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ASD + ADHD Combined Assessment
Integrated Dual Assessment  ·  Ontario-Wide  ·  All Ages  ·  PHIPA-Compliant

When One Answer
Has Never Been
The Whole Story.

Autism and ADHD are the most commonly co-occurring neurodevelopmental conditions — yet they are routinely assessed separately, leaving families with a partial picture and clinicians working from incomplete maps. This assessment evaluates both, together, in one integrated clinical formulation.

📋 Intake consultation🧪 Multi-domain testing sessions📄 Integrated report💬 Feedback session⏱️ Typically 4–8 weeks total

If you’ve been told it’s “probably ADHD” and something still doesn’t fit — or if an autism diagnosis has never accounted for the attention and executive function challenges — this is the assessment designed to see the full picture at once.

Ages 6 to Adult Neurodiversity-Affirming Differential Diagnosis No Referral Needed Registered Psychologists (C.Psych) Integrated Clinical Report

No referral needed. No obligation. Call-back option available.

🕐 Opening late spring / summer 2026 — not yet accepting patients

Why families arrive here after other assessments
These are the most common situations we hear
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The ASD diagnosis didn’t explain everything“The autism diagnosis helped — but the attention and impulsivity issues never got addressed, and school is still a daily struggle.”
ADHD treatment hasn’t worked as expected“Medication helped some things but not others. Something else is going on that the ADHD diagnosis doesn’t account for.”
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Two different clinicians, two different answers“One said ADHD. One said autism. We still don’t really know which — or whether it’s both.”
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Self-identified adult seeking clarity“I’ve always suspected both. I want one thorough assessment that looks at the whole picture, not two separate referrals.”
Clinician-Led Care Model  Virtual-First
Most components of this assessment are delivered virtually across Ontario. Your psychologist determines the format of your care — direct observation or standardised testing that requires in-person attendance will be discussed and confirmed before you book. You will never be asked to attend in person without a clear clinical reason explained in advance.
Regulated by the College of Psychologists and Behaviour Analysts of Ontario (CPBAO)
Registered Psychologists (C.Psych)
Integrated ASD + ADHD Evaluation
Neurodiversity-Affirming
All Ages: Children to Adults
PHIPA-Compliant
Private Pay · Receipts Provided for Reimbursement

Not all assessments result in a diagnosis — our goal is an honest, evidence-based clinical answer. Combined ASD + ADHD assessments are designed to clarify what is genuinely present, including ruling out conditions that may be mimicking either profile. Findings are documented in a single integrated written report and reviewed with you in a dedicated feedback session.

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Why This Matters Clinically

ASD and ADHD co-occur in a significant proportion of individuals — yet they are frequently evaluated in isolation, leaving important diagnostic questions unanswered.

When assessed separately, clinicians often see only part of the picture. Attention difficulties can mask autistic traits. Sensory and social processing challenges can look like inattention. An integrated evaluation — using validated tools for both domains simultaneously — produces a single, coherent formulation that a sequential two-assessment approach may not.

Clinical standards: All assessments follow internationally recognised standards, including the DSM-5-TR diagnostic framework, ADOS-2, CAARS, CPT-3, BRIEF-2, and standardised developmental history protocols validated for use with Canadian populations.
Why a Combined Assessment

Two Conditions. One Integrated Picture.

ASD and ADHD share surface presentations but have meaningfully different underpinnings. A combined evaluation does what two separate assessments cannot — it sees how they interact in this specific person.

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Shared Surface. Different Roots.

Inattention, impulsivity, and executive function challenges appear in both conditions — but for different reasons. Treating them the same way produces inconsistent outcomes. An integrated assessment identifies which mechanism is driving what.

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One Referral. One Report.

A combined assessment produces a single integrated report — not two documents that schools, physicians, and workplaces have to reconcile. The formulation speaks to both conditions together, with unified accommodation recommendations.

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Recommendations That Actually Fit

Accommodation strategies for ADHD and autism overlap — but they diverge in important ways. When both are understood, the recommendations are tailored to the real profile, not a generic template for one condition.

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Saves Time and Cost

Two separate assessments with two separate waiting lists can take years. A combined assessment is more time-efficient, more cost-effective, and produces a more complete clinical picture than sequential evaluations.

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Masking Is Assessed Directly

Autistic masking can suppress visible ADHD symptoms in structured settings. ADHD can make autistic social patterns harder to distinguish. A trained clinician evaluating both simultaneously accounts for these interactions rather than being misled by them.

