Understanding Autism Misdiagnosis: A Guide for the Parents of Neurodivergent Children

To understand the Autism Misdiagnosis, first we neeed to know about ASD also known as Autism.
Autism, also known as autism spectrum disorder (ASD), can be a challenging neurodevelopmental condition for parents to understand. With symptoms that overlap with other conditions, autism is often misdiagnosed. This can delay access to the tailored support and therapies that allow autistic children to thrive.

Understanding Autism Misdiagnosis: Key Insights
Understanding Autism Misdiagnosis: Key Insights

As an autism parent myself, I know how overwhelming it can feel to pursue an accurate diagnosis. The purpose of this guide is to provide you, as a fellow autism parent, with information to advocate for your child. While the path is not always smooth, there are resources available to empower you.

Understanding the Obstacles to an Autism Diagnosis

Autism exists on a spectrum, meaning its presentation varies greatly from person to person. There is no single test for autism. Instead, clinicians make a diagnosis based on behavioral observations and testing. This allows room for misdiagnosis due to:

  • Bias: Outdated views of what autism “looks like” still persist. Clinicians may overlook symptoms in those who don’t fit stereotypes.
  • Lack of Research: Much autism research has focused on white boys, leading to missed diagnoses in girls and minorities.
  • Masking: Many autistic people unconsciously “mask” their symptoms to fit in socially. This makes their autism less obvious.
  • Age: Diagnostic tools designed for children don’t always work for adults, though many aren’t diagnosed until later in life.
  • Co-Occurring Conditions: Around 70% of autistic individuals have an additional diagnosis like ADHD or anxiety. Symptoms may be misattributed.

As an autism parent, being aware of these diagnostic challenges is the first step in getting your child the right support.

Common Misdiagnoses in Autistic Children

Autism shares traits with several other conditions. Here are some of the most frequent misdiagnoses:

1. Anxiety Disorders

Many autistic children struggle with anxiety. Its symptoms like meltdowns, inflexibility, and social avoidance overlap significantly with autism. Clinicians often recognize the anxiety but overlook the underlying cause.

Tip: Consider whether anxiety mainly occurs in situations involving social communication, transitions, or sensory overload. If so, autism may be the primary issue.


Around 50% of autistic children have ADHD as well. It’s critical to tease out which symptoms stem from each condition. Missed autism can lead to ADHD treatments falling short.

Tip: Note if focus issues happen mainly with preferred interests versus all tasks, if social skills differ beyond inattention, and if routines are followed strictly versus forgotten.

3. Borderline Personality Disorder (BPD)

Autistic people may be mislabeled as having BPD, especially females. Emotional sensitivity, social difficulties, and occasional impulsivity in autism can resemble BPD’s unstable moods and relationships.

Tip: Consider whether the behaviors occur in response to specific autism-related triggers like sensory overload.

4. Obsessive-Compulsive Disorder (OCD)

Repetitive behaviors in autism like hand flapping may be chalked up to compulsions. But behaviors that aren’t anxiety-driven aren’t true OCD. Likewise, autistic routines differ from compulsions.

Tip: Determine if repetitive thoughts and behaviors are distressing or soothing. OCD compulsions aim to reduce anxiety.

5. Post-Traumatic Stress Disorder (PTSD)

Living with undiagnosed autism can be traumatic. Many autistic people suffer PTSD from chronic overwhelming stress. Symptoms like social isolation may be written off as trauma-related.

Tip: Consider when traits emerged. PTSD symptoms arise after specific traumatic events while autism is lifelong.

6. Psychotic Disorders

Though less common today, autism was once seen as childhood schizophrenia. Autistic social withdrawal, as well as literal thinking on diagnostic tests, still may be misconstrued as psychosis in rare cases.

Tip: Hallucinations and delusions point to psychosis. Rule these out before assuming autism testing is invalid.

While autism has no “cure,” the right interventions and support systems allow autistic children to thrive. An accurate diagnosis is the first step. As an autism parent, you know your child best. Trust yourself to be their advocate throughout the process.

