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 the reasoning was so outdated.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
  • Can I ask, did you go with someone who specialises in Autism, and has experience of diagnosing females? That’s crucial when choosing someone that you are paying to see.

    I feel the whole thing was too short, and not thorough enough. You cannot see someone’s whole body via video call either. You could be doing anything below. 
    hmm, so you nodded and had a bit of to and fro conversation. They deem you not ‘Autistic enough’, and you believe them? 
    Honestly. How many adults say they are autistic, and go to be assessed for the fun of it? It’s because they know they are.

    Dont be disheartened. Wait to read your report.

    I do understand how you must be feeling. Just know that there are people out there who look at everything. People who aren’t focussed on if you smile or make a joke,  but are focussed on what you don’t say. There’s no rules for assessing adults, but they shouldn’t be using out of date criteria suited to a stereotypical boy aged 11!

  • To be honest, I went with someone who could assess me quickly. I tried to ask a few questions about their experience, and they confidently emphasized that they have lots of experience and follow the gold standard ADOS-2 assessment criteria (and not much more). They implied I could look up the clinicians before each appointment. But it was only after the non-diagnosis came back that I realised I wasn't even given their names. I asked after the feedback session and they got very defensive about the fact I'd paid for an assessment, not a diagnosis. They did at least tell me their job titles. But I don't know how to check if they specialise in autism masking. I doubt they'd tell me any more now. 

    I was dreading them concluding I'm not autistic. But I was hoping and expecting they'd conclude I'm autistic, just because it's made total sense to me as soon as I've thought it could be and scored above the thresholds on any pre-diagnostic test I did. I know I have a problem with thinking other people intuitively know what's in my head and agree, when they don't have a clue. 

    Saying that, I actually thought the face to face session might point more towards me being autistic. I'm really intrigued to see what their conclusion was from the tests conducted in it (e.g. making a pattern out of triangle pieces and describing the frog book). When I walked out of that session I thought they must conclude I am. But maybe they saw something neurotypical in me in how I answered them?

    I guess I'll need to wait for the report to see how they've come to the conclusion they have.

    Thanks all for giving me the confident to push back if it doesn't make sense to me though.

Reply
  • To be honest, I went with someone who could assess me quickly. I tried to ask a few questions about their experience, and they confidently emphasized that they have lots of experience and follow the gold standard ADOS-2 assessment criteria (and not much more). They implied I could look up the clinicians before each appointment. But it was only after the non-diagnosis came back that I realised I wasn't even given their names. I asked after the feedback session and they got very defensive about the fact I'd paid for an assessment, not a diagnosis. They did at least tell me their job titles. But I don't know how to check if they specialise in autism masking. I doubt they'd tell me any more now. 

    I was dreading them concluding I'm not autistic. But I was hoping and expecting they'd conclude I'm autistic, just because it's made total sense to me as soon as I've thought it could be and scored above the thresholds on any pre-diagnostic test I did. I know I have a problem with thinking other people intuitively know what's in my head and agree, when they don't have a clue. 

    Saying that, I actually thought the face to face session might point more towards me being autistic. I'm really intrigued to see what their conclusion was from the tests conducted in it (e.g. making a pattern out of triangle pieces and describing the frog book). When I walked out of that session I thought they must conclude I am. But maybe they saw something neurotypical in me in how I answered them?

    I guess I'll need to wait for the report to see how they've come to the conclusion they have.

    Thanks all for giving me the confident to push back if it doesn't make sense to me though.

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