Los Angeles Center for Integrated Assessment - LACIA

Los Angeles Center for Integrated Assessment - LACIA We are a boutique psychological assessment practice specializing in whole-person evaluations.

Dr. Allison Kawa is a licensed clinical psychologist and the Clinical Director at the Los Angeles Center for Integrated Assessment (LACIA). She specializes in conducting comprehensive assessments of children, adolescents, and emerging adults. Dr. Kawa's approach to evaluations is informed by decades of work with individuals with neurodevelopmental disorders, formal training in object relations theory, and cutting-edge research in the field of interpersonal neurobiology. Her areas of expertise include child and adolescent development, diagnosis and treatment planning for neurodevelopmental disorders (e.g., ADHD, learning disorders, processing disorders, etc.) as well as psychiatric issues (e.g., anxiety, depression, Obsessive-Compulsive Disorder), and assessment of individuals with trauma. Dr. Kawa also has clinical interests and expertise in autism spectrum disorders, the impact of technology on developing brains, issues specific to adoption, and pre-verbal trauma. She is the mother of two children, an amateur baker, and the reigning Mario Kart champion in the Kawa home.

Autistic stims are not always obvious or stereotypical. Many show up as subtle, everyday behaviors that are often mislab...
02/05/2026

Autistic stims are not always obvious or stereotypical. Many show up as subtle, everyday behaviors that are often mislabeled as habits, quirks, or anxiety. Here are 8 stims people don’t usually recognize as stims, even though they serve the same regulation purpose 👇

1️⃣ Quiet fidgeting with objects
Twisting jewelry, rolling a ring on and off a finger, clicking a pen without realizing it, rubbing fabric seams. Because it’s subtle, it often flies under the radar.
2️⃣ Repetitive language use
Replaying phrases, movie quotes, or scripts in your head or out loud. This can also show up as repeating a word because it feels right, not because of its meaning.
3️⃣ Listening to the same song or sound on repeat
Playing one track, one scene, or one type of sound over and over because it’s regulating or grounding. This is auditory stimming, not being “stuck.”
4️⃣ Skin-focused behaviors
Picking at cuticles, rubbing skin, tracing scars, or repeatedly touching the same spot. Often misinterpreted as anxiety when it’s actually sensory regulation.
5️⃣ Posture or pressure-seeking habits
Sitting in unusual positions, crossing legs tightly, leaning heavily on furniture, pressing feet into the floor, or enjoying weighted pressure without realizing why.
6️⃣ Visual pattern scanning
Watching reflections, ceiling fans, shadows, scrolling patterns, or arranging items symmetrically because the visual input is calming.
7️⃣ Controlled micro-movements
Subtle toe wiggling inside shoes, jaw clenching and releasing, finger tapping under a desk. These are often suppressed versions of more obvious movement stims.
8️⃣ Mental stimming
Running through lists, replaying scenes, imagining repetitive motions, or mentally organizing information in the same sequence over and over. It’s internal, but still regulatory.

When a behavior is repetitive and helps regulate sensory input, emotion, or attention, it may be a stim even if it does not look like one.





Autism and ADHD are often confused, frequently co-occurring, and not interchangeable.This Venn diagram highlights patter...
02/03/2026

Autism and ADHD are often confused, frequently co-occurring, and not interchangeable.

This Venn diagram highlights patterns that are more specific to autism, more specific to ADHD, and commonly shared across both. Understanding how these profiles overlap and diverge can clarify differential diagnosis and reduce mislabeling.

🔍 Autism tends to involve differences in social communication, need for predictability, bottom up processing, monotropic attention, sensory driven shutdowns or meltdowns, and delayed emotional processing.
⚡ ADHD is more often characterized by difficulty regulating attention, interest based motivation, differences in time perception, task initiation challenges, impulsivity, and inconsistent performance across contexts.
🧩 Both commonly include executive functioning challenges, emotional regulation difficulties, sensory differences, masking, burnout risk, and anxiety related to chronic overwhelm.

💾 Save for referral considerations
🧠 Helpful when thinking about differential diagnosis
📌 Worth revisiting during treatment planning

➡️ Consider referral for comprehensive evaluation when attention, behavior, or social concerns feel complex, inconsistent, or insufficiently explained by a single framework, or when accommodations and interventions are not producing expected gains.

At LACIA, we specialize in nuanced, neurodiversity affirming assessment that helps teams move from confusion to clarity.





02/02/2026

When families hesitate, language matters. Thoughtful framing can reduce fear, clarify intent, and keep the focus on understanding rather than labeling.

Comprehensive assessment is not about jumping to diagnoses or medication. It is about clarifying why a child or teen is struggling, so interventions can be better targeted across home, school, and therapy settings.

Testing is especially helpful when
• symptoms are complex or overlapping
• progress has plateaued despite appropriate intervention
• attention, learning, emotional regulation, or executive functioning concerns co-occur
• diagnostic clarity would change treatment planning or school supports

LACIA specializes in thoughtful, neurodiversity affirming evaluations that support collaborative care and clearer next steps for families and providers.




