Virtual Machine

Hi,

I am 37 (male) with a long history of depression, anxiety, relatively poor executive function, and a whole host of difficulties (social, financial etc.) arising from/exacerbated by these problems. My 'go to' explanation for all this, basically that my negative qualities outweigh the positive and inevitably lead to poor outcomes, is obviously reductive and unhelpful.

A couple of years back, one therapist told me that I should consider ASD as a possibility. I was dismissive at the time, reasoning that my folks, both mental health professionals and dedicated parents, would not have allowed me to slip through that net as a child. I have recently been reconsidering what she (the therapist) said, and have been going down the 'dr. google' route, taking all sorts of self-administered tests with mixed results that tended towards the idea that I do have ASD. I wanted to both acknowledge that the tests have some validity, but also to question the results by trying to compare my personal history and internal experience with some of the (widely-accepted) traits associated with autism. My thoughts in summary are:

Sensory Processing: As far as I can tell, my sensory processing is not far from neurotypical, with hypersensitivity in some areas. The same goes for motor skills and balance; I would say I am LESS clumsy than the 'average person' and MORE able to sit still, though I do indulge in some 'weird' and childlike patterns of movement when I'm alone, and my handwriting is just about legible at it's very best. My sensory/bodily experience is I think, the strongest evidence that I DON'T belong on the spectrum.

Language/communication: My 'natural' way of communicating doesn't closely follow social context and can sometimes make me seem odd or overly formal ("Why are you talking about this at a party?" Or "Hello? I'm your wife, not your colleague/student/bank manager"). This is less pronounced than all the people I know with confirmed diagnoses. I have very little problem understanding jokes, idioms, picking up irony and sarcasm, and I can recognise (if not entirely relate to) concepts like false modesty and reputation management. I have more difficulty with flat out lies which are obvious to a third party. I am a horribly unconvincing liar myself but still try when I have calculated it is the socially 'correct' thing to do, in contrast with confirmed autistic people I know.  My 'reading' of body language and facial expressions is more at the level of my Spanish (mediocre, with frequent misunderstandings) than my native language. Eye contact has become much easier over the years, but is still sometimes uncomfortable. 

Restricted/exclusive Interests:  I believe I suppress this part of myself, only occasionally letting myself become 'obsessional'. Compared to friends and family, I absolutely do seem to have this trait; compared with people I know with a confirmed diagnosis, this trait is less pronounced in me; compared with my teenage self, this trait is much less obvious as an adult. The thought experiment 'let's assume I am autistic and my main special interest is neurotypical people and their behaviour' resonates with my life experience.

Social interaction: This could make an already-long post into a full on case history, so I'll just mention the cat-q test that I took; every other questionnaire left me feeling ambivalent when the (higher than 'neurotypical' control, but lower than the 'autistic average') results suggested ASD, but taking cat-q along with learning about camouflaging, assimilation etc. felt much more profound, like 'this describes my (social) life'. My score on this test was higher than the average autistic male, and closely aligned with the average score of confirmed autistic females, and lots of autistic women have written about 'quiet' meltdowns based on social overload rather than sensory, which I can relate to (hiding in bathrooms is a speciality). The apparent correlation between a high score and major depression (and identity issues) really struck me. Reading around this area felt much more like a 'breakthrough' than anything I discovered in therapy where the working assumption was 'depression and generalised anxiety' (except that one therapist DID mention ASD, which I dismissed at the time!) Injunctions to "just be yourself" and "tell me how you feel" always provoke a strongly negative reaction on my part.

A few years back, a friend showed me how his new Apple laptop had the ability to run a virtual machine, effectively a pc running Windows on a Mac, which I think was novel at the time. I wonder if I am trying to 'run' a neurotypical persona on autistic hardware, or if a range of other factors (presenting as possibly autistic) are limiting the full operation of neurotypical hardware. Either way, I feel it is taking far too much RAM to keep the whole thing going.

I'll try to stop before this gets (any more) self-indulgent. If you're still with me, thanks for reading. No response is expected (since I'm not really asking a question), but any thoughts are welcome. I would definitely like to hear from anyone with a late diagnosis and history of 'succesful' camouflaging. Apologies for any outdated language or misconceptions in the post. I have a privileged life, full of opportunities, comfort and convenience; I am not lacking in necessary support, I  own my mistakes and shortcomings, and would accept a negative diagnosis. I make no claim to share in the number or degree of struggles of any child or adult living with differences that (in the past) have been grouped under the heading of'classical autism', or their families. However, I would like to be assessed to be sure that ASD isn't at the root of a profound sense of difference (heavily masked) and the exhaustion of 'fitting in'. I'm not looking for a panacea, but would like to free up some energy to use more productively in the second half of my life, be more supportive to others, and to better know the person in the mirror.

