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
  • I can relate to a lot of what you say about interpreting speech, and also when your mind goes 'blank'. I have a lot of 'non-verbal thinking' time which is a bit like daydreaming but which feels necessary, and when people speak to me I find it hard to hear the words, even though I can hear them talking. Although you don't have a formal diagnosis yet, if there are things that can help you that are similar to the things that help those who do, it could be good to try them out for a while and see if they help at all. Have you tried noise-cancelling headphones, tinted glasses or looked into auditory processing disorder / hearing tests by an audiologist specialising in autism? There is some great technology being developed now relating to advances in hearing support, which can help people to discern speech in noise etc. I started consciously realising there was something going on with my senses and hearing several years ago, but it was hard to figure out because my ears themselves are fine. Then when I tried hearing technology that amplifies speech, I couldn't believe how much it helped and how much my speech improved. Also, the people around you who support you are so important. Even if there is just one other person who listens and believes you 100% when you are telling the truth of your experiences, can make all the difference. Wishing you all the best

  • Thanks for your message. It is really kind. I have actually also had and speech and language assessment. It was really helpful. They said I do not have a speech and language disorder but that my scores of the different sections where massively different (varying from 9th-95th percentile) so it helped to understand there are some things in speech I struggle with but there was no diagnosis for this as when the scores were averaged, they came out as ‘normal’.

Reply
  • Thanks for your message. It is really kind. I have actually also had and speech and language assessment. It was really helpful. They said I do not have a speech and language disorder but that my scores of the different sections where massively different (varying from 9th-95th percentile) so it helped to understand there are some things in speech I struggle with but there was no diagnosis for this as when the scores were averaged, they came out as ‘normal’.

Children
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