Before and After an Autism Diagnosis: Early Signs and Next Steps for Support and Inclusion

Autism Signs in Children Moonee Ponds | Raise the Bar Psychology

The appointment is over. You have the report in your hands, and the word “autism” is now part of your family’s story. Some parents feel relief at finally having a clear answer. Others feel floored, or sit somewhere between the two. Both are completely understandable responses, and neither one predicts how well you’ll support your child going forward.

This guide walks through what to look for in the early stages, what to do before pursuing a formal assessment, and what the practical next steps look like once you have a diagnosis. It also covers the types of support, find local services, and funding options that’s directly relevant to your situation.

 

Recognising the Signs: What Parents Often Notice First

Autism tends to show up across two main areas: social communication and repetitive or restricted behaviours. The combination looks different from child to child, and some signs become clearer with age rather than all at once.

On the social and communication side, parents frequently notice inconsistent eye contact, limited interest in pointing to share something with another person (known as joint attention), or speech that is delayed or has regressed after developing normally. A child might not turn when their name is called, even though a hearing test comes back normal. Play often looks different, too. Some autistic children show little interest in pretend play, or consistently prefer to play alongside peers rather than with them.

Repetitive behaviours can include hand-flapping, rocking, spinning, or a strong need for predictable routines. Small disruptions to those routines (a changed drop-off route, a different cup at breakfast) can cause distress that catches parents off guard. Sensory differences are also common. A child may become overwhelmed by sounds, clothing textures, or lighting levels that most people barely register.

Noticing these patterns is not a diagnosis. It’s a signal that it’s worth paying closer attention and, in time, seeking a professional opinion.

 

Steps to Take Before Getting an Official Diagnosis

You do not need an official diagnosis to start supporting your child. In Australia, many services are designed to begin as soon as a developmental concern is identified, not after a formal report has been issued.

One of the most important things to know at this stage is the NDIS Early Childhood Approach (ECA). For children under 6 with developmental delay, no diagnosis is required to access ECA-funded support. For children aged 6 to 9 with a confirmed disability, the same pathway applies. Early Childhood Partners funded through the NDIS can connect your family to therapies like Speech Pathology and Occupational Therapy, and help you navigate next steps, often well before a formal diagnostic report is finalised.

Start by keeping a developmental log. Note specific behaviours, when they tend to happen, and what seems to trigger them. Short video clips are particularly useful for showing your GP or paediatrician exactly what you’re observing at home. If your child is in childcare or kindergarten, ask their educators directly whether they’ve noticed similar patterns. Educator observations carry real weight in the assessment process.

For children between 11 and 30 months, the ASDetect tool provides a validated screening method developed by La Trobe University’s Olga Tennison Autism Research Centre. It’s research-backed, free to use, and accessible from home.

When you speak to your GP, be specific. Rather than saying “I’m worried about my child’s development,” try: “I have concerns about social communication and would like an autism screening.” This frames the referral clearly. Doctors will often also request a hearing assessment early on to rule out hearing loss as a contributing factor to any speech delays.

If you are not yet ready to commit to a full diagnostic assessment can access a Preschool and Early Primary Developmental Assessment through Raise the Bar Psychology. This non-diagnostic assessment is designed to identify emerging developmental concerns and provide preliminary guidance on which supports to put in place while you determine whether a formal assessment is the right next step.

Moonee Ponds Autism Diagnosis Next Steps | Raise the Bar Psychology

Questions Parents Commonly Ask After a Diagnosis

After parents receive a formal autism diagnosis for their child, certain questions tend to come up, and it helps to address them directly.

Questions Answers
Did I cause this? Autism is a neurological difference with genetic and biological roots. It is not caused by parenting choices, vaccines, diet, or anything that happened during pregnancy. Carrying guilt about this serves no one.
Will my child ever live independently? No professional can answer this definitively at the point of diagnosis, not because the outlook is poor, but because development genuinely isn’t fixed at any one assessment. The right supports, put in place early, shift outcomes in ways that are hard to predict at age four or five.
What do the support levels mean? Levels 1, 2, and 3 in a diagnostic report reflect the amount of support a person needs in assessed areas at the time of assessment. They are not a permanent ceiling, and they can shift as a child develops and receives appropriate intervention.
What do I tell people? There’s no single right approach. Some families share the diagnosis openly from the start. Others take time to adjust before talking about it with extended family or friends. What matters most is that the key adults in your child’s day-to-day life understand enough to support them well.
Can autism be cured? It cannot, and framing the goal as a “cure” tends to be counterproductive. The focus shifts when you stop trying to make your child appear neurotypical and start working on building an environment where they can genuinely function and connect.

