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.
Competent everywhere. At ease almost nowhere.
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 guessed at from an online quiz.
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.
An instrument designed for exactly your presentation.
Most adult evaluations still lean on tools built for children. This practice uses the MIGDAS-2 — a sensory-based, structured clinical interview that characterizes how you actually communicate and experience the world, rather than scoring how you perform on puzzles designed for eight-year-olds.
It is particularly well-suited to adults with strong masking and adaptive skills — the people observation-based measures historically under-identify. And because it is a conversation, it translates fully to secure telehealth.
- Comprehensive developmental & clinical interview — your history, in depth.
- MIGDAS-2 + standardized measures — gold-standard, evidence-based.
- Full differential diagnosis — ADHD, anxiety, OCD, and trauma can resemble and co-occur with autism.
- Optional collateral from a partner or friend — never required.
From first call to final report in about two weeks.
A streamlined, secure path designed around demanding professional calendars — testing can be split across sessions, with no months-long limbo.
- Day 0
Free 15-minute consultation
A brief video call to confirm fit, answer questions, and verify your state's eligibility.
- Days 1–3
Intake & questionnaires
Secure online history forms and standardized rating scales, completed on your schedule.
- Days 4–7
Live evaluation
The MIGDAS-2 structured interview and measures, over secure telehealth (4–5 hours, breaks included).
- Days 8–14
Report & feedback session
Your comprehensive written report, plus a live session to review every finding together.
Serving adults across 40+ states.
Through the PSYPACT interstate compact, Dr. Burgoyne is authorized to provide secure telepsychology assessment to clients 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
- ✓ MIGDAS-2 and standardized, gold-standard measures
- ✓ Live diagnostic interview via secure video
- ✓ Full written diagnostic report in about two weeks
- ✓ Live feedback session to review every finding
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.
Is this confidential? I have a professional reputation to consider.
Completely. This is a private-pay evaluation: nothing is reported to your employer, and nothing enters an insurance record unless you personally choose to submit the superbill. 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. Comprehensive adult autism evaluations are $2,500–$3,000, with HSA/FSA accepted and a detailed superbill provided.