Initial Consultation

INITIAL CONSULTATION

A clearer starting point for what comes next

Our Initial Consultation is a 2-hour behavioural and developmental consultation designed to understand current strengths, difficulties and priorities before deciding what support, if any, would be useful.

You do not need to arrive with a diagnosis. Families often come because they are concerned about behaviour, learning, communication, development or school participation and want a clearer picture of what to do next.

All new enquiries start with a complimentary Discovery Call. If an Initial Consultation is the right next step, our team will arrange it with you after the call.

WHAT HAPPENS

What happens during the 2-hour Initial Consultation?

The usual structure for children and teens is 30 / 60 / 30. For adults, or where clinically appropriate, the balance of direct consultation and caregiver input may be adapted.

30 min · Understand the context

For children and teens, we begin with the parent or caregiver to understand background, strengths, concerns, routines, school context and priorities.

60 min · Observe & assess

We work directly with the person through conversation, play, structured tasks or activities suited to their age and reason for referral.

30 min · Debrief & next steps

We explain what we observed, answer questions and discuss the next steps we think are most useful.

WHAT YOU RECEIVE

Leave with a clearer picture of what to do next

A clearer clinical picture

Strengths, priority areas and the situations where support may be most useful.

Practical recommendations

What we think should happen next, including strategies, referrals or intervention priorities where relevant.

Signed clinical summary

A written summary of observations and recommendations, typically provided within one week.

CONSULTATION VS DIAGNOSIS

Is this the same as a formal diagnosis?

No. Tesserae’s Initial Consultation is behavioural and developmental within our scope. It is not a formal diagnosis of autism, ADHD or another condition.

Initial Consultation

Focuses on: what is difficult right now, the person’s strengths and what kind of support may help.

May include clinical discussion, behavioural observation, structured probes and practical recommendations.

Formal Diagnostic Assessment

Focuses on: whether formal diagnostic criteria are met for a particular condition.

This is conducted by an appropriately qualified professional such as a psychologist, psychiatrist or developmental paediatrician, depending on the question.

You do not necessarily need to choose one or the other. Intervention for an existing difficulty can begin while formal diagnostic assessment is pursued separately.

AFTER THE CONSULTATION

What might we recommend afterwards?

There is no automatic requirement to begin therapy. Recommendations can overlap, and support, referral or diagnostic assessment may happen in parallel where that makes sense.

Behaviour Support

Direct teaching for learning, regulation, routines, communication or independence.

School-based Support

Observation or support in the classroom where the school context matters.

Another Professional

Referral for Speech Therapy, OT, psychology, diagnostic assessment or another service where that is the better fit.

Strategies or Monitoring

A lighter next step where ongoing therapy is not currently necessary.

A good consultation should make the next step clearer, even when that next step is not therapy at Tesserae.

HOW TO GET STARTED

Start with a Discovery Call

Start with a Discovery Call

All new enquiries begin with a complimentary 20-minute Discovery Call. We will talk through the main concern, explain how Tesserae may be able to help and, if appropriate, arrange an Initial Consultation with you.

What should I bring?

You do not need to prepare a large file. If available, bring relevant school reports, previous developmental or therapy reports, examples of work or communication systems, and short videos of concerns that may not occur in the centre.

COMMON QUESTIONS

What do families usually ask?

The 2-hour Initial Consultation is S$300 and includes a signed clinical summary report.

No. The consultation is designed to clarify current strengths, difficulties and useful next steps, whether or not a formal diagnosis has been made.

For children and teens, parents or caregivers are typically involved in the first 30 minutes and the final 30-minute debrief. The middle portion is usually direct work with the person receiving support. The format may be adapted where clinically appropriate.

We will say so. We may recommend another professional, formal diagnostic assessment, school-based input, monitoring or another next step instead of ongoing Behaviour Support.

Start with a complimentary Discovery Call

Start with a complimentary Discovery Call. We will talk through what you are seeing and recommend the most appropriate next step.