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Comprehensive autism evaluation for children in Bangalore using standardised ADOS-2 assessment. Shishuka Children's Hospital offers expert developmental diagnosis and a clear path forward for families.
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A thorough, structured assessment that helps determine whether a child is on the autism spectrum — giving families clarity and, when needed, a starting point for the right therapies and support.
An autism diagnostic evaluation is a comprehensive assessment process used to determine whether a child meets the criteria for autism spectrum disorder (ASD). Unlike a single test or blood sample, it combines structured observation, standardised tools, developmental history, and input from parents and, where relevant, teachers or caregivers, to build a complete picture of how a child communicates, plays, and interacts.
There is no single medical test for autism. Instead, developmental pediatricians rely on validated assessment tools, most notably the ADOS-2 (Autism Diagnostic Observation Schedule), alongside clinical judgement built on years of experience recognising the wide range of ways autism can present.
A developmental pediatrician may recommend this evaluation if your child shows:
Limited eye contact or response to their name being called
Delayed or unusual speech patterns, such as repeating phrases without clear meaning
Little interest in playing with or near other children
Repetitive movements or behaviours, such as hand-flapping or intense focus on specific routines
Strong distress with small changes in routine or environment
Concerns raised by a pediatrician, teacher, or daycare provider
A thorough evaluation usually draws on several components together, not just one tool.
A detailed conversation about your child's early development, milestones, and specific behaviours you've noticed, often using a structured questionnaire like the ADI-R.
A play-based, standardised assessment where the clinician observes your child's social communication and behaviour during a series of structured activities and interactions.
Assessment of cognitive ability and adaptive functioning, helping distinguish autism from, or identify it alongside, other developmental conditions.
Feedback from school, daycare, or other caregivers, since behaviour can look different across environments and this adds important context.
Screening and diagnosis serve different purposes; here's how they compare.
| Tool | Time Needed | Best For | Limitation |
|---|---|---|---|
| Full Diagnostic Evaluation (ADOS-2 based) | Several hours, sometimes across visits | Confirming or ruling out an autism diagnosis | Takes longer; may need scheduling across appointments |
| M-CHAT-R Screening | 10-15 minutes | Quick initial screening at routine check-ups | Not diagnostic; flags need for further evaluation only |
| Speech & Language Assessment | 45-60 minutes | Evaluating specific communication delays | Doesn't assess the full range of autism-related behaviours |
| Genetic Testing | Single blood draw | Identifying a specific genetic cause, when suspected | Only identifies a cause in a minority of cases |
A gradual, thorough process that respects your child's pace rather than rushing to a conclusion.
A conversation with parents about specific concerns, developmental history, and any observations from school or caregivers.
Your child engages in a series of play-based, semi-structured activities designed to draw out and observe social communication and behaviour patterns.
Depending on findings, cognitive testing, speech and language assessment, or occupational therapy input may be added for a fuller picture.
Findings are shared with parents in a dedicated feedback session, along with a clear explanation and, where relevant, a recommended plan for therapy and support.
A diagnosis this significant deserves time, standardised tools, and a genuinely supportive approach for the whole family.
Evaluations conducted by professionals trained specifically in standardised tools like ADOS-2.
Time taken to understand each child individually, not rushed toward a quick label.
Combining observation, history, and input from multiple settings for an accurate picture.
A dedicated session to explain findings and lay out concrete next steps, not just a report.
Consultations available at Kalyan Nagar, RT Nagar, Malleswaram and New BEL Road.
There's no recovery involved, since the evaluation is purely observational and conversational. Some children find the extended, structured activities tiring, so a calm, low-key rest of the day afterward can help.
Whether the outcome confirms autism, identifies a different developmental concern, or provides reassurance, you'll leave with a clear understanding of what was found and, if needed, a concrete plan connecting your child to the right therapies and support services.
A thorough evaluation can bring clarity and open the door to the right support. Book a consultation with our developmental pediatrics team.
We've compiled a list of the most frequently asked questions to help you find the information you need quickly and easily.
“If you can't find the answer to your question here, please don't hesitate to contact our support team for assistance.”
No. There is no medical test, blood test, or brain scan that diagnoses autism. Diagnosis is based on structured behavioural observation, developmental history, and standardised clinical tools like the ADOS-2.
Autism can often be reliably diagnosed from around 18 to 24 months, though some children are diagnosed earlier or later depending on how symptoms present. Earlier evaluation generally allows earlier access to therapy and support.
A comprehensive evaluation typically takes 2 to 4 hours, sometimes spread across more than one visit, since it includes parent interviews, structured observation, and occasionally additional testing.
No. The evaluation uses play-based, age-appropriate activities designed to feel natural to the child, not tests or procedures that cause discomfort.