I am not sure where on the spectrum you fell. The psychological role is limited to rational expectations, ability to follow steps and fair judgement you could ask the surgeon if an outside Psych could be used. It is a way the clinic mitigates liability. If the psych has no training or experience with autism then the psych is practicing outside expertise You would be well within your rights to ask that particularpsych to obtain a consultation. Failure to do so may be considered malpractice or negligence on the psych part. An argument could be made that some individuals on the spectrum would have an increased rigid adherence to the rules because of a need structure. I would not worry too much about the tearful moment - The power and balance is real and for a very brief time you saw a future you’ve worked hard to reach taken away from you. Take some breaths refocus and meet again. Having an advocate within the room is totally acceptable this is something you are contracting for and short this person is working for you to help you reach success. Try reframing it so you can take the power back and meet the requirement to be able to follow a plan. I was private pay so did not need a mental health clearance but also Emma psychologist by trade - education