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Getting a Diagnosis: How Is High-Functioning Autism Officially Identified?
August 8, 2025
How is high-functioning autism diagnosed?
High-functioning autism is not a formal medical term, but it's often used to describe individuals on the autism spectrum who have average or above-average intelligence and relatively strong verbal skills. Despite these strengths, they may still struggle with social communication, sensory sensitivities, routines, or emotional regulation.
Diagnosing high-functioning autism typically begins with concerns from parents, teachers, or the individual themselves. A diagnosis is made through a comprehensive evaluation by a qualified professional—such as a developmental pediatrician, psychologist, or neurologist. The process often includes:
- Developmental and medical history review
- Standardized autism screening tools (like ADOS-2 or CARS)
- Cognitive and language assessments
- Observation of behavior and social interaction
Because people with high-functioning autism often "mask" or compensate for their difficulties, especially in structured settings, diagnosis can be delayed or overlooked—especially in girls and adults.
Early diagnosis is essential to access appropriate therapies and supports. Even challenges seem mild, proper identification can make a significant difference in personal growth, relationships, and long-term well-being.
At Divine Steps Therapy, we believe every step toward understanding autism should be met with compassion, clarity, and expertise. As the leading therapy provider across Maryland, Virginia, and North Carolina, we specialize in comprehensive assessments that uncover the subtle signs of autism—especially in individuals who may be considered high-functioning. Our multidisciplinary team uses the latest diagnostic tools and a family-centered approach to ensure that no detail is overlooked. Whether you're navigating early signs in your child or seeking clarity as an adult, Divine Steps Therapy offers thoughtful guidance, personalized care plans, and unwavering support every step of the way. Discover the difference that expert-led, heart-centered care can make.
Frequently Asked Questions
What does "high-functioning autism" mean?
It refers to individuals on the autism spectrum who have strong verbal and cognitive skills but may also experience social or behavioral challenges.
Who can diagnose high-functioning autism?
Licensed professionals such as psychologists, neurologists, or developmental pediatricians.
What tests are used in the diagnosis?
Tools like the ADOS-2, CARS, and interviews covering developmental history.
Is a diagnosis still important if symptoms are mild?
Yes. A diagnosis can unlock access to services, support, and self-understanding.
Can adults be diagnosed with high-functioning autism?
Absolutely. Many adults are diagnosed later in life after recognizing lifelong patterns.
Sources:
- https://childmind.org/article/what-is-high-functioning-autism/
- https://www.massgeneral.org/children/autism/lurie-center/autism-diagnostic-observation-schedulesecond-edition-ados2
- https://pmc.ncbi.nlm.nih.gov/articles/PMC3612531/
- https://www.autismspeaks.org/what-autism
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