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What to Expect During a Psychological Assessment

  • Writer: Dr. Fountain and Associates
    Dr. Fountain and Associates
  • Oct 29
  • 4 min read

Understanding What a Psychological Assessment Is

A psychological assessment is an in-depth process that helps individuals and families understand how a person learns, thinks, feels, and functions. It’s not just about identifying challenges such as ADHD or autism — it’s about getting a full picture of cognitive, emotional, and behavioral patterns to guide the right kind of support.


Assessments are conducted by registered psychologists and psychological associates who specialize in working with clients across all ages. The process is collaborative, transparent, and designed to make everyone involved feel informed and supported from start to finish.


A psychologist writing notes during a psychological assessment session in an Oshawa therapy clinic.

Why Someone Might Be Referred for an Assessment

People seek psychological assessments for many different reasons. Some notice ongoing struggles with attention, organization, or emotional regulation. Others are encouraged by teachers, employers, physicians, or therapists to explore learning, developmental, or mental health concerns.

Common reasons for assessment include:

  • Difficulty concentrating or staying organized

  • Social or communication challenges

  • Academic or workplace difficulties despite effort

  • Frequent anxiety, emotional overwhelm, or mood changes

  • Concerns about memory, processing speed, or executive functioning

  • Exploring neurodivergence, such as ADHD, autism, learning disability or giftedness/twice-exceptionality

Every individual’s story is unique, and the goal of an assessment is never to label, but to provide clarity — identifying strengths and needs so the right strategies and supports can be put in place.

Step 1: Intake and Initial Consultation

Each assessment begins with an initial consultation led by one of our psychologists or psychological associates. During this meeting, you’ll have an opportunity to discuss your concerns, personal history, and goals for the assessment.

Your clinician will review developmental, academic, medical, family, occupational, and social background information as relevant. Based on that discussion, they’ll outline the most appropriate type of assessment — such as ADHD, autism, psychoeducational, clinical, or combined developmental testing.


You may also receive background forms or third-party questionnaires before testing begins (for example, for teachers, parents, partners, or close relatives/friends). These perspectives help the clinician understand how you function in different settings.


Step 2: Testing

Testing sessions are one-on-one and tailored to each person’s needs and age. They can include a variety of interactive, computer-based, or written activities.

Depending on the focus of the assessment, testing may include:

  • Cognitive and information processing (problem-solving, reasoning, learning)

  • Memory and attention (short-term, working memory, sustained focus)

  • Academic testing (reading, writing, math, comprehension, when applicable)

  • Executive functioning (organization, impulse control, time management)

  • Social communication and adaptive functioning (social skills, flexibility, daily life skills, autism-related traits)

  • Emotional and behavioral assessment (anxiety, regulation, mood, personality)

Testing is designed to be respectful and comfortable. Clients often find the process more engaging than expected. Breaks are included as needed, and sessions are paced according to focus level and stamina.

Testing is typically completed within a few weeks. Additional interviews or collateral feedback may be gathered to provide a well-rounded understanding.


Step 3: Feedback and Recommendations

After testing is complete, your clinician reviews and interprets all data, looking at how the results connect to real-life experiences. The goal is to understand patterns — not just numbers. For instance, are focus challenges tied to anxiety or executive function? Are academic or work struggles related to processing speed or stress?

Once the results are analyzed, you’ll meet for a feedback session where the findings are explained clearly and meaningfully. You’ll also receive a detailed written report that includes:

  • A summary of results and interpretations

  • Diagnoses, when applicable

  • Practical recommendations for daily life, school, or work

  • Referrals or next-step supports if needed

This session often brings relief and direction — transforming uncertainty into understanding.


Supporting Growth After the Assessment

A psychological assessment is not an endpoint but a starting point for growth. Based on the findings, your clinician may recommend:

  • Therapy or coaching for emotional regulation, executive functioning, anxiety, mood, etc.

  • Academic or workplace accommodations (ex. extra time, modified environment, communication supports etc.)

  • Skill-building programs focused on organization, coping, or social interaction

  • Parent or family coaching when relevant

  • Additional referrals such as occupational therapy, speech-language services, or medical follow-up

Our clinicians remain available to collaborate with schools, families, and other healthcare professionals to ensure that recommendations are practical and successfully implemented.


Steps for the process of getting a psychological assessment in an Oshawa therapy clinic.

How ADHD and Autism Fit Into the Picture

Psychological assessments commonly explore both ADHD and autism — and sometimes how they interact. It’s important to know that:

  • ADHD involves challenges with attention regulation, impulsivity, activity level, and executive functioning.

  • Autism involves social communication differences, focused interests, rigid or sticky thinking styles, and sensory sensitivities.

  • Some individuals experience traits of both, known as co-occurring conditions.


Understanding how these features interact allows for more targeted, compassionate support across environments — from school to home to work.


How Long the Process Takes

From the initial consultation to feedback, the process typically takes several weeks, depending on scheduling and the complexity of the case. The focus is always on quality — ensuring each step of testing, interpretation, and reporting is thorough and accurate.

If there are upcoming deadlines (such as workplace accommodations, school meetings, or medical referrals), let your clinician know early so the process can be scheduled accordingly.


Why People Choose Local Psychological Services

Working with a psychologist in Oshawa or the Durham Region ensures your report aligns with local school boards, healthcare networks, and community resources. Local professionals also understand referral pathways, making it easier to connect you with appropriate ongoing support.

At Dr. Fountain and Associates, we provide assessments for children, adolescents, and adults across Durham, with expertise in ADHD, autism, learning differences, and emotional or behavioral concerns.

Ready to Learn More?

Book your free intake call today and take the first step toward greater clarity and support.

Dr. Fountain and Associates Main location. Therapy clinic located on a farm in Oshawa Ontario.

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