You built a remarkable life. The question never went away.
For the professionals who were called gifted, quirky, or intense as children — and have spent decades wondering why everything that looks effortless takes so much effort. A comprehensive adult autism evaluation by a Certified Autism Clinical Specialist, conducted entirely online.
You've always experienced the world a little differently.
High-achieving autistic adults rarely look like the textbook. They look like the colleague who never misses a detail, the founder with encyclopedic depth — running an invisible second job underneath: translation.
You run on scripts
Small talk is rehearsed, meetings are replayed on the drive home, and one networking event costs a full evening of recovery no one ever sees.
Your depth built your career
What teachers called an obsession became your expertise. You can focus on complex systems for hours — the same intensity others find puzzling at dinner.
Sensory life, managed invisibly
The same breakfast for years. Specific fabrics only. Noise-cancelling headphones as professional equipment. Fluorescent offices that drain you by 2 p.m.
"Gifted and quirky"
Strong grades hid the struggle. Adults praised your vocabulary and missed your distress. You learned early that being impressive was safer than being understood.
Connection is real — and costly
You love deeply and prefer one person at a time. Groups drain you at a rate others don't experience, so you leave early and apologize often.
The burnout cycle
Years of high output, then a crash that gets labeled anxiety or depression — treated, managed, and never quite explained. The pattern keeps returning.
No single item on this list means you are autistic. Together, they form a pattern that deserves to be understood properly — not decided by an over-inclusive online screener or a rushed appointment with a clinician who doesn't specialize in autism.
You weren't overlooked because the signs weren't there.
You were overlooked because the tools, the era, and your own intelligence all pointed the other way.
The instruments were built around children
The autism measures most clinicians trained on were developed in the late 1980s and early 1990s, around presentations most visible in young children. Entire generations of capable adults predate the field's understanding of how autism presents in people like you.
Intelligence is camouflage
Bright children learn social rules the way they learn everything else: by analysis. You studied people, built rules, and performed them well enough that clinicians saw competence — and never asked about its cost.
Success raises the bar for being believed
"You can't be autistic — you have a career, a marriage, a mortgage." Achievement becomes the argument against assessment, which is precisely backwards. Adaptation is not the absence of autism. Often, it is the evidence of it.
A cross-battery evaluation — no single test captures a lifetime of adapting.
Most adult evaluations lean on a single tool, often one built for children. This one doesn’t. It’s a cross-battery assessment — several validated instruments woven together with a careful clinical interview, so your picture comes from many angles rather than one score.
Depending on what fits you, that can draw on the MIGDAS-2, a sensory-based structured interview; the Autism Spectrum Rating Scales (ASRS) and the Social Responsiveness Scale, Second Edition (SRS-2), well-validated measures of social communication and responsiveness; and performance-based, projective measures grounded in psychodynamic theory, which reach beneath self-report to how you genuinely experience social awareness, communication, and motivation. The full battery is conducted over secure video.
- Comprehensive developmental & clinical interview — your history, in depth.
- Cross-battery testing — MIGDAS-2, ASRS, SRS-2, and projective measures, triangulated rather than reduced to one score.
- Full differential diagnosis — ADHD, anxiety, OCD, and trauma can resemble and co-occur with autism.
- Optional childhood collateral — input from someone who knew you growing up, only if you want it.
Exactly what to expect, step by step.
A clear, guided path — handled personally by Dr. Burgoyne at every step, conducted entirely over secure video, and paced around your schedule.
- Day 0
Free 15-minute consultation
A brief video call to make sure this is the right fit and confirm your state's eligibility. No pressure — just answers.
- Days 2–3
Deposit & intake forms
A $500 deposit reserves your evaluation. Once it is received, I send secure online history forms and standardized rating scales for you to complete at your own pace, with up to a week to do so. Please know that self-report questionnaires can be genuinely difficult — how readily an answer comes often depends on the day and the context, and finding them challenging is both common and entirely understandable. There is no need to answer perfectly; simply do your best. Your responses become the foundation we explore together, in depth, during the evaluation itself.
- Next 1–6 days
We schedule your evaluation
Once your forms are in, I reach out to confirm your appointment around your schedule.
- Your evaluation
A 3–5 hour digital face-to-face session
A thorough structured clinical interview on my HIPAA-secure healthcare Zoom platform, where your form answers become the starting point for understanding your real, lived experience.
- One week later
Results & 1-hour feedback
Your comprehensive report is ready about a week after your evaluation, and we meet for a one-hour consultation to go through everything and answer any question you have.
Online autism evaluations for adults in 40+ states.
Through the PSYPACT interstate compact, Dr. Burgoyne is authorized to provide secure online autism testing and telepsychology assessment to adults located in any participating state (APIT, Mobility #24142).
