Autism Assessment in Kathmandu: Signs, Process and Next Steps

By Kathmandu Mental Health ClinicPublished 25 September 20263 min readHow we write our guides

If your child rarely responds to their name, talks much later than others or plays very differently from other children, you may be wondering about autism. An assessment does not label your child; it explains how they experience the world and opens the door to support. Many adults also discover they are autistic later in life.

Key takeaways

Autism is a difference in social communication and in patterns of interest and behaviour, present from early childhood.

Signs can be noticed from around 18 months to two years, and earlier support helps, but assessment is useful at any age.

Assessment combines history, observation and structured tools, and looks at other conditions such as ADHD, anxiety or language delay.

Vaccines do not cause autism.

What autism is

Autism (autism spectrum disorder) is a lifelong difference in how a person communicates, interacts and experiences the world. It is a spectrum: some people need a lot of support, others live independently. Strengths such as attention to detail, memory and deep focus are common. In Nepali: अटिजम, अटिजम मूल्यांकन.

Early signs in children

Little eye contact, or not responding when called by name.
Delayed speech, or losing words already learnt, or repeating phrases.
Limited pointing, showing or sharing interest with others.
Play that is repetitive, such as lining up objects, and difficulty playing with other children.
Strong distress at changes of routine, or unusual reactions to sounds, textures or lights.
Repetitive movements such as hand flapping or spinning.

These signs alone do not prove autism. They are a reason to seek an assessment.

How an assessment works

A parent or guardian attends the first visit. The psychiatrist takes a detailed developmental history (speech, milestones, play, behaviour), observes and talks with the child, may use structured questionnaires and tools, and considers school reports. Hearing tests and other checks are sometimes advised. You leave with a clear explanation and a plan.

Autism, ADHD, speech delay: telling them apart

Autism can look like, and occur alongside, ADHD, anxiety, language delay or learning difficulties. A careful assessment separates them so that the right support is chosen. See our guide to child psychologist or psychiatrist and ADHD.

Support after assessment

Explaining autism to the family and child in a positive way.
Speech and language therapy, and structured behavioural or developmental support, arranged with the relevant specialists.
Working with the school on classroom support and routines.
Treating anxiety, sleep or attention problems that occur alongside.
Guidance and support for parents.

Autism in adults

Some adults recognise themselves after a child is diagnosed, or after years of difficulty with social situations, sensory overload or work. An adult assessment reviews childhood history and current experience, and can bring understanding and practical adjustments.

How we help

Our psychiatrists assess autism concerns in children, teenagers and adults and can refer for therapies. See child and adolescent mental health or book an assessment.

Frequently asked questions

At what age can autism be assessed?

Concerns can be raised from around 18 months to two years, and an assessment can be done at any age, including adulthood. Earlier support helps, but it is never too late.

Do vaccines cause autism?

No. Research and the World Health Organization confirm that vaccines do not cause autism.

Can autism be cured?

Autism is not an illness to be cured; it is a lifelong difference. Support and therapies help children build skills and cope, and many autistic people lead fulfilling lives.

Can adults be assessed for autism?

Yes. An adult assessment looks at childhood development and current experience, and can help with understanding and support.

This guide is general information and does not replace advice from a doctor. If you are worried about your health or someone's safety, seek medical help.

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