Can Autism ADOS‑2 Be Video‑Recorded?

PostedNovember 12, 2025

UpdatedNovember 12, 2025

ByMy Patient Advice

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

Yes, video recording ADOS-2 sessions is common practice in many clinical and research settings. Recording the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) allows for accurate clinical observation, detailed review and ensures that the diagnostic process is as thorough and objective as possible. A 2021 study in Research in Autism Spectrum Disorders found that video-reviewed ADOS-2 assessments led to a 17 percent improvement in diagnostic agreement among clinicians, particularly for borderline cases.

Why Video Recording Can Be Helpful

Here’s how video recording ADOS-2 supports the diagnostic process:

Clinical Observation

A recorded session gives clinicians the opportunity to observe behaviours in real time and revisit specific moments that might need closer attention. This enhances the quality of clinical observation, especially when assessing subtle or context-dependent behaviours.

Session Review

Session review allows multiple professionals to watch and independently evaluate the same assessment. This is particularly useful in team-based diagnostics, where consensus can improve confidence in the final outcome. Recordings are also used during ADOS-2 training to ensure scoring consistency.

Diagnostic Accuracy

Ultimately, video recording contributes to improved diagnostic accuracy. It provides a clear, replayable record of social and communicative behaviours, reducing the risk of missed cues or misinterpretation.

While video recording ADOS-2 sessions can be highly beneficial, informed consent from the individual or their guardian is always required. For high-quality assessments and clear guidance, visit providers like Autism Detect for support.

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

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, 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.