Navigating the Diagnostic Process as an Autism Parent

Pursuing an autism evaluation for your child can feel daunting. Here are some pro tips to guide you:

  • Track symptoms. Document your child’s behaviors and any developmental concerns. Concrete examples aid clinicians.
  • Research evaluators. Seek a specialist like a developmental pediatrician. Confirm they have autism experience, not just with general development.
  • Get school insights. Ask your child’s teacher to complete behavior rating scales. Their observations provide useful data.
  • Evaluate testing. Ensure the clinician uses autism-specific tools like the ADOS-2, not just general developmental tests.
  • Share your insights. You know your child best. Don’t downplay your parenting instincts. Push for follow-up if the diagnosis doesn’t fit.
  • Consider a second opinion. If one evaluator disputes autism but you still suspect it, seek input from another provider.
  • Connect with community. Talk to other autism parents for support. Local autism organizations also offer helpful resources.

Trust the process. With persistence and the right professional input, you can get the clarity and peace of mind that comes with an accurate diagnosis.

Accessing Autism Services After a Diagnosis

Receiving an autism diagnosis is a pivotal step. But the journey has only just begun. Securing access to essential autism services poses another challenge for parents.

Here are tips to guide you in obtaining optimal care:

  • Learn your coverage. Call your health insurance to determine which autism services are included and any prior authorization needed.
  • Research ABA options. Applied behavior analysis (ABA) is the gold-standard autism therapy. But quality varies greatly, so choose carefully.
  • Ask about IEPs. Your child has a legal right to autism support in school via an Individualized Education Program (IEP). Meet with the school district.
  • Find specialized therapists. Occupational, speech, and physical therapists with autism experience are key. Many offer private services if unavailable through your school.
  • Tap into community resources. Local autism nonprofits offer classes, support groups, and recreational activities tailored to your child’s needs.
  • Make time for self-care. Caregiving an autistic child is demanding. Take breaks, connect with friends, and prioritize your own wellbeing.

Stay tenacious in securing the therapies, accommodations, and assistance your child deserves. With the right supports in place, their future is bright.

Empowering Your Child Through Tailored Autism Interventions

Thanks to greater awareness and recognition of autism, customized interventions that cater to neurodiverse learning styles are more available than ever before.

As an autism parent, you can optimize your child’s potential by:

  • Choosing evidence-based therapies like applied behavior analysis (ABA) to build communication and social skills through positive reinforcement.
  • Using visual supports like picture schedules to ease transitions and improve organization.
  • Creating a sensory friendly home with spaces for movement or quiet as needed.
  • Working with the school to implement classroom accommodations outlined in your child’s IEP.
  • Finding social skills groups that use roleplaying and peer modeling to teach relationship building.
  • Ensuring speech therapy focuses on pragmatic language tailored to real-world settings.
  • Providing access to special interests to motivate learning and reward positive behaviors.
  • Limiting therapy hours to avoid burnout; downtime is key!

With compassion and creativity, you can design an autism-supportive environment where your child will thrive. Remember progress takes time, so celebrate small steps. Your child’s victories, however modest, deserve applause.

Choosing the Right ABA Therapy Provider

As an autism parent, you know applied behavior analysis (ABA) is crucial to fostering your child’s development. But not all ABA is created equal.

Here’s how to choose a high-quality ABA provider:

  • Verify credentials. All therapists should be board-certified behavior analysts (BCBAs) or supervised assistant BCBAs.
  • Ask about experience. Seek BCBAs with several years of hands-on autism work, not just textbook training.
  • Discuss supervisor involvement. The BCBA should oversee programs, not just techs. Make sure supervision meets board standards.
  • Review data systems. Robust data collection and progress tracking informs treatment plans.
  • Assess family training. Parent coaching lets you apply ABA principles at home for consistency.
  • Ensure ethical practices. Treatment should emphasize positive reinforcement, not punishment. Beware any provider that doesn’t.
  • Evaluate compatibility. Progress depends on trust between your child, therapists, and family. Ensure a good fit.
  • Confirm comprehensive services. Look for centers offering speech, occupational therapy, social skills groups, and more under one roof.

The best ABA agency becomes an invaluable partner in your child’s development. Take time to make the right choice.

