What happens if there is no diagnosis?

The short answer

No diagnosis means the assessment did not conclude that the relevant criteria were met at that time; it does not mean nothing is difficult or that the family invented the concern. Ask which question was assessed, what information was considered, which criteria were not met, what alternative or coexisting explanations were considered, what remains uncertain and which recommendations still apply. Correct factual errors separately from disagreement with clinical judgement. If information was missing or the child's presentation has changed, ask how it can be reviewed. NHS autism guidance says families can ask why the decision was made and may request another opinion; NICE also supports review or second opinion in defined circumstances. Continue support according to need.

• Ask for the conclusion, clinical reasoning and information considered.
• Separate factual errors, missing evidence and disagreement with judgement.
• Identify alternative explanations, uncertainty and outstanding assessments.
• Keep education and daily support based on current need.
• Ask about review or another opinion without assuming it guarantees a different result.