Why a diagnosis is the first step
If you are worried about your child's development, getting a clear evaluation is the most important first move. An autism spectrum disorder (ASD) diagnosis is what opens the door to services — ABA therapy, speech, and Medicaid or insurance coverage — and the earlier it happens, the more your child can benefit. Here is the step-by-step path for families in Lumberton and Robeson County.
This is general information, not medical advice. Always consult your pediatrician or a licensed professional about your child.
Step 1: Know the early signs
Common early signs in toddlers and young children include:
- Limited eye contact or response to their name
- Delayed speech, or loss of words and skills
- Repetitive movements or intense routines
- Difficulty with back-and-forth play or social interaction
- Strong reactions to sounds, textures, or changes in routine
Every child is different — these are reasons to ask questions, not a diagnosis.
Step 2: Talk to your pediatrician
Start with your child's pediatrician or family doctor. The American Academy of Pediatrics recommends autism screening at 18 and 24 months, often using a short questionnaire (the M-CHAT). Share your specific concerns and ask directly about a developmental screening.
Step 3: Get a referral for a full evaluation
A screening is not a diagnosis. If concerns remain, ask for a referral to a specialist who can perform a comprehensive evaluation — typically a developmental pediatrician, child psychologist, or psychiatrist.
For children under 3, you can also contact North Carolina's Infant-Toddler Program through your local CDSA (Children's Developmental Services Agency) for a free developmental evaluation and early intervention — you do not need a doctor's referral to reach out.
Step 4: The evaluation
A comprehensive evaluation may include developmental history, direct observation, parent interviews, and standardized tools, measured against DSM-5 criteria. It paints a full picture of your child's strengths and needs — not just a label.
Step 5: After the diagnosis — start services
A diagnosis lets you move quickly into support. With an ASD diagnosis, medically necessary ABA therapy is covered by NC Medicaid and many private plans. From there, a BCBA assessment builds your child's individualized plan.
Getting started in Robeson County
Wait times for evaluations can be long, so start the referral process early — even while you are still gathering information. If you are not sure where to begin, reach out to our Lumberton team; we help local families navigate screening, evaluation, and what comes next, and we provide assessments for children entering ABA.
Frequently asked questions
How early can autism be diagnosed?
Reliable diagnosis is often possible by age 2, and signs can appear as early as 12–18 months. Earlier evaluation means earlier support.
Do I need a diagnosis before starting ABA?
Yes — a formal ASD diagnosis is typically required for ABA and for insurance or Medicaid coverage.
How long does it take?
It varies by provider and waitlist. Starting the pediatrician conversation and referral early is the best way to shorten the path.
Talk to a local team that understands the process
You do not have to navigate this alone. Contact Transformation Therapy Services in Lumberton, or call +910-370-0721, and we will help you take the next step for your child.
General information only — not medical advice. Consult your pediatrician or a qualified professional for evaluation and diagnosis.
