Reply to best place for second opinion on ASD diagnosis?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]We went for a third opinion when DS was diagnosed with ASD when he was 4.  His school had a psych ed eval which diagnosed ASD/Asperger's and then we took to a well known developmental pediatrician who also diagnosed ASD.

For the third opinion, we took DS to Children's for ADOS/ADI-R which also diagnosed ASD.  DS is highly socially motivated without language delays and attended a dual language school from prek-5.

He is 11 now the diagnosis is correct plus add in, ADHD combined type.  In RL, most people never think DS has any diagnosis, he presents as NT.

Get the ADOS/ADI-R if you want a second (or third) opinion.[/quote]

Its very difficult to test kids who do not have speech.  Kids can change greatly after the language comes in.  ASD/ADHD diagnosis are very different than ASD/language diagnosis.  Most schools are not well trained to do evaluations and most school psychologists are very basic at best and put a lot of effort in it.  [/quote]

DS had ADOS/ADI-R testing at Children's and the testing was conducted by a SLP and neuropsychologist.  It was fully covered by insurance.

The ADOS testing is tailored to age and takes into account that the child is a premmie and language ability (the reason the testing is conducted by the SLP as part of the team.   Administering the ADOS requires additional training beyond being a neuropsych, SLP, etc:  The main ones that administers ADOS/ADI-R in our area are Children's, KKI, and Dr. David Black's practice.  I don't know any public schools that administer ADOS.

Since OP is looking for a second opinion to her DD's ASD diagnosis and has already seen a dev ped, ADOS/ADI-R is the way to go.[/quote]

The ADOS is not always accurate in young kids with receptive language issues.  Its pretty common for them to also have limited eye contact and limited social skills as there is no need with poor communication.   The difference becomes later when the receptive and expressive comes and all those other things resolve itself.  For kids with ASD vs. ADHD or other disorders it helps, but its not the best indicator for language.  Not all SLPs are good, most are pretty bad from our experience.[/quote]

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