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Schools Ask for Exactly This

Many Ontario school boards and post-secondary institutions now request documentation that addresses both attention and neurodevelopmental profiles in a single report. This assessment is structured to meet that standard.

What We Are Looking At

The Overlap That
Changes Everything.

In clinical practice, ASD and ADHD rarely present as textbook versions of themselves when they co-occur. The picture is more nuanced — and more informative — than either condition alone would suggest.

Our clinicians are trained to hold both frameworks simultaneously and distinguish what belongs to each — so the report you receive reflects what is actually present, not what is most visible.

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Social masking in combined presentationsWhen autistic masking and ADHD impulsivity co-occur, the social picture can confuse clinicians trained in only one framework. We look at both simultaneously.
Executive function: two different originsEF difficulties in ASD stem from cognitive rigidity and context-switching differences. In ADHD they stem from inhibition and working memory. The same surface behaviour. Different clinical meaning.
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Emotional dysregulation across both profilesEmotional storms are common in both conditions — but are driven by different mechanisms. Identifying which is driving what changes both the formulation and the recommendations.
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Academic profile across both domainsHow attention, sensory processing, cognitive flexibility, and working memory each contribute to school performance — assessed and reported as a single integrated picture.
You’re Not Alone in This

What ASD + ADHD Looks Like At Every Age

The combination presents differently across age groups — and the gap between what people see on the outside and what’s actually happening on the inside tends to grow over time.

Ages 6–10: Energy, Rigidity, and a World That Feels Wrong

Young children with both ASD and ADHD often present as intensely energetic in some moments and completely shut down in others. The combination can look different each day, making patterns hard to name.

Explosive reactions to transitions that feel both inflexible (ASD) and impulsive (ADHD) — impossible to predict from the outside

Deep, consuming interests — but the ability to shift attention when needed is minimal, and not for lack of trying

Social interactions that are genuinely confusing — not because of disinterest, but because the rules feel invisible and changing

Sensory sensitivities alongside hyperactivity — environments that are overwhelming also trigger restlessness, not calm

Prior assessment left you with a partial answer — one condition was identified, but the full picture still doesn’t fit

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🧩ASD and ADHD co-occur in a significant proportion of children — each making the other harder to see clearly
📋Reports are structured for direct use by schools, pediatricians, and early intervention teams
⏱️Early combined assessment supports earlier, more targeted intervention — when the window is widest
“Parents often describe a child who is ‘too much’ in some ways and ‘somewhere else’ in others. That combination is a clinical signal, not a character description.”
Ages 8–13: When Effort Stops Being Enough

This is the age where the combined presentation often becomes impossible to manage quietly. Academic demand increases. Social complexity intensifies. And the strategies that sort-of worked in earlier years stop working.

Homework that takes hours — not because they’re not trying, but because starting, sustaining, and shifting tasks is genuinely difficult on multiple levels

Friendships that feel like work: social rules that shift unpredictably, and impulsive moments that damage relationships they care about

Teachers see one child. Parents see another. Neither picture is wrong — but neither is complete.

Anxiety that has become a constant background — driven partly by social uncertainty (ASD) and partly by performance gaps (ADHD)

A prior ADHD or ASD diagnosis helped somewhat — but not enough, because the other piece was never formally identified

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🔥Social masking peaks in this age group — high performance at school, complete collapse at home
👁️Girls and gender-diverse youth are frequently missed at this stage when either condition is assessed alone
📚Reports structured for resource teachers, school teams, and accommodation planning
“Many children at this age are working twice as hard as their peers just to keep pace — and the cost is invisible until they stop being able to sustain it.”
Ages 13–17: Burning Out and Starting to Ask Why

Teenagers with both ASD and ADHD often experience compounding burnout — the autistic exhaustion of masking meets the ADHD dysregulation of not being able to regulate the response to that exhaustion.

They’ve done their own research — autism, ADHD, both — and what they’re finding resonates, but they want a real clinical answer, not a self-identification

School is survived, not experienced. The effort required to manage the environment leaves nothing for the actual work.

Emotional regulation has become the dominant challenge — storms arrive fast, last long, and are genuinely hard to recover from

Social withdrawal increasing — not from disinterest, but from a real cost-benefit calculation about energy and outcome

One diagnosis was given and one piece of the puzzle was addressed. The rest was left unnamed.

