Adult autism evaluations · Rochester
Adult autism evaluations in Rochester, without the waitlist.
If you have started looking for an adult autism evaluation in Rochester, you have probably found the same two doors: a hospital program with a long waitlist, or free self-tests that tell you part of the story. This is the third option: a structured, neurodiversity-affirming evaluation, online, across two to five sessions.
The Rochester reality
URMC and Strong do excellent work. The waitlist for an adult evaluation can run a year or more.
You may be here because
If this is your Rochester, you are in the right place.
These are the moments the adults I evaluate describe. If they sound specific, it is because the pattern is.
Composed by day, flattened by Friday
You manage the meetings, the small talk, the open-plan noise. By Friday you need the weekend in silence just to recover for Monday.
A map drawn by sensory load
A quiet coffee shop on a Tuesday works. The Public Market on a Saturday morning is a wall of sound and smell that everyone else calls charming.
Your child's evaluation
An evaluator in a school conference room describes your child, and you quietly recognize yourself in every line.
Deciding took years. Then came a waitlist.
You finally called around Monroe County and were offered an intake many months out. After decades of wondering, the system asks you to keep waiting.
You may have taken the free tests already and recognized yourself in other people's stories. Many of the adults I evaluate are high-masking, especially women and people who were missed earlier in life. An evaluation gives us a structured way to look at the whole picture.
The online alternative
The same structured evaluation, from your own home.
The goal is clear feedback you can use, whether the answer is straightforward or more complicated.
I am licensed across New York State and evaluate adults throughout Monroe County and Western New York: the city, Brighton, Irondequoit, Webster, Greece, Pittsford, and anywhere else with a private room and an internet connection. There is no waitlist to join. The evaluation runs two to five online sessions at $325 per session.
Start with what brought you here
We begin with what made you wonder, what you hope to understand, and how you may use the information.
Look at the fuller picture
We discuss your developmental history, sensory and social experiences, current patterns, and other explanations that may matter.
Talk through what the evaluation shows
I explain what I am seeing in plain language, including where the picture is clear and where it is more complicated.
Decide whether you need a written report
You can add an optional written report for $950, with findings, recommendations, and next steps. Confirm a third party's requirements before relying on it.
Searching for "autism testing" in Rochester? What I provide is a clinical evaluation, which can end in a formal diagnosis. I do not provide neuropsychological testing. If you need testing for government disability services or a complex medical picture, a hospital program may be the right door, and I will tell you before we begin. My report may support accommodation requests with an employer, school, or other program; confirm what the receiving organization needs before relying on it.
You have lived the questions for decades. The answers should not take another year.
What may become clearer
What an answer can change.
Some people want an answer that helps them make sense of the past. Others need something practical, such as clearer support at work or home. Both can matter.
Years of shame can look different
An answer may help you understand years of confusion, burnout, and self-criticism with more accuracy and less blame.
What to ask for gets clearer
Understanding your sensory and social pattern can make accommodations more concrete at work, at home, and in relationships.
The wondering becomes clearer
Whether the answer is autism, something else, or more than one thing, you leave with clear feedback about what the evidence supports and what to consider next.
An evaluation does not guarantee an autism diagnosis, and I will not assume the answer before we begin. You will get clear feedback about what I find, including where the picture is straightforward and where it is more complicated.
A good place to begin
An evaluation may fit where you are.
- You called the Rochester programs and cannot face another year of waiting.
- You have taken every free test and want a professional to look at the whole picture.
- You are a high-masking adult, and the usual checklists never quite described you.
- You want recommendations you can act on, with a written report if you need one.
- You want honesty about what an evaluation can and cannot give you before you spend a dollar.
Gayle Weill, LCSW
Kind, down-to-earth, and direct about what I find.
I am a licensed clinical social worker with additional training in assessing adults for autism, and evaluations are a core part of my practice.
Much of my evaluation work is with high-masking adults, including many women and people who were missed earlier in life. You will get thoughtful questions, room to process, and plain language about what I am seeing as we go.
Everything happens online, from whatever private space works for you.
Additional training in assessing adults for Autism Spectrum Disorder. Advanced training in Child-Parent Psychotherapy, Circle of Security-Parenting, and EMDR. Certified in hypnosis.
More about GayleThe practical details
Here is what you will want to know.
Each evaluation session is $325, and most evaluations take two to five sessions.
All evaluation sessions are online.
I am licensed in New York and Connecticut and registered to provide telehealth in Florida. In the Rochester area, that includes all of Monroe County and Western New York.
Evaluations are self-pay. You can pay by HSA, FSA, credit, or debit card at the time of service.
An optional written report with findings, recommendations, and next steps is $950.
Please give 48 hours' notice to avoid the full $325 fee. Extenuating circumstances may be considered.
Before booking
Questions Rochester adults ask.
How long is the wait for an evaluation?
I do not run a waitlist. You book directly, and many adults complete the whole evaluation within weeks of starting. If my availability changes, I will tell you before you book.
Is an online evaluation as valid as one at URMC or Strong?
For most adults, an evaluation is a structured clinical interview using tools designed for adult autism, and that work translates fully to video. The exception is when neuropsychological testing is needed for a complex medical picture, which I do not provide and will say so before we begin. For sensory-sensitive adults, doing this from home is often the less stressful format.
Do you diagnose "high functioning" autism?
The clinical term has shifted to ASD Level 1. Much of my practice is adults who have flown under the radar for years: often called "high functioning," usually high-masking, and struggling internally. Masking is part of what I assess.
Can I use my HSA or FSA?
Yes. Evaluations are self-pay, and you can pay by HSA, FSA, credit, or debit card at the time of service.
What does the whole evaluation cost?
$325 per session, and most evaluations take two to five sessions. An optional written report is $950. The rates and FAQs page covers payment in detail.
Can you evaluate me if I might also have ADHD?
Many adults who wonder about autism also wonder about ADHD, and the overlap is real. My evaluation assesses autism, and we will talk honestly about where the ADHD questions fit and whether a separate ADHD assessment would help you. My self-paced course also walks through how autism differs from ADHD, trauma, and anxiety.
Do I need to come to an office in Rochester?
All evaluation sessions are online, from whatever private space works: home in Webster, a parked car, or a downtown office with the door closed.
What happens when I book?
Your first evaluation session is $325. We start with what made you wonder and what you hope to understand, and I give you clear feedback in plain language as we go.
A place to start on your own
Am I autistic? A therapist's framework for figuring it out.
I made a self-paced course for the sorting-it-out stage: masking and social compensation, sensory overwhelm, autistic burnout, executive functioning, and how autism differs from ADHD, trauma, and anxiety. It is educational rather than diagnostic, and many people use it while deciding whether an evaluation is the right next step.
Explore the courseWhile you decide
Reading for the meantime, written by Gayle.
- The cost of adult autism assessments: insurance vs. private pay
- Why more women are seeking adult autism evaluations
- Adult autism evaluation vs. neuropsych testing: which one do you need?
This page is part of a larger evaluation practice: read the full adult autism evaluations page, or the local pages for Buffalo, Albany, Syracuse, Long Island, and Fairfield.
A clear next step
You have waited long enough.
There is no referral needed and no waitlist to join. Bring the questions you have been carrying, and we will start with what made you wonder.