Should I request an autism assessment?

Hi there,

I am looking for some honest advice from others who are going/have been through the process of autism diagnosis in adulthood. 

Some background: I am a female in my 30s. I have OCD (diagnosed in teens) and anxiety (recently diagnosed). I have always done well academically, gained 2 degrees and I work within the healthcare sector. However, throughout my life I have always felt ‘different’ to my peers - but put this down to my OCD. Over the years, several people have made flippant comments about me having ‘autistic traits’, which I never really paid attention to tbh  

Over the past 6 months or so, I’ve looked more in depth at my OCD (as I was going through counselling). However, another recent comment from a colleague had me looking into undiagnosed autism and I now can’t get the thought of it out of my head. I have done several of the autism screening tests, all of which have returned high scores:

AQ-10 - 8

AQ-50 - 34

RAADS-R - 126

I’ve begun noting down some characteristics as I notice them:

*I like routine, and struggle with change to routine/plans

*I like to be in control of situations, and like to carefully plan ahead

*I feel the need to complete tasks perfectly/completely right, and I really dislike not completing a task before moving on

*I see everything in black & white

*I struggle to build/maintain relationships, outwith family I have 1 friend (I have work colleagues, but don’t socialise outside of work as this is something I really struggle with)

*I find social interactions difficult - making/maintaining eye contact, often struggle to interpret peoples thoughts/feelings, I very often worry I’ve upset or angered people after I’ve finished a conversation even if there’s no indication of this.

*Social events make me very anxious - since my teens, I can count on one hand the number of social events I have attended without a close fanimus member or my husband with me

*I will often talk very fast when anxious/in a group of people or if discussing something which heavily interests me

*I will point out small mistakes (even in conversations, much to my husbands annoyance!)

*As a child I was a very fussy eater, much of it was down to food textures in my mouth - certain foods would literally make me gag. I am still like this with textures, although I am less fussy

There may be others I haven’t noticed/listed as of yet. 

I am apprehensive about following this up, as I am worried I’m overthinking/worrying and would be wasting peoples time.  There’s aspects of my life/characteristics that make me believe I am just worrying over nothing - for example, I am married with children, can deal well with loud noise (concerts/football crowds etc), I loved imaginative/role play as a child. I also worry that some of these could just be classic characteristics of OCD/GAD instead of autism traits  

I guess I am worried I am referred for assessment, have a long wait and then waste peoples time to be told I don’t have autism. Have others been through similar and could offer me advice? 

Parents
  • There’s aspects of my life/characteristics that make me believe I am just worrying over nothing - for example, I am married with children, can deal well with loud noise (concerts/football crowds etc), I loved imaginative/role play as a child.

    Why worry? It seems like you're doing ok. if you are autistic now you'll be autistic after diagnosis as well. but it might come in handy down the line. You know when I did my ados assessment they said I wasn't imaginative. I was given inanimate objects and asked to tell a story with them as if they were characters. I read the report ... you know why they didn't think my story demonstrated imagination? Because I didn't give the objects 'proper' names like jack or bob. It was agent spoon etc. And the story was a sci-fi setting, apparently they though imagining something in a genre you're interested in doesn't count as real imagination. So when they talk about imagination I think what they mean is imagination that other people find relatable. You can have fantastic powers of imagination but not nessiceraly find it easy to tell an imaginative story others find relatable.

    Also I know lots of autistic people who are very tolerant to noise. As a child they thought I was deaf because I didn't respond to noises, voices etc. As my mother pointed out, it's not that I couldn't hear. I just didn't care. The noise just washes over me. Sometimes its quite comforting. A nightclub with a baseline you can feel throughout your body. I have to wear earplugs not because the sound bothers me but because if I don't I'll stand right next to a speaker and have ringing in my ears for hours after.

Reply
  • There’s aspects of my life/characteristics that make me believe I am just worrying over nothing - for example, I am married with children, can deal well with loud noise (concerts/football crowds etc), I loved imaginative/role play as a child.

    Why worry? It seems like you're doing ok. if you are autistic now you'll be autistic after diagnosis as well. but it might come in handy down the line. You know when I did my ados assessment they said I wasn't imaginative. I was given inanimate objects and asked to tell a story with them as if they were characters. I read the report ... you know why they didn't think my story demonstrated imagination? Because I didn't give the objects 'proper' names like jack or bob. It was agent spoon etc. And the story was a sci-fi setting, apparently they though imagining something in a genre you're interested in doesn't count as real imagination. So when they talk about imagination I think what they mean is imagination that other people find relatable. You can have fantastic powers of imagination but not nessiceraly find it easy to tell an imaginative story others find relatable.

    Also I know lots of autistic people who are very tolerant to noise. As a child they thought I was deaf because I didn't respond to noises, voices etc. As my mother pointed out, it's not that I couldn't hear. I just didn't care. The noise just washes over me. Sometimes its quite comforting. A nightclub with a baseline you can feel throughout your body. I have to wear earplugs not because the sound bothers me but because if I don't I'll stand right next to a speaker and have ringing in my ears for hours after.

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