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💬Teens aged 12+ receive their own private feedback session — separate from the parent debrief
🔒Autistic burnout and ADHD shutdown look similar from the outside — and require different clinical responses
🚫Reports structured for post-secondary transitions, university accommodation planning, and workplace documentation
“For many teenagers, naming both conditions simultaneously is the first time everything that’s been happening makes sense as a system, not a list of separate problems.”
Adults: A Lifetime of Adaptation, Finally Mapped

Many adults with both conditions developed elaborate coping systems that worked — until they didn’t. A combined adult assessment is often the first time someone receives a coherent explanation for a lifetime of experiences.

You’ve been told it’s anxiety, or depression, or “just stress” — but none of those explanations have ever quite fit what you actually experience

Work, relationships, and daily functioning require a level of effort that other people don’t seem to need — and the gap has been growing

One diagnosis was given at some point — ADHD in childhood, or an autism identification in adulthood — but it explained only part of what you experience

You want a single thorough evaluation that looks at everything together — not two separate referrals with a year between them

You need documentation for workplace accommodations, HR processes, or disability support that reflects the full clinical picture

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🔓No upper age limit — adults at any life stage are assessed regularly
📈Adult combined-presentation referrals have grown considerably, particularly among those who masked both conditions for decades
💼Reports can be structured for HR accommodation requests, disability support, and professional licensing bodies
“A combined assessment doesn’t change who you are. It changes how you understand why things have always been the way they’ve been — and what to do with that understanding.”
Our Clinical Approach

Both Domains.
One Formulation.

Our clinicians are trained in both neurodevelopmental frameworks simultaneously. We use validated tools from both domains, evaluated by a single clinician who holds the full picture throughout — so the report you receive reflects how the conditions interact, not just whether each one is present in isolation.

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Validated Tools from Both Domains

ASD assessment uses ADOS-2 and ADI-R where indicated. ADHD assessment uses CPT-3, CAARS, and BRIEF-2. Both are administered and interpreted by the same clinician, producing a single integrated formulation.

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Differential Diagnosis Across Both Conditions

We look for what is genuinely present — including anxiety, mood, and learning differences that may be driving what appears to be ASD or ADHD. Clarity is the goal, not a predetermined answer. Not all assessments result in a diagnosis.

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One Report. Multiple Uses.

The integrated report is structured for direct use by schools, physicians, workplaces, and post-secondary accommodation offices. One document covers both conditions, with unified accommodation recommendations that reflect how they interact.

For Teenagers (Ages 12+)

Your Teen Gets Their Own Feedback Session

For teens aged 12 and up, we offer a private feedback session — a dedicated space where your teenager hears directly from their clinician what was found in both domains, in language built for them, not for a school file. Understanding yourself changes how you approach everything. Delivered in accordance with Ontario consent and confidentiality standards.

Why Virtual-First Works for Combined Assessments

We See You in Your Real Environment

Sensory, attentional, and social challenges often present differently in familiar environments than in a clinical office. Virtual-first delivery means we observe individuals where the challenges actually occur — at home, in their space, during real routines.

Clinically Driven Delivery: Assessment methods are selected based on age, presentation, and clinical appropriateness, and are administered in accordance with professional standards and standardized administration requirements.

Neurodiversity-Affirming: We approach both autism and ADHD as differences in how the brain processes the world — not deficits to be corrected. Our goal is understanding, and a set of recommendations that fits this person’s actual life.

Assessment Pathways

Choosing the Right Level of Depth

The right pathway depends on your specific question, your child’s or your own history, and what the report needs to accomplish. If you’re unsure, our free Guidance Call is the right place to start.

Row header ASD + ADHD Screen Full ASD + ADHD Diagnostic
Best For Initial combined profile confirming whether both are present and recommending next steps Comprehensive integrated evaluation for school, physician, OAP, or workplace documentation
Key Tools ADOS-2, MIGDAS-2, Conners-4, clinical interview Full ASD battery + full ADHD battery including CPT-3, cognitive testing, adaptive scales
Report Length 14–20 pages 24–36 pages
Investment $3,200 – $4,500 $6,500 – $9,500
Payment Plan* from ~$89/month* from ~$181/month*
Book Free Call Book Free Call
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Need Something More Comprehensive?

If anxiety, mood, or learning differences also need to be evaluated — that is a different scope of assessment.

When co-occurring conditions like anxiety, depression, or learning disabilities need to be formally assessed alongside ASD and ADHD, the right path is one of our broader integrated assessments — not an add-on tier. This keeps the formulation coherent and the report defensible. See the ASD + ADHD + Learning Disability assessment or speak to your clinician on your Guidance Call about the right scope for your situation.

