Child In Speech Therapy


Initial Assessments, Psychological Formulation, ASD assessments and Cognitive Assessments

Initial Assessments and Formulations:

Typically, your first session with a Clinical Psychologist will start with an initial assessment session to find out more about the difficulties you would like support with and develop a shared understanding of these - this is called a psychological formulation. This is then used to agree areas to work on and therapeutic approaches which may be helpful. This first session will take between 1 hour and 90 minutes.

ASD assessment:

These are offered to children over 2 years of age, adolescents and adults and include a consultation to get full developmental information (using the gold standard ADI-R instrument for children and adults where possible). This will take around 2 hours. This is followed by observations of the person in a different setting, usually a nursery, school, education setting or work place, at home or in the community. An associated team of multi-professionals can also be used for additional assessments and reports as needed depending on individual difficulties. The gold standard ADOS-2 assessment tool is completed in further sessions in the clinic and is used in conjunction with the observations and other advice obtained to determine whether an ASD diagnosis fits with that persons difficulties. All assessments are made in consultation with at least two experienced professionals and sometimes include more where needed as part of an MDT approach recommended by NICE guidelines. The professionals can include a Clinical Psychologist, an Assistant Psychologist a Speech and Language Therapist, a paediatrician and other relevant professionals where required. Follow up sessions can also be arranged to offer strategies to help manage agreed difficulties associated with ASD for that person.

Cognitive Assessment:

This can be completed for a person of any age. A full background history will be taken from a parent/guardian or someone who knows the person best. This is followed by sessions to measure the persons cognitive ability and day to day functioning to determine a persons strengths a and weaknesses and consider whether a learning disability label would fit with that persons difficulties or be helpful. Strategies will also be given to help with their specific difficulties. Key assessments used are the WISC-V or WAIS IV for overall intelligence, memory tests such as the WMS or CMS, and executive functioning tests using the BRIEF 2 or BADS , plus other as required. Assessments will be completed by the Clinical Psychologist assisted by an Assistant Psychologist. Further information can be provided upon request.

ARFID Assessment - Please see ARFID page for full details.