  • would make a subtle but significant difference

    Yes because if you are accessing mental health treatment, and you understand yourself better, you can advocate for yourself more instead of feeling like you should just be trying harder at treatments which arent suitable.

  • Thank you for your reply

    Even if an assessment concludes you fall short of a positive diagnosis, understanding which traits you do have might help you understand more about your depression and how to handle it

    I'm quite hopeful about this and it's good to see this idea written in someone else's words

  • Thanks for your reply. I'm currently in limbo as far as affordable/free health services are concerned (living abroad) but it is on the horizon and I'll be making inquiries

  • Thanks for your reply. I'll definitely be looking into the things that you mentioned and other resources!

    Having a diagnosis gives you permission

    This has been on my mind a lot. Maybe it shouldn't be the case, but I believe you're right, and that it would make a subtle but significant difference both within me and without me (along with a fair bit of commitment and effort of course)

    this is something I'm still working on.

    Good luck! Probably not a task with a defined end point? But definitely worth it all the same.

  • I'll try to stop before this gets (any more) self-indulgent. If you're still with me, thanks for reading.

    Lol. Oh Lord, that level and length of detail and analysis is typical of ASD, and 'cos we're autistic,  of course we read it. Bless you.

    Ok, so we can't diagnose, but errr..it is clear you do have traits and there's enough there to suggest you need an assessment.

    And yeah! Your mental health professional parents could easily miss it. The whole of the modern day mental health services missed me. It happens with the subtler presentations; those of us without language delay who studied our way to navigating the social world rather than intuiting it.

    Even if an assessment concludes you fall short of a positive diagnosis, understanding which traits you do have might help you understand more about your depression and how to handle it.

  • Language/communication

    Have a good hard think about these were as a child. Some of us spend time analysing our way to understanding these things more or less successfully as an adult, but they were hard going as a kid.

  • As far as I can tell, my sensory processing is not far from neurotypical

    Not every autistic person has massive sensory issues. Sounds like you have a few minor ones.

  • even though you said you're not asking a question I will still say this. There is a very little to be lost in seeking an autism diagnosis for most people who might think they need one. Most of the time your GP is the right person to ask to start that process rolling.

  • Hello I am similar age female and diagnosed last year. I can relate to a lot of what you say and found your post an interesting read. I too understand idioms, most irony and sarcasm but sometimes can get stuck (this became more obvious since I started reading about ASD...I think sometimes in the past I haven't been aware of stuff so if you aren't aware then how are you supposed to know you have a difference?!). I don't think it's that I do or don't get it, it's just my brain processes it in a different way. (I think a lot of figuring social stuff comes from cognitively working it out...I don't know if non autistic people do this or not). I always thought I was good with eye contact. But actually I stare at people for too long during interactions and sometimes the other person's eye contact makes me feel like they know something that I don't and that makes me uncomfortable. 

    I have spent my life observing people, situations, where do I or others fit in in relation to each other and situation. Reactions of otgers and monitoring my own. I have always felt a bit "out of step" but since telling people I'm AS they are surprised. I scored higher than a non autistic person on some empathy and reading faces test online...but this isn't real life and having time to work things out. I can read body language and nuance well in films more than my partner (I know whats goung to happen before he does) but that nuance is more difficuot in real world time. I do think I'm quite intuitive in some situations (I can smell BS long before other people....) but can't tell if someone is flirting with me. Or maybe detect something but not sure.

    I mask heavily and have high levels of anxiety. I'm successful in my job. I have friends. I can't relate to a lot of stuff I read about autistic people. My score in my assessment was just over the threshold. I think I manage fairly well because of my life set up...this makes managing some stuff fairly easy for me. (I have to stress again though I have high anxiety). Autistic traits can change through your life or day or week depending on your environment and situation.  There's the idea the spectrum isn't linear,  more that there are spiky profiles.

    Either way, I feel it is taking far too much RAM to keep the whole thing going.

    Definitely and that's why I have mental health problems.

    I often feel like an imposter within both AS and non AS circles.

    I don't think the distinction between male and female representations is useful. I think it might be more atypical presentations or typical presentations. Check out Aspergers From the Inside or Yo Samdy Sam on youtube. There's an psychologist (?) called Sarah Hendrickx who specialises in autism but didn't see it in herself...she got diagnosed by Tony Attwood.

    Having a diagnosis gives you permission to be yourself a bit more...this is something I'm still working on.