Autism Diagnostic Observation Schedule (ADOS) Assessment Transcript Summary

Autism Diagnostic Observation Schedule – Second Edition The ADOS-2 is a standardized assessment tool used to evaluate social communication and interaction in individuals suspected of having Autism Spectrum Disorder (ASD). For this assessment, Module 3 was utilized, which is designed for children and adolescents with fluent speech. Observations of Alex's strengths and difficulties on the ADOS were as follows: Language and communication – including verbal skills (frequency and type of communication, quality of language, echolalia, jargon, intonation and pitch, stereotyped and idiosyncratic use) and non-verbal skills (pointing, gestures, use of others' body to communicate). - Alex demonstrated frequent verbal communication with clear articulation, though there was occasional echolalia. The quality of language was generally appropriate, with some use of jargon. Non-verbal communication included limited gestures and pointing. Reciprocal Social Interaction – including eye contact, social smile, facial expression, gaze interaction, shared enjoyment, response to name, requesting, giving and showing, joint attention (response and initiation), quality of social overtures - Alex maintained inconsistent eye contact and had a limited range of facial expressions. Shared enjoyment was observed during specific activities, though responses to name were delayed. Social overtures were present but lacked depth. - Alex was able to understand and retell a story from a picture book with some assistance, demonstrating basic comprehension and engagement. - Alex showed some difficulty in recognizing and expressing emotions, often requiring prompts to react appropriately in social interactions. - Alex had limited insight into social relationships and own social difficulties, often misinterpreting social cues. - Understanding of adult relationships was basic, with some recognition of authority figures. - Overall, Alex showed moderate rapport with the examiner, enjoying joint interactions but with limited insight into emotions and social relationships. Imagination - including imagination and creativity - Alex displayed creativity during play, engaging in pretend play with some imaginative elements. Stereotyped behaviours and restricted interests – including complex mannerisms, unusual sensory interests, self-injurious behaviour, repetitive interests & stereotyped behaviours - Alex exhibited hand-flapping and repetitive actions, with a strong fixation on specific topics, such as trains. Overall - Based on the ADOS-2 scores, Alex meets the criteria for an Autism Spectrum Disorder diagnosis. The level of Autism symptoms is consistent with other children diagnosed with ASD, indicating a moderate level of support is required.