Attention concerns are a signal, not a diagnosis.🧭Attention and concentration difficulties are transdiagnostic. They can...
01/30/2026

Attention concerns are a signal, not a diagnosis.🧭

Attention and concentration difficulties are transdiagnostic. They can reflect ADHD, anxiety, depression, learning differences, and processing differences, or a combination of factors. Observable inattention does not clarify etiology on its own and should prompt careful differential diagnosis rather than assumption.

Comprehensive assessment helps clarify why attention is breaking down and identifies the cognitive, emotional, and learning profiles driving symptoms. This allows for targeted recommendations, appropriate referrals, and more effective intervention planning.

💡Clear signals to refer for testing include:
• Attention concerns with inconsistent or unclear presentation
• Limited response to first-line interventions
• Co-occurring academic, emotional, or behavioral concerns
• Diagnostic uncertainty impacting treatment decisions

LACIA provides comprehensive, neuroaffirming assessment to support diagnostic clarity and practical next steps for families and care teams.






ADHD is not simply a deficit of attention. It is a pattern of dysregulation across attention, motivation, and executive ...
01/29/2026

ADHD is not simply a deficit of attention.
It is a pattern of dysregulation across attention, motivation, and executive functioning. 🧠✨

ADHD is best understood as difficulty regulating focus rather than an inability to focus. Hyperfocus and distractibility often coexist and fluctuate based on task interest, reward, novelty, and cognitive load. 🎯⚡️

Motivation is frequently interest based rather than importance based, and executive functioning demands can amplify symptoms across settings. 🧩

Being able to “lock in” when reading, playing video games, building Legos, or on the soccer field does not exclude a diagnosis of ADHD. Accurate identification and targeted treatment planning help prevent mislabeling individuals as lazy, spoiled, or careless and instead support strengths-based, neurodiversity affirming care. 💜







Rejection Sensitive Dysphoria (RSD) is a pattern of intense emotional pain in response to real or perceived rejection or...
01/27/2026

Rejection Sensitive Dysphoria (RSD) is a pattern of intense emotional pain in response to real or perceived rejection or criticism, most commonly seen in individuals with ADHD and other neurodevelopmental differences. These reactions are not willful or manipulative. They reflect differences in emotional regulation and threat sensitivity. 🧠💛

Clinicians may notice RSD when patients show sudden shutdown, disproportionate distress, avoidance, people pleasing, or sharp drops in functioning following feedback, peer conflict, or limit setting. Reactions can also look like lashing out and anger. Symptoms are often misattributed to anxiety, mood disorders, or oppositional behavior. 📉

Consider referral for comprehensive assessment when emotional reactions to feedback or rejection are severe, impairing, developmentally unexpected, or co occurring with attentional, executive functioning, learning, or social communication concerns. Assessment can help clarify underlying neurodevelopmental drivers and guide appropriate supports and treatment planning. 📊✨

LACIA provides neuroaffirming, developmentally informed evaluations to help providers and families understand the full picture behind emotional reactivity and rejection sensitivity. 🤍

🧑‍⚕️ For referring providers: this is one of the most common patterns we see in consultation.🔍 Many children, teens, and...
01/26/2026

🧑‍⚕️ For referring providers: this is one of the most common patterns we see in consultation.

🔍 Many children, teens, and young adults present with overlapping neurodevelopmental and mental health concerns that don’t fit neatly into a single diagnosis. ADHD alongside anxiety. High cognitive ability masking learning differences. Behavioral concerns rooted in dysregulation or processing differences rather than motivation.

📊 Comprehensive assessment helps clarify complex presentations by looking across cognition, learning, executive functioning, emotional regulation, and adaptive skills together rather than in isolation. It answers the question: who is this person and what is their experience in the world?

🧩 For clinicians, this kind of integrated evaluation supports diagnostic clarity, more targeted treatment planning, and clearer educational decision-making.

🏫 If you work with kids, teens, or young adults whose presentations feel “more complicated than expected,” this is often the missing step.

💾 Save this for referral considerations.













Teen sleep struggles are often misinterpreted as behavior problems or poor sleep hygiene. During adolescence, circadian ...
01/26/2026

Teen sleep struggles are often misinterpreted as behavior problems or poor sleep hygiene. During adolescence, circadian rhythm timing naturally shifts later due to pubertal changes in melatonin release and increased sensitivity to evening light. Early school start times and hectic extracurricular schedules frequently conflict with this biology and contribute to chronic sleep deprivation, which is associated with increased emotional reactivity, attention and executive functioning difficulties, mood symptoms, and higher risk taking behaviors. 🌙🧠

For pediatricians, therapists, educators, and school teams, persistent sleep related concerns may warrant deeper evaluation, especially when you see declining academic performance, emotional dysregulation, attention concerns, or risk taking that do not fully resolve with routine sleep hygiene supports. ⏰📚

Comprehensive assessment can help clarify whether sleep deprivation is compounding ADHD, learning differences, mood concerns, or executive functioning vulnerabilities. LACIA regularly evaluates complex, overlapping presentations and helps teams understand how sleep, neurodevelopment, and mental health interact. 💛

The double empathy problem helps explain why breakdowns in understanding can occur between neurodivergent and neurotypic...
01/22/2026

The double empathy problem helps explain why breakdowns in understanding can occur between neurodivergent and neurotypical/allistic people. Research shows these challenges are bidirectional, not due to lack of empathy, but differences in communication, sensory processing, and lived experience 🧠💬

In parent-child, teacher-child, and therapeutic relationships, this can show up as misinterpretation of behavior, missed emotional cues, and growing frustration on both sides.