Your state's current status is confirmed at your free consultation. In Colorado? Visit the Littleton office at mindingmyownpsychology.com.
"I am blown away by my life changing experience with Dr. Brian… He was able to put into words and make sense of my misunderstood struggles I have been dealing with my entire life. He gave me a diagnosis that made me see my life from a completely different perspective."
"Compassionate, kind, reliable, and has an incredible gift in psychological discernment."
"We traveled from Nebraska to Colorado to meet him… he gave me the confidence that I chose the right professional."
"He made sense of a lifetime of experiences that never quite added up. The report alone was worth it."
A specialist who never stopped asking why adults get missed.
Dr. Brian Burgoyne is a licensed clinical psychologist whose practice is devoted entirely to assessment — no split attention, no therapy caseload competing for diagnostic focus. His autism work centers on the adults the field historically overlooked: capable, accomplished, exhausted.
- Certified Autism Clinical Specialist with 40+ continuing-education hours in autism assessment.
- 500+ comprehensive assessments completed in a testing-only practice.
- PSYPACT-authorized for interjurisdictional telepsychology (APIT, Mobility #24142).
- Neurodiversity-affirming: autistic differences understood as human biodiversity, not a deficit checklist.
Clarity, either way.
This is a diagnostic evaluation, not a confirmation service. Both outcomes are real answers — and both come with a path forward.
If the criteria are met
- A formal diagnosis, and language for a lifetime of experiences that finally fit together.
- Documentation that supports workplace accommodations under the ADA.
- Recommendations for your actual life: energy management, sensory strategy, disclosure decisions.
- Your existing coping recognized as sophisticated self-regulation, not a deficit.
If they are not
- A clear differential answer: what actually explains the pattern (often ADHD, anxiety, OCD, or trauma).
- The same comprehensive report and feedback session.
- Specific, actionable recommendations matched to what was found.
- An end to wondering — which has a value of its own.
One evaluation. One clear fee.
Everything, start to finish
- ✓ Free 15-minute consultation call
- ✓ Cross-battery testing — MIGDAS-2, ASRS, SRS-2 & projective measures
- ✓ A 3–5 hour structured clinical interview via secure video
- ✓ Comprehensive written report, about a week after your evaluation
- ✓ A one-hour feedback session to go through everything
Questions, answered directly.
Is a telehealth autism evaluation as valid as one done in person?
For this evaluation, yes — and the reason is specific. The MIGDAS-2 is a structured clinical interview, not an observation-based performance task, so nothing essential is lost over secure video. You meet the same psychologist, complete the same instruments, and receive the same comprehensive report an in-office client receives.
I've masked my whole life. What if I'm "too functional" to be diagnosed?
Successful adaptation is not evidence against autism — it is often part of the presentation. This practice uses the MIGDAS-2 precisely because it is well-suited to adults with strong masking and adaptive skills, whom observation-based measures historically under-identify. Your competence will not be mistaken for an answer.
Do I need my parents or childhood records?
Helpful, not required. Many adults are evaluated without childhood informants. Developmental history can be reconstructed through structured interview, any records you have, and collateral perspectives — a partner or long-time friend often adds more than they expect.
How do I get an autism diagnosis as an adult?
It starts with a free 15-minute consultation to confirm fit and verify your state's eligibility. From there it is a structured online evaluation: secure intake questionnaires, a live MIGDAS-2 interview and standardized measures over video, then a comprehensive written report and a feedback session about a week after your evaluation. No physician referral is required, and the entire autism assessment is completed by telehealth.
Do you accept insurance?
No. This is a completely private-pay, out-of-pocket evaluation. Insurance is not accepted and no claim is filed on your behalf, which is a deliberate choice: it keeps your evaluation entirely confidential, free of an insurer's diagnostic requirements, and off your insurance record. HSA and FSA funds may be used, and a detailed receipt is available on request should you wish to seek any reimbursement on your own.
Is this confidential? I have a professional reputation to consider.
Completely. Because this is a private-pay, out-of-pocket evaluation, nothing is reported to your employer and nothing enters an insurance record. What you do with your results — including whether anyone ever knows you were evaluated — is entirely your decision.
What if it turns out not to be autism?
Then you will know what it actually is. Every evaluation includes a full differential — ADHD, anxiety, OCD, and trauma can all resemble and co-occur with autism — and the report gives you the same depth of explanation either way. The goal is the truth, not a predetermined answer.
Which states do you serve, and what does it cost?
Telehealth evaluations are available in 40+ PSYPACT states; your state's current status is confirmed at your free consultation. The comprehensive adult autism evaluation is a flat $2,000, paid out of pocket — a $500 deposit after your free consultation and $1,500 on the morning of your evaluation. Insurance is not accepted; HSA/FSA funds may be used.