CELINE A. SAULNIER, PhD, worked in the Yale Child Study Center’s Autism Program for nearly a decade. Then, she joined the faculty at Emory University’s School of Medicine and the Marcus Autism Center. Currently, she owns her own company, Neurodevelopmental Assessment & Consulting Services. PAMELA E. VENTOLA, PhD, is an Associate Professor in the Yale Child Study Center and leads the Rare Disease and Pediatric Center of Excellence at Cogstate, supporting industry-sponsored clinical trials. She also has extensive clinical and research experience with diagnostic, developmental, and neuropsychological assessments with individuals with ASD across the life span.

• About the Authors xSeries Preface xiPreface xiiiAcknowledgments xivOne Overview 1Diagnostic Criteria 1References 7Two Assessment of Developmental and Cognitive Skills 9Selecting Instruments 10Developmental and Early Cognitive Measures 12Measures of Cognition and Intelligence in School-AgeIndividuals and Adults 16Measures of Nonverbal Intelligence 19Neuropsychological Assessments 20Qualitative Observations 22Summary 23References 24Test Yourself 26Answers 27Three Speech, Language, and Communication Assessment 28Receptive Language 31Expressive Language 32Pragmatic Language/Social Communication 34Stages of Language Development 36Formulation of Findings 38Summary 38References 42Test Yourself 43Answers 43Four Assessment of Adaptive Behavior, Executive Functioning, andBehavioral Regulation Skills 45Assessment of Adaptive Behavior 45Assessment of Executive Functioning 52Assessment of Behavioral Regulation Skills 53Summary 56References 56Test Yourself 58Answers 59Five Developmental History and Record Review 60Clinical Interview 61Methods of Collecting Information on Current andHistorical Presentation 70Summary 74References 75Test Yourself 75Answers 76Six Direct Diagnostic Assessment 77Screening Measures for Risk of ASD 77Diagnostic Rating Scales 79Direct Diagnostic Assessment 81Considerations for First-Time Diagnostic Evaluations with Adolescents and Adults 94Direct Measures of Autism Symptomatology 96Options for Remote/Telehealth Diagnostic Assessments for ASD 99Summary 100References 101Test Yourself 103Answers 104Seven Diagnostic Differentials and Co-Occurring Conditions 105Intellectual Disability 106Communication Disorders 110Learning Disabilities 111Attention Deficit/Hyperactivity Disorder 114Anxiety Disorders 115Depression and Mood Disorders 116Obsessive-Compulsive Disorder (OCD) 118TIC Disorders and Tourette’s Disorder 119Psychiatric Conditions in Adulthood 120Summary 122References 123Test Yourself 125Answers 127Eight Catching the Misdiagnosed, Late Diagnosed, and Missed for Diagnosis 128Factors Related to Racial, Ethnic, Socioeconomic, and Geographical Disparities 129Factors Related to Sex Differences in ASD Symptomatology 130Factors Related to Gender and Sexual Identity Development 133Factors Related to Subtle or Complex Symptom Expression 134References 136Test Yourself 137Answers 138Nine Preparing for Transition to Adulthood 139Idea and Transition Planning 139Assessments Supporting the Transition Plan Process 140Needs to Consider for Adulthood 146Job Coaching and Vocational Training 148Academic Accommodations and Modifications 149Life Skills and Life Coaching/Mentoring 151Transitional and College-Preparation Programs 153References 156Test Yourself 159Answers 160Ten Diagnostic Formulations and Case Conceptualizations 161Providing Feedback of Results 161The Written Report 162Case Samples 163Case Sample 1: Initial Diagnosis—Toddler 164Case Sample 2: Re-Evaluation—School-Aged Child with Complex Presentation 175Case Sample 3: Initial Diagnosis: Adult Female 191Chapter Summary 205Author Index 206Subject Index 000

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CELINE A. SAULNIER, PhD, worked in the Yale Child Study Center’s Autism Program for nearly a decade. Then, she joined the faculty at Emory University’s School of Medicine and the Marcus Autism Center. Currently, she owns her own company, Neurodevelopmental Assessment & Consulting Services. PAMELA E. VENTOLA, PhD, is an Associate Professor in the Yale Child Study Center and leads the Rare Disease and Pediatric Center of Excellence at Cogstate, supporting industry-sponsored clinical trials. She also has extensive clinical and research experience with diagnostic, developmental, and neuropsychological assessments with individuals with ASD across the life span.