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* Subject to lender approval. Toriven™ may cover certain merchant financing fees on approved plans — your total repayment, interest rate, and any applicable fees are determined by the lender and confirmed at application. Monthly estimates are illustrative only. Full payment plan terms →

Learn more about payment options →

All-inclusive pricing. Every investment covers: clinical intake, all assessment tools and standardized measures across both ASD and ADHD domains, clinician scoring and formulation, a written plain-language integrated report, and a feedback session. Detailed receipts provided for extended health benefit reimbursement. Investment ranges reflect clinical complexity — your Guidance Call will clarify which level applies.

Private pay. Not covered by OHIP. Receipts provided for insurer reimbursement.

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When a Combined Assessment Isn’t Enough

Does Your Situation Require a Full Neuropsychological Battery?

If you need documentation for a legal or disability proceeding, have had multiple prior assessments with inconsistent conclusions, or require a full cognitive profile across every domain — our Neuropsychological Battery Assessment may be what your situation requires. This is a different clinical product: 40–60 hours, a 40–80 page integrated report, authored by our in-house neuropsychologist.

Learn About the Neuropsychological Battery →

Not Sure Which Path Fits?

That’s one of the most common reasons people reach out. Our free 20-minute Guidance Call is specifically designed to help you find the right starting point — or honestly tell you if something different would serve you better.

Book Your Free 20-Min Guidance Call

No referral. No commitment. No paperwork. Just a conversation. Call-back option available.

Also Available
Pre-Assessment Clinical Consultation

A paid session with a registered psychologist — before you commit to a full assessment. Your clinician reviews your history, answers your questions, and gives you an independent professional opinion on the right path forward. No obligation to proceed. If you do choose a TorivenHealth™ assessment, the consultation fee is credited in full toward your care.

Book a Pre-Assessment Consultation

Fee confirmed at booking  ·  No referral needed  ·  No obligation to proceed

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Promotional Interest-Free Payment Plans Available

Pay for qualifying ASD + ADHD assessments over 36 months — promotional interest-free options available.

Toriven™ covers the financing fees so you pay only the cost of your care. Payment plans are available after your intake forms and consents are completed.

from ~$89/month
over 36 months, subject to lender approval*
See Payment Options →
What to Expect

A Clear Process, From First Call to Final Report

Every step is transparent, low-pressure, and clinically rigorous — so you always know where you are and what comes next.

1
Free 20-Min Guidance Call

A relaxed, no-pressure conversation. We listen to your situation and give you an honest recommendation on where to start — including whether a combined assessment or a single-domain evaluation is the better fit.

2
Clinical Intake

A thorough session covering developmental history, school and work history, sensory profile, social history, executive function patterns, and family observations — across both ASD and ADHD domains simultaneously.

3
Integrated Assessment Battery

Validated tools from both neurodevelopmental domains, administered by a single clinician who interprets both together. Sessions are adapted to age and communication style. Comfort and genuine engagement are prioritized throughout.

4
Integrated Feedback & Report

Your clinician walks through every finding in plain language — explaining how both domains interact in this specific person. You receive one integrated report, structured for direct use by schools, physicians, and workplaces.

What You Walk Away With

More Than Two Diagnoses

A combined assessment gives you a single integrated picture — how both conditions interact in this person, what drives what, and what to actually do about it.

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One Integrated Report Schools and Doctors Can Use

A single document covering both ASD and ADHD findings, structured for direct use by educators, pediatricians, and workplaces — with unified accommodation recommendations that reflect how both conditions interact.

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A Real Understanding of How This Mind Works

Not just two diagnoses in one document — a functional map of how autistic cognition and ADHD executive function interact in this specific person, and what conditions allow them to genuinely thrive.

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Accommodation Recommendations That Fit Both

Strategies that account for both conditions — where they align, where they diverge, and which interventions address both simultaneously rather than pulling in opposite directions.

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A Teen’s Own Feedback Session

For ages 12 and up: a private session where your teenager hears directly how both conditions show up in them — in language built for them, not for a school file. Delivered in accordance with Ontario consent and confidentiality standards.

The Full Picture Changes Everything.

Families who receive a combined assessment consistently tell us the same thing: the integrated picture explained more in one report than years of separate evaluations had. Start with a free, unhurried conversation.

Book Your Free 20-Min Guidance Call

No referral needed. No commitment. Call-back option available.

If you or someone you care for is in immediate distress: Contact the 9-8-8 Suicide Crisis Helpline (call or text 9-8-8) or go to your nearest Emergency Department. This assessment service is not a crisis service.
Ready to get the full picture? No referral needed  ·  Call-back option available
Book Your Free 20-Min Guidance Call →