ASD assessment says ASD traits, not enough for a diagnosis

Hi,

I am a female in my 30’s. I have been waiting for a ASD diagnosis for years. I eventually went privately and it came back that I have ASD traits, but not a diagnosis. The bits that I didn’t fit on where the structure and routines (I am very disorganised so I find it hard to stick to routines even if I wanted to).

I was diagnosed with dyslexia 5 years ago, my reading comprehension was in 5th percentile but perceptual reasoning in 92nd percentile. I had the same thing with a speech and language assessment showed huge differences in my scores (9th to 95th percentile). The speech and language therapist said my profile was similar to her ASD clients (I had poor skills getting the ‘gist’).

I was also diagnosed with ADD 3/4 years ago but the psychiatrist would not refer me for an ASD assessment (he said I was functioning too well because at the time I had a job).

But I have been working with an ASD mentor recently and she is really really helping me understand things (like what I am missing) and now I feel really disppointed and kind of like a fraud that I don’t have a diagnosis.

The main things that I am struggling with is that my mind is blank a lot. Like when I was working, someone might ask a question and my mind is blank and in meetings I could not contribute because they talk in such broad language. I need ALL the detail to understand and I need a picture. Like I went to an exercise class and the guy said ‘first class’ so I thought of a first class stamp, a first class train and then a membership system. I did not understand he meant ‘is this your first class’. I think very literally. And in films, my friends discuss all the complex characters interactions afterwards and I don’t see them, I only see what happens. But I notice different things, like I notice peoples patterns, like if they are not their normal self because of how they text or how much they are in touch or other things. I notice if their movement is different or their voice is a different speed. 

Is this an ASD thing? Does everyone with ASD follow strict routines? 

I did not know I was neurodiverse until my late 20’s so I also did what I thought I was meant to do and was social ish. I have lived in shared housing out of financial necessity not because I wanted to. 

They also said I don’t have a special interest but I tend to get obsessive about the thing I am doing. Like I love searching for houses on Zoopla and I might spend 2/3 hours doing this. Or when I was working I get obsessive about a tiny part of the work that is not important but I can’t move on until it’s solved. 

I have always lived with people until recently and it takes me a while to get absorbed in and out of things so I always felt stressed with so many people around so I felt like I havn’t had space to focus on my interests. I am too busy exercising or doing something to keep my anxiety down.

Am I not really autistic? The ASD traits is not helpful to me. 

Parents
  • If you look at traits alone when trying to make a diagnosis you will get really confused.  Autism can be easily confused with ADHD and giftedness.  In fact I think many gifted individuals receive a false diagnosis on the spectrum.  Not that you can't be both, but it isn't as common as many people think.  Special interests are common in gifted because of their high intellect.  On the other hand special interests are a way for autistics to regulate stimulation.  It is a way for you to be in control of how much stimulation you receive when life may be difficult for you to manage.  Special interests are an all in or all out type of thing.  When you are ingaged with one, you tune everything else out.  That is how it helps you cope.  That being said special interests might not be practical.  You might have to work, it might be too cold for an outside interest.  Your interest might require money.  Sometimes obsessions with fine detail, lining up objects, or something more like ocd might be more helpful than a special interest.  Special interest therefore do not determine autism.   Routines and schedules are another way of regulating stimulation.  It is like going on Cruze control.  You are following a predictable pattern so that you don't have to process so much of what's going on around you.  If you have trouble with processing things around you wheather it's with your senses or just with information that your brain needs to process, then you have autism.

  • Thanks so much for the description. It is really helpful. I don’t know anyone else that has autism so it is helpful having it described.

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