• About the Authors xSeries Preface xiPreface xiiiAcknowledgments xivOne Overview 1Diagnostic Criteria 1References 7Two Assessment of Developmental and Cognitive Skills 9Selecting Instruments 10Developmental and Early Cognitive Measures 12Measures of Cognition and Intelligence in School-AgeIndividuals and Adults 16Measures of Nonverbal Intelligence 19Neuropsychological Assessments 20Qualitative Observations 22Summary 23References 24Test Yourself 26Answers 27Three Speech, Language, and Communication Assessment 28Receptive Language 31Expressive Language 32Pragmatic Language/Social Communication 34Stages of Language Development 36Formulation of Findings 38Summary 38References 42Test Yourself 43Answers 43Four Assessment of Adaptive Behavior, Executive Functioning, andBehavioral Regulation Skills 45Assessment of Adaptive Behavior 45Assessment of Executive Functioning 52Assessment of Behavioral Regulation Skills 53Summary 56References 56Test Yourself 58Answers 59Five Developmental History and Record Review 60Clinical Interview 61Methods of Collecting Information on Current andHistorical Presentation 70Summary 74References 75Test Yourself 75Answers 76Six Direct Diagnostic Assessment 77Screening Measures for Risk of ASD 77Diagnostic Rating Scales 79Direct Diagnostic Assessment 81Considerations for First-Time Diagnostic Evaluations with Adolescents and Adults 94Direct Measures of Autism Symptomatology 96Options for Remote/Telehealth Diagnostic Assessments for ASD 99Summary 100References 101Test Yourself 103Answers 104Seven Diagnostic Differentials and Co-Occurring Conditions 105Intellectual Disability 106Communication Disorders 110Learning Disabilities 111Attention Deficit/Hyperactivity Disorder 114Anxiety Disorders 115Depression and Mood Disorders 116Obsessive-Compulsive Disorder (OCD) 118TIC Disorders and Tourette’s Disorder 119Psychiatric Conditions in Adulthood 120Summary 122References 123Test Yourself 125Answers 127Eight Catching the Misdiagnosed, Late Diagnosed, and Missed for Diagnosis 128Factors Related to Racial, Ethnic, Socioeconomic, and Geographical Disparities 129Factors Related to Sex Differences in ASD Symptomatology 130Factors Related to Gender and Sexual Identity Development 133Factors Related to Subtle or Complex Symptom Expression 134References 136Test Yourself 137Answers 138Nine Preparing for Transition to Adulthood 139Idea and Transition Planning 139Assessments Supporting the Transition Plan Process 140Needs to Consider for Adulthood 146Job Coaching and Vocational Training 148Academic Accommodations and Modifications 149Life Skills and Life Coaching/Mentoring 151Transitional and College-Preparation Programs 153References 156Test Yourself 159Answers 160Ten Diagnostic Formulations and Case Conceptualizations 161Providing Feedback of Results 161The Written Report 162Case Samples 163Case Sample 1: Initial Diagnosis—Toddler 164Case Sample 2: Re-Evaluation—School-Aged Child with Complex Presentation 175Case Sample 3: Initial Diagnosis: Adult Female 191Chapter Summary 205Author Index 206Subject Index 000

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CELINE A. SAULNIER, PhD, worked in the Yale Child Study Center’s Autism Program for nearly a decade. Then, she joined the faculty at Emory University’s School of Medicine and the Marcus Autism Center. Currently, she owns her own company, Neurodevelopmental Assessment & Consulting Services. PAMELA E. VENTOLA, PhD, is an Associate Professor in the Yale Child Study Center and leads the Rare Disease and Pediatric Center of Excellence at Cogstate, supporting industry-sponsored clinical trials. She also has extensive clinical and research experience with diagnostic, developmental, and neuropsychological assessments with individuals with ASD across the life span.

• About the Authors xSeries Preface xiPreface xiiiAcknowledgments xivOne Overview 1Diagnostic Criteria 1References 7Two Assessment of Developmental and Cognitive Skills 9Selecting Instruments 10Developmental and Early Cognitive Measures 12Measures of Cognition and Intelligence in School-AgeIndividuals and Adults 16Measures of Nonverbal Intelligence 19Neuropsychological Assessments 20Qualitative Observations 22Summary 23References 24Test Yourself 26Answers 27Three Speech, Language, and Communication Assessment 28Receptive Language 31Expressive Language 32Pragmatic Language/Social Communication 34Stages of Language Development 36Formulation of Findings 38Summary 38References 42Test Yourself 43Answers 43Four Assessment of Adaptive Behavior, Executive Functioning, andBehavioral Regulation Skills 45Assessment of Adaptive Behavior 45Assessment of Executive Functioning 52Assessment of Behavioral Regulation Skills 53Summary 56References 56Test Yourself 58Answers 59Five Developmental History and Record Review 60Clinical Interview 61Methods of Collecting Information on Current andHistorical Presentation 70Summary 74References 75Test Yourself 75Answers 76Six Direct Diagnostic Assessment 77Screening Measures for Risk of ASD 77Diagnostic Rating Scales 79Direct Diagnostic Assessment 81Considerations for First-Time Diagnostic Evaluations with Adolescents and Adults 94Direct Measures of Autism Symptomatology 96Options for Remote/Telehealth Diagnostic Assessments for ASD 99Summary 100References 101Test Yourself 103Answers 104Seven Diagnostic Differentials and Co-Occurring Conditions 105Intellectual Disability 106Communication Disorders 110Learning Disabilities 111Attention Deficit/Hyperactivity Disorder 114Anxiety Disorders 115Depression and Mood Disorders 116Obsessive-Compulsive Disorder (OCD) 118TIC Disorders and Tourette’s Disorder 119Psychiatric Conditions in Adulthood 120Summary 122References 123Test Yourself 125Answers 127Eight Catching the Misdiagnosed, Late Diagnosed, and Missed for Diagnosis 128Factors Related to Racial, Ethnic, Socioeconomic, and Geographical Disparities 129Factors Related to Sex Differences in ASD Symptomatology 130Factors Related to Gender and Sexual Identity Development 133Factors Related to Subtle or Complex Symptom Expression 134References 136Test Yourself 137Answers 138Nine Preparing for Transition to Adulthood 139Idea and Transition Planning 139Assessments Supporting the Transition Plan Process 140Needs to Consider for Adulthood 146Job Coaching and Vocational Training 148Academic Accommodations and Modifications 149Life Skills and Life Coaching/Mentoring 151Transitional and College-Preparation Programs 153References 156Test Yourself 159Answers 160Ten Diagnostic Formulations and Case Conceptualizations 161Providing Feedback of Results 161The Written Report 162Case Samples 163Case Sample 1: Initial Diagnosis—Toddler 164Case Sample 2: Re-Evaluation—School-Aged Child with Complex Presentation 175Case Sample 3: Initial Diagnosis: Adult Female 191Chapter Summary 205Author Index 206Subject Index 000

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