Private non-diagnosis

I’ve seen a few posts from people who’ve been given a non-diagnosis on the NHS. And the advice either seems to be to pursue a private diagnosis or self-identify. 

My non-diagnosis story is a little different. Whilst on the NHS waiting list, I decided to sell my car and pursue a private diagnosis. It cost £1,750. I had one zoom call which lasted about an hour and a half and another one with a different clinician face to face. They asked for no supporting paperwork but I sent in reams of stuff.

I had a feedback session recently, with the first clinician from the zoom call. She very matter-of-fact started the feedback with “So, we don’t think there’s enough evidence to meet the diagnostic criteria”. I shutdown from there. I didn’t know what to say or ask. I wanted to burst into tears or end the call immediately. I stayed on for about 10 minutes unable to look at the screen. She kept on talking but I couldn’t take in much of what she said.


Sadly, I know it might seem unlikely they’ve got it wrong when I’ve paid for the privilege. But from what I could take in during the feedback session (which wasn’t much as I was so distressed!) the reasoning was so outdated. Apparently there was evidence of non-verbal communication use (I nodded to say yes). I could have a brief two-way conversation. I didn’t have any motor peculiarities (when I’d explained in writing my possible stimming is tweaking my arm and leg muscles or constantly moving my toes and ankles when anxious or overstimulated, which would be obviously unseen on a zoom call or under a desk!). My examples of hiding behind and copying older siblings wasn’t unusual (which is something I inexplicably kept bringing up in the zoom call, when it’s only one example I’d previously thought might be a sign of my lifelong masking behaviour).

I’m waiting on the full report. They won’t tell me more before that’s issued in a few weeks. If it explains things in a better way, then fine. But I doubt it will. I feel like the hope I’d had has gone that other people might need to start listening to me and stop telling me I’m like everyone else. My individual struggles aren’t taken seriously. Other than my parents, everyone I’ve told is like “at least you can move on now” as if it’s nothing! But this possible diagnosis was going to make sense of things. It was going to be life affirming. 

But, one of the big things I’ve always said is I don’t want to encroach on the autistic community. My son is autistic. And I know not everyone is a bit autistic. I either am or I’m not. But, I was hoping I would get a diagnosis to make sense of my whole life, instead I’m left with even more of a puzzle. Either I’ve somehow been misdiagnosed or I’ve had lifelong depression (the only alternative she gave), which explains the burnouts and shutdowns that have occurred throughout my life in different unsuited environments.

I don’t suppose anyone else has a similar experience or words of advice?

Parents
  • Private or not, misdiagnoses or missed diagnoses can occur.  How long did you spend in the face to face?

    There are a few of possibilities: either they got it wrong or you meet some, even many of the criteria, but not all, and/or something else explains your experience. 

    Wait till you get the report. If you feel there's anything they missed out, go back to them with it. They may give that further consideration. They are saying there sn't "enough evidence". That doesn't necessarily mean there isn't enough evidence which exists, it may just mean there wasn't at that time enough evidence available to them.

    If you feel they did get a complete picture, then the questions I'd be asking are where did/did you not meet the criteria. You could for instance have a sensory processing disorder exactly like autism, even if you aren't autistic. Understanding that might help you regardless. I'd also be asking what they do think the problem is and then consider whether you think that that could explain the ins and outs of your experience. If it does, then it will still have been money well spent as you'll come away with information you can use and no further need to wonder what's wrong.

    If on the other hand you think that they aren't considering evidence that they should or your symptoms don't seem adequately explained by their report, you might need a second opinion. 

    I do find the nodding business at bit strange. My report said my body language was fairly well integrated with my speech and I didn't stim when I was in there, but there was still ample evidence I'm autistic and hitting all the criteria. Failure to nod isn't a criteria in itself, I'm sure many of us manage that.

  • Thanks for this. I’ll revisit it all when I get the report back.

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