 

Building a Supportive Home Environment

Home is where your child should experience the least amount of sensory and social pressure. Some adjustments make a real practical difference without requiring major disruption to family life.

Visual schedules help autistic children manage transitions. A “first/then” board showing what’s happening now and what follows reduces the uncertainty that often sits behind meltdowns. These don’t need to be elaborate. Hand-drawn cards on the fridge work as well as anything printed.

Take stock of the sensory environment. The hum of a fridge, fluorescent lighting, scratchy clothing seams, or the smell of certain cleaning products may all contribute quietly to your child’s daily stress load. Removing even one or two consistent irritants can noticeably reduce end-of-day exhaustion.

Your child’s special interests are not obstacles to learning. They’re bridges into it. A child fascinated by trains can learn counting, reading, geography, and social turn-taking through that single interest. Leaning into it builds trust and motivation far more reliably than redirecting away from it.

 

Working With Your Child’s School

Inclusion doesn’t happen automatically once a school knows about a diagnosis. The most useful step you can take is requesting a Student Support Group (SSG) meeting with the school’s wellbeing coordinator and your child’s teacher. Share the diagnostic report prior to the meeting so they understand your child’s specific sensory profile and communication style, not just the label.

From there, you can request “reasonable adjustments” under the Disability Standards for Education. Depending on your child, this might include a quiet break space in the classroom, a visual schedule on their desk, permission to wear noise-cancelling headphones during assemblies, or structured play opportunities at lunch to support social connection.

Raise the Bar Psychology also offers school consultation and outreach to help families and schools get on the same page. Psychologists from the clinic can liaise directly with teachers and wellbeing staff, translating a diagnostic report into language and strategies that work in a classroom setting.

 

NDIS Funding and Professional Support

An autism diagnosis opens access to NDIS funding for therapies including Occupational Therapy, Speech Pathology, and Psychology. Applications can be submitted using the diagnostic report and supporting documentation.

If NDIS approval takes time, ask your GP about a Chronic Disease Management Plan (GP Management Plan). This provides Medicare rebates for a set number of allied health sessions while NDIS is being processed, which can bridge a gap that otherwise delays therapy by months.

A paediatrician can also help manage co-occurring conditions that weren’t the primary focus of the autism assessment. ADHD, anxiety, and sensory processing differences each appear alongside autism at a higher rate than in the general population, and each may benefit from its own management plan.

Autism Assessment Moonee Ponds | Raise the Bar Psychology

Getting an Autism Assessment

If you’re still at the stage of seeking a formal assessment, Raise the Bar Clinic offers comprehensive autism assessments for children from age two through to adults. The process includes a clinical intake session, standardised assessment sessions using tools such as the ADOS-2, MIGDAS-2, ASRS, and CARS2, school observation (when appropriate), a feedback appointment, and post-assessment support services.

Assessments are available across multiple clinic locations, including Heatherton, Clyde North, Moonee Ponds, and Sale.

The team works from a neuro-affirming framework. The purpose of the assessment is to understand how your child thinks, processes, and connects, not to fit them into a deficit-based model or produce a report that reads like a list of problems.

 

To book or ask questions, call 1300 785 662 or visit the autism assessments page.

 

A Final Note

There’s no timeline for how quickly you need to feel settled about a diagnosis. Grief and relief can sit alongside each other for a long time, and the adjustment looks different for every family. What tends to help most is focusing on the next concrete step rather than trying to map the whole future at once.

Book the GP appointment. Request the SSG meeting. Start the NDIS application. One step is enough to begin.

 

Author

  • Dr. Kate Jacobs | Educational and Developmental Psychologist at Raise the Bar Clinic

    Director / Educational and Developmental Psychologist

    Dr Kate Jacobs completed a combined PhD/Masters in Educational and Developmental Psychology at Monash University in 2013. She was awarded the Mollie Holman Doctoral Medal for the best PhD thesis in the Education Faculty for the year.