🔍 When to consider referral
• Persistent relational strain despite supportive parenting or evidence-based classroom strategies
• A child who is frequently described as hard to read, oppositional, withdrawn, or “not connecting” across settings
• Therapy or school interventions stalling due to communication mismatches rather than skill deficits
• High masking, anxiety, or emotional shutdown in bright or verbally fluent children

Comprehensive assessment can clarify whether neurodivergent communication styles, sensory differences, or social cognition profiles are contributing to these patterns. Identifying the why supports more effective, compassionate intervention planning.

At LACIA, we specialize in nuanced, neuroaffirming evaluations that help teams move from misunderstanding to alignment 🤍

01/21/2026

For many children, teens, and adults with ADHD, time is not intuitively perceived or tracked. Difficulty with time awareness is a neurocognitive difference, not a motivation problem.

These supports work by externalizing time so it does not have to be held in working memory.

1️⃣ Make time visible
• Visual timers like Time Timer–style clocks
• Analog clocks are often easier to “feel” than digital
• Countdown timers for transitions, not just deadlines

2️⃣ Anchor time to events, not hours
Instead of “start at 3:00,” try:
• “Start after school drop-off”
• “Work until dinner”
Event-based time is more concrete than abstract clock time.

3️⃣ Break tasks by duration, not outcome
• “Write for 20 minutes” vs “finish the report”
• Set a timer and stop when it ends, even if you’re not done
This builds more accurate internal time calibration.

4️⃣ Use frequent, gentle time checks
• Alarms labeled with what to do next
• Calendar alerts that say “Wrap up,” not just “Meeting”
• Transition warnings at 10, 5, and 2 minutes

5️⃣ Use body-based cues
Time awareness improves when the body is engaged:
• Stand while working
• Use movement breaks as time markers
• Pair tasks with music playlists of known length

6️⃣ Reduce reliance on working memory
Assume you will not remember later.
• Write everything down
• Automate reminders
• Use routines that remove time decisions altogether

These supports aren’t about motivation. They’re about fit.

Comprehensive assessment can clarify whether time-related challenges reflect ADHD, executive functioning differences, or co-occurring conditions and guide more precise supports.

01/19/2026

It is a neurodevelopmental learning difference with varied presentations, developmental pathways, and downstream effects.

For providers working with children and adolescents, key clinical considerations include:
• Persistent decoding and spelling difficulties despite appropriate instruction
• Early oral language vulnerabilities
• Overlap with attention, language, or emotional concerns
• Discrepancy between cognitive ability and literacy output

When progress stalls or the picture feels complex, comprehensive assessment helps clarify why and guides targeted support.

At LACIA, we specialize in nuanced, child-centered evaluations that integrate learning, language, attention, and emotional functioning.

🔍 Assessment informs intervention.
🧩 Clarity supports collaboration.



Bright, high-masking kids with ADHD often do not look dysregulated or inattentive on the surface. Anxiety can drive over...
01/17/2026

Bright, high-masking kids with ADHD often do not look dysregulated or inattentive on the surface. Anxiety can drive overcontrol, perfectionism, compulsive checking, and fear of mistakes, which may temporarily compensate for ADHD-related executive functioning challenges. 🧠✨

What this can look like:
• Excessive effort to stay organized or compliant
• High internal distress despite strong grades or behavior
• Fatigue, shutdown, irritability, or somatic complaints
• Symptoms emerging only when structure is removed

🚩 Consider referral for comprehensive assessment when:
• Anxiety treatment helps mood but functional concerns persist
• There is a mismatch between cognitive ability and daily performance
• A child looks “fine” at school but is struggling emotionally or at home
• ADHD symptoms are suspected but masked by anxiety or high intelligence

Clarifying whether anxiety is masking ADHD matters for accurate diagnosis, treatment planning, and school supports. We need to know if the anxiety is a primary symptom or if it is secondary to ADHD. Thoughtful assessment helps teams avoid missed or delayed identification. 🧩

LACIA specializes in teasing apart anxiety, ADHD, and executive functioning profiles in bright, high-masking children and adolescents. Collaborative, developmentally informed evaluation supports better outcomes for kids and clearer guidance for providers. 💛




Address

2566 Overland Avenue Ste. 645
Los Angeles, CA
90064

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+14243176878

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