testing in Lexington, KY
Twilight Psychology provides comprehensive autism evaluations in Lexington, KY for children, teens, and adults. Our evaluators are trained to identify autism spectrum disorder (ASD) across the full range of presentations — including nuanced, late-diagnosed, high-masking, and PDA-trait cases that are frequently missed by less thorough assessments.
We recognize that autism is not a mental illness but a vital part of a person's identity. We are especially experienced with individuals who have learned to "mask" or hide their traits, particularly women and girls, ensuring the evaluation reflects the person in front of us rather than a narrow stereotype. This is a true specialty area for our practice, not an occasional add-on service.
Our Diagnostic Approach
While ADOS-2 is available for diagnosis, we prefer to use state-of-the-art testing tools including but not limited to ADOS-2, ADI-R, MIGDAS-2, CARS-2, or a tailored combination depending on presenting concerns, age, developmental milestones, and the diagnostic question we need to answer. When a referral raises questions about masking, autonomy-driven demand avoidance, or overlap with ADHD and anxiety, we tailor the battery accordingly.
ADOS-2
Available when a structured behavioral observation is the best fit for the referral question and presentation.
ADI-R, MIGDAS-2, CARS-2
Additional state-of-the-art tools we may use, alone or in combination, depending on developmental history, masking, age, and clinical presentation.
The Testing Timeline
Clinical Intake
A deep dive into developmental milestones, medical history, and lived experiences.
Comprehensive Testing
A 3-4 hour battery assessing cognitive, executive, and adaptive functioning.
Clinical Observation
Evidence-based tools including ADOS-2 and the neuro-affirming MIGDAS-2.
Feedback & Report
A detailed diagnostic report with tailored recommendations for support.
Curious whether you might be masking?
High masking is a common sign of undiagnosed autism.