Ep. 226: Is It Autism? Recognizing, Assessing & Supporting Children and Teens with Dr. Chandni Singh

Feb 25, 2025

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This week on the podcast, we are happy to have Dr. Chandni Singh on the show. Dr. Singh is a licensed clinical psychologist with more than a decade of experience in diagnosing Autism Spectrum Disorder (ASD) and other neurodevelopmental conditions in children, adolescents, and young adults. She is committed to providing evidence-based assessments and tailored treatment recommendations, and she strongly focuses on serving culturally and ethnically diverse communities. At West LA Neuropsychology, PC, she specializes in early diagnostic evaluations for young children and comprehensive assessments for school-aged children with neurodevelopmental challenges and co-existing mood disorders. While assessments can feel overwhelming for parents and educators who suspect that a child might be autistic, Dr. Chandni Singh breaks down the assessment process, from recognizing early signs to understanding why some children are diagnosed later than others. She explains how social and emotional challenges often become more noticeable as kids get older and why autistic traits can be mistaken for anxiety, ADHD, or other conditions.

Dr. Singh also sheds some light on the gold standard tools used in evaluations, including the ADOS (Autism Diagnostic Observation Schedule), which creates structured social scenarios to observe how a child interacts. We discuss the importance of gathering input from multiple sources such as parents, teachers, and the children themselves to get a full picture of their strengths and challenges.

This episode of the podcast also explores the lived experiences of autistic children and teens, with Dr. Singh highlighting the role of masking, where kids adjust their behavior to fit in but often experience exhaustion and distress as a result. She also discusses the impact of cultural background on both receiving and understanding an autism diagnosis.

Show Notes:

[3:04] - Dr. Singh explains how autism diagnoses are often delayed because early strengths can mask challenges. [5:03] - Social difficulties in children can stem from autism, ADHD, anxiety, or overlapping conditions. [8:50] - Autistic teens often withdraw socially, reinforcing isolation, low mood, and struggles in school. [10:45] - Parents often seek autism assessments after noticing persistent behavioral, emotional, or communication challenges. [13:44] - Dr. Singh points out how increased school refusal often signals deeper emotional or social struggles. [16:13] - Dr. Singh discusses and explains the ADOS (Autism Diagnostic Observation Schedule). [19:57] - One-on-one evaluations can provide important insights into a child's social world and emotional experiences. [22:35] - Comprehensive autism assessments include IQ tests, behavioral observations, and parent-teacher scales. [25:05] - Cultural background, values, and parenting styles shape families' understanding of autism. [27:01] - Dr. Singh discusses how families and schools increasingly embrace neurodivergence, reducing stigma. [30:43] - Many parents seek guidance on supporting their child's development rather than just seeking a diagnosis. [31:34] - Providing support includes therapy, and school and community recommendations customized to individual needs. [34:12] - Autism support tends to focus on therapeutic tools, school accommodations, and social skills. [38:24] - Autism assessments can strengthen parent-child relationships by leading to understanding.

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