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Can Autism ADI‑R Be Done in Clinic? 

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, conducting the ADI-R in clinic is not only possible but is often the preferred approach for many diagnostic professionals. The Autism Diagnostic Interview-Revised (ADI-R) is a structured, one-on-one interview designed to gather detailed information about an individual’s early development and behaviour. Carrying out the assessment in a clinical setting offers a quiet, focused space where caregivers can communicate freely. It also ensures that the interviewer has access to necessary materials and can manage the session according to best-practice standards. 

Why Clinics Are Ideal for ADI-R 

Here’s why the ADI-R in clinic remains a standard and reliable option: 

Clinical Setting 

A private, calm clinical setting allows parents or caregivers to speak openly and without distractions. Clinics are designed to support sensitive discussions about developmental history, which is central to the ADI-R process. 

On-Site Assessment 

Many diagnostic centres offer on-site assessment as part of a full autism evaluation. The ADI-R is often paired with observational tools like the ADOS-2 to form a comprehensive picture, all conducted during a single or phased visit to the clinic. 

In-Person Interview 

While some parts of the ADI-R can be adapted for remote delivery, an in-person interview in a clinic offers clearer communication and allows the assessor to respond to emotional cues and follow up as needed. This often improves the quality and accuracy of the responses. 

In short, the ADI-R in clinic provides a structured, supportive space for developmental interviews, contributing to accurate and professional autism diagnosis. For clinic-based assessments with qualified practitioners, visit providers like Autism Detect for guidance. 

For a deeper dive into the science, diagnosis and full treatment landscape, read our complete guide to Autism Diagnostic Tools (e.g. ADI-R, ADOS‑2).

Lucia Alvarez, MSc
Lucia Alvarez, MSc
Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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