Free 30-Minute Initial Consultation With Psychologist*
Same-Day Appointment with Intake Team to Help Match You with the Right Psychologist
Comprehensive Integrated Assessment
Intake Within 20 Business Days*
Or receive 50% off your intake session fee.
Report Within 2 Weeks*
Or receive $5 for each additional business day.
Flexible Financing Available*
Third-party financing options may help make assessment costs more manageable.
No Referral Required
Who We Assess
Comprehensive Integrated assessments are available for children, adolescents and adults across Ontario.
Assessments are led by a Registered Psychologist or Psychological Associate, supported by their clinical assessment team.
When the Questions Are Broader Than a Single Diagnosis
Sometimes a person's concerns cannot be fully understood by looking at Autism, ADHD, learning difficulties, or mental-health symptoms separately.
A Comprehensive Integrated Assessment is our broadest assessment pathway. It is designed for children, adolescents, or adults where there may be multiple, complex, or overlapping concerns involving neurodevelopmental, learning, cognitive, emotional, behavioural, or psychological functioning.
Rather than beginning with a predetermined diagnosis, the assessment helps the clinician understand what may be contributing to the difficulties you are experiencing and how different areas of functioning may relate to one another.
Assessment Areas
What Can the Assessment Explore?
Depending on your individual circumstances, the assessment may investigate four broad areas.
| Area | What We May Be Trying to Understand |
|---|---|
| Autism (ASD) | Social communication, interaction, sensory experiences, routines, interests, flexibility, and developmental patterns associated with Autism. |
| ADHD | Attention, concentration, impulsivity, organization, working memory, executive functioning, and how these difficulties affect everyday life. |
| Learning Disability / Psychoeducational | Cognitive abilities, reading, writing, mathematics, memory, learning, processing, and patterns of academic strengths and difficulties. |
| Clinical & Psychological Functioning | Anxiety, mood, trauma-related symptoms, emotional and behavioural functioning, personality functioning where appropriate, diagnostic clarification, and other complex or overlapping concerns. |
These are not treated as four unrelated assessments. Your clinician considers findings across the different areas to develop an integrated understanding of your strengths, difficulties, and support needs.
Assessment Details
What Does the Assessment Include?
A Comprehensive Integrated Assessment is individualized and may include:
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Developmental, clinical, and educational history
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Autism-focused assessment
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ADHD assessment
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Cognitive and academic testing
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Memory and learning assessment
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Executive-functioning assessment
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Emotional and behavioural assessment
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Anxiety, mood, trauma, or other clinical assessment where appropriate
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Review of relevant previous reports or records
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Collateral information where clinically appropriate
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Clinical interpretation and integration of findings
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Comprehensive psychological report
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Feedback session
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Clinical, educational, treatment, and support recommendations
Not every person requires every component. Your psychologist or psychological associate determines the appropriate scope based on your age, concerns, history, clinical presentation, existing information, and professional clinical judgment.
Assessment Tools
Assessment Tools That May Be Used
Different tools may be selected to investigate different areas of functioning.
| Assessment Area | Examples of Tools That May Be Used |
|---|---|
| Cognitive & Learning | WISC / WAIS, WIAT, WRAML, Beery VMI |
| Autism | MIGDAS and other clinically appropriate Autism assessment methods |
| ADHD & Executive Functioning | CAARS, ASRS, BRIEF-2 |
| Emotional & Behavioural Functioning | BASC and other appropriate measures |
| Broader Clinical Assessment | SCID-5, GAD-7, PHQ-9, PCL-5 and other clinically appropriate measures |
These tools are examples, not a checklist. You should not expect to complete every measure listed above.
Your psychologist or psychological associate will select the appropriate assessment tools based on your age, concerns, developmental and clinical history, assessment needs, and professional clinical judgment. Other appropriate measures may also be used.
No individual questionnaire, interview, score, or psychological test determines a diagnosis on its own. Findings are considered together with your history, interviews, observations, relevant records, collateral information where appropriate, and the clinician's professional judgment.
Assessment Format
In-Person & Virtual Assessment
Some components of the Comprehensive Integrated Assessment may be completed virtually where clinically appropriate.
Cognitive, academic, memory, visual-motor, and other standardized testing may require in-person assessment at our Hamilton location.
In-person testing does not necessarily need to be completed in one appointment and may be divided across multiple sittings based on age, assessment needs, and clinical circumstances.
Your clinical team will explain the proposed assessment structure before you proceed.
Assessment Fees
Assessment Fees — Please Inquire
Because a Comprehensive Integrated Assessment is highly individualized, the scope and cost can vary depending on the assessment required.
For this reason, we do not publish a fixed fee for this assessment pathway.
Before proceeding, the clinical team will explain the recommended assessment scope, expected process, in-person requirements, applicable fee, and next steps.
Choosing the Right Pathway
Do I Need a Comprehensive Integrated Assessment?
Not necessarily.
This pathway is intended for situations where multiple or overlapping questions need to be investigated together. Many people can have their concerns appropriately addressed through a more focused assessment.
Depending on your individual circumstances, your clinician may instead recommend an:
ADHD Assessment
Autism Assessment
Psychoeducational / LD Assessment
ASD + ADHD Assessment
ADHD + LD Assessment
ASD + ADHD + LD Assessment
Psychoeducational Assessment
You do not need to determine the appropriate pathway yourself.
Our clinical team can review what you are trying to understand and help determine whether a Comprehensive Integrated Assessment or a more focused assessment pathway is appropriate.