ADOS-2: Gold Standard In-Person Autism Evaluation

A Thoughtful, Evidence-Based Approach to Autism Diagnosis

At Bright Starts Pediatrics, we believe that every child deserves to be truly seen and understood.

For families seeking answers about social communication, behavior, or developmental differences, we offer the ADOS-2 — the Autism Diagnostic Observation Schedule, Second Edition — a widely respected, in-person assessment tool often referred to as the gold standard for diagnosing autism across ages and developmental levels.

What Is the ADOS-2?

The ADOS-2 is a structured, play- and conversation-based evaluation that allows a trained clinician to observe social, communication, and behavioral patterns relevant to Autism Spectrum Disorder (ASD).

Rather than relying only on questionnaires or reports, the ADOS-2 provides direct observation in real time helping capture strengths, challenges, and nuances that may not appear in written forms.

How the ADOS-2 Works

The test is conducted in person by a clinician who is formally trained and certified to administer and score the ADOS-2.

Depending on age and language level, the session may include:

Interactive activities and play-based tasks for younger children
Conversation, storytelling, or picture-based exercises for older children or adults
Opportunities to observe eye contact, social reciprocity, imaginative play, and communication style

The assessment typically lasts 40–60 minutes, and parents or caregivers may observe or participate as appropriate.

What the ADOS-2 Measures

The ADOS-2 helps clinicians evaluate:

Social communication and reciprocity (how a person interacts and responds to others)
Nonverbal communication (eye gaze, facial expressions, gestures)
Imaginative or pretend play
Restricted or repetitive behaviors
Use of language and tone

Results are interpreted alongside developmental history, caregiver interviews, and standardized rating scales, ensuring a comprehensive, individualized diagnosis.

Why We Use the ADOS-2

At Bright Starts Pediatrics, we use the ADOS-2 because:

It is research-validated and internationally recognized
It captures subtle social and communication differences
It allows for accurate diagnosis across a wide range of ages and abilities
It helps distinguish autism from other developmental or social challenges

Combined with our expertise in developmental pediatrics, the ADOS-2 helps families receive clear, evidence-based answers — so they can move forward with understanding and confidence.

Who Can Be Evaluated

The ADOS-2 can be used for:

Toddlers and preschoolers (Module 1 or Toddler Module)
School-age children
Teens and adults (Modules 3–4)

Each version is adapted to the individual’s communication level and age, ensuring the process is respectful, accurate, and engaging.

What to Expect at Your Visit

Pre-Evaluation Intake: You’ll complete background forms about development, behavior, and communication.

In-Person Assessment: The ADOS-2 is conducted in a supportive, child-friendly environment by our trained clinician.

Comprehensive Feedback: After the assessment, you’ll receive detailed feedback and next-step recommendations including resources, treatment options, and community supports.