Why In-Home ABA Therapy Offers Unique Benefits

While some ABA centers provide excellent programs, in-home ABA therapy offers unique advantages worth considering:

  • One-on-one attention from therapists trained specifically on your child’s needs.
  • Flexible scheduling that works around your family’s life.
  • Consistency across home, school, and community settings.
  • Generalization of skills as your child learns through real-world practice.
  • Comfort of a familiar environment, reducing anxiety.
  • Access to interests like toys used as motivators.
  • Convenience without commuting to a center.
  • Parent training to apply ABA techniques at home.
  • Individualized focus not possible in group settings.
  • Seamless integration with school and therapies.

In-home ABA facilitates a uniquely tailored approach. If your child struggles with rigid center-based programs, consider this option.

Choosing an In-Home ABA Provider in Maryland

If you’re seeking in-home ABA therapy in Maryland, I highly recommend Jade ABA Therapy. Their passionate team provides compassionate care that supports the entire family.

Here’s what sets Jade ABA apart:

  • Certified BCBAs with deep autism experience across ages and abilities.
  • Research-backed techniques like natural environment training, reinforcement, and parent training.
  • Flexible hours based on your availability, not the company’s.
  • Seamless collaboration with your child’s school and other providers.
  • Ongoing parent support through workshops and open communication.
  • Meticulous data collection to inform treatment plans.
  • Focus on functional skills like communication, social abilities, and independence.
  • Support for the whole child including their unique interests and needs.

I’ve seen my own child thrive under their care. They will become trusted partners throughout your family’s autism journey.

To learn more about ABA therapy from Jade tailored to your child’s needs:

Let their team of compassionate experts support your child in reaching their full potential.

The Importance of an Accurate Diagnosis and Specialized Care

As an autism parent, getting your child accurately diagnosed and connected to targeted therapies can be a difficult road. But it makes all the difference in setting them up for success.

Remember you’re not alone. Connect with other autism parents in your community and online. By sharing knowledge and experiences, together we can ensure our extraordinary kids get the specialized support they deserve.

There is no one-size-fits-all approach to autism. But with an accurate diagnosis, access to services, an empowering home environment, and consistent ABA therapy, your child can thrive in school and life at their own wonderful pace.


[1] Maenner MJ, Shaw KA, Bakian AV, et al. Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years – Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018. MMWR Surveillance Summaries 2021;70(No. SS-11):1–16. DOI: http://dx.doi.org/10.15585/mmwr.ss7011a1

[2] Hull L, Lai MC, Baron-Cohen S, Allison C, Smith P, Petrides KV, Mandy W. Gender differences in self-reported camouflaging in autistic and non-autistic adults. Autism. 2020 Feb;24(2):352-363. doi: 10.1177/1362361319864804. Epub 2019 Jul 30. PMID: 31364990.

[3] van Steensel FJ, Bögels SM, Perrin S. Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clin Child Fam Psychol Rev. 2011 Sep;14(3):302-17. doi: 10.1007/s10567-011-0097-0. Epub 2011 May 7. PMID: 21553305; PMCID: PMC3162631.

[4] Antshel, K. M. (2015). Psychiatric comorbidities in autism spectrum disorder. Harvard review of psychiatry, 23(5), 368–380. https://doi.org/10.1097/HRP.0000000000000110

[5] Kirkovski, M., Enticott, P. G., & Fitzgerald, P. B. (2013). A review of the role of female gender in autism spectrum disorders. Journal of autism and developmental disorders, 43(11), 2584–2603. https://doi.org/10.1007/s10803-013-1811-1

[6] Hull L, Petrides KV, Allison C, Smith P, Baron-Cohen S, Lai MC, Mandy W. “Putting on My Best Normal”: Social Camouflaging in Adults with Autism Spectrum Conditions. Journal of autism and developmental disorders. 2017;47(8):2519-2534. doi:10.1007/s10803-017-3166-5

[7] Kerns CM, Newschaffer CJ, Berkowitz SJ. Traumatic Childhood Events and Autism Spectrum Disorder. J Autism Dev Disord. 2015 Apr;45(4):3475-3486. doi: 10.1007/s10803-015-2392-y. PMID: 25896522; PMCID: PMC4381531.

[8] Volkmar FR, McPartland JC. From Kanner to DSM-5: autism as an evolving diagnostic concept. Annu Rev Clin Psychol. 2014;10:193-212. doi: 10.1146/annurev-clinpsy-032813-153710. Epub 2014 Jan 29. PMID: 24329180.

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