GP Referral for Autism Assessment

Hello :-)

I posted a few months back looking for advice about whether to seek an autism assessment.  Having been engaging with a clinical psychologist, she contacted my GP via letter recommending an autism assessment referral (she couldn’t do within her remit).

Phoned the GP today to request a referral as per the letter, no questions asked and the GP was happy to do so, said the referral will be made this week. The GP said the wait would be “6-12 months” within our area. 

Quick background for those who may not have been my previous post…

Female, in 30s, graduated from university twice, work in a professional job, married, children. 
OCD diagnosis in late teens (following *one* appointment with a psychologist & a tick box exercise), GAD diagnosis in recent years.

Just a *few* of a long list of traits:

*Routine - struggle with change to plans.

*like to be in control of situations/planning - adds predictability and stability for me.

*often told I ‘overthink’ - however to me this is just normal thinking  I will consider all eventualities in almost all situations, especially before making decisions. Doing this allows me to be prepared for all probable outcomes and plan accordingly, also reduces anxiety around situations.

*excessive touching of objects (both as a child, to this present day) - have to touch objects evenly with full hand, has to ‘feel right’.

*dislike being touched (especially unnecessarily/unexpectedly) - makes the hair on the back of my neck stand up. 

*fidget with my fingers (picking cuticles in nails a lot), enjoy playing with kids fidget toys, find it relaxing.

*obsession with counting/numbers (again since childhood) - would (and still do) count steps when walking, count when chewing, would mentally count sky satellite dishes during any car journeys as a young child, obsessed with reading car registration plates, reading street signs and counting the number of letters.

*organisation - items/objects have to be arranged in a particular order/way. e.g. food - labels all facing precisely to front, bedding/towels/clothing folded in a specific way, money arranged heads up, notes ordered into denomination & then by serial number.

*difficulty in busy environments - too much background noise creates a rabble and makes it difficult to focus on a conversation. 

*can often zone out of conversations if there are several background factors (e.g. noise, movement, light) - often unaware I’m doing this and will appear to still be focussing by nodding along, and will only realise when I zone back in and realise I’ve missed part of a conversation. 

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

*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.


Childhood traits that I can remember:

*chewed my cot as an infant/toddler (so much so I wore down my front teeth. 

*advanced academically for age - reading books beyond my learning stage, used to complete older sisters homework with relative ease.

*bed wetting until 5, had to be reminded to pee by parents when out of nappies as would often not realise I needed.

*Obsessed with flushing toilets - would ask to use peoples toilets when visiting, but only to flush it.

*lining up toys as a child, setting barbies up in a perfect scene instead of playing with them traditionally, playing with K-Nex/Lego - symmetry in size & colour.

*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.

*Trichotillomania during teen years (pulled hair our head), resulting in a bald patch on my head.


Now a few questions…

1. Should I follow up with GP next week to ensure the referral has been made (I’m so worried it gets forgotten about!)

2. Do I then just await communication from ASD services for an appointment? Or is there any way to follow up in maybe a couple of months to find out how long I should expect to wait?

3. Any ideas how I stop myself worrying/ruminating/thinking about it for the next 6-12 months?!

4. It has been said to me that there is ‘overlap’ between OCD & ASD, and that some of my traits could just be in keeping with OCD/GAD. This niggling worry keeps creeping back, that I am seeking a diagnosis that doesn’t exist. However, with many of my ‘OCD’ traits, I don’t do them because of unwanted thoughts (e.g. I organise *everything* and obsessively count because I like doing these things and find them therapeutic). I guess I’m worried about wasting a year worrying, then wasting clinicians/NHS time.

I realise this is a very long post (I’m not very good at keeping things short haha), so thank you to anyone who takes the time to read, and I would really appreciate any feedback and advice :-)

  • It's only 4 weeks since my GP referred me, have not heard anything since the appointment. When I asked about a timeframe the doctor just chuckled and said she couldn't say. I'm assuming it will be 2 to 3 years. 

  • It may not be possible to find out with any accuracy how long the wait will be. In my area when I was referred the wait was around 2 years, it said this on my referral letter which came maybe 4-6 weeks after GP said they would make the referral. The autism assessments were contracted out to another NHS health trust who then ended up with huge waiting lists and sub-contracted the work to a private company. In the end as I was willing to have an online assessment I waited less than a year. It was maybe in total an hour with a psychiatrist between two appointments and just following a script, plus some very badly worded surveys. The whole thing was a tick box exercise and not at all what I was expecting so don't get your hopes up too much that you will find it really enlightening, I certainly didn't. I wanted to know whether what I was experiencing was social anxiety or autism - at one point the consultant psychiatrist asked me if he thought I did something out of anxiety or not - that was really what I expected him to help me with! 

  • Hi LostGuy :-) thanks for the reply. How long have you been waiting for assessment, have you been given an approximate timeframe?

    Yes I am the same, I have done it since childhood also, and would count everything and anything (I will even count how many times for example my husband claps or taps an object, and ask him to repeat it for x number of times if he does it at a number I ‘dislike’!). But generally speaking I do the counting because I like doing it, and usually up to 64 then start again from 1 lol. Like you, I do it so much without even thinking. 

  • Thank you for your lovely reply :-)

    Aw I have been moaned at my entire life for not being able to keep anything short lol (telling stories, doing any sort of work etc), but it’s just me - I can’t change it :-) that list is only a fraction of what I have actually typed up on a word document (probably about 20%, if not less) - but it helps me as I have been adding anything I notice, and means I know I won’t miss anything when the time comes for (hopefully) and assessment.

    It is really reassuring to know that many of the traits I have listed overlap with your own. Having done a lot of reading and researching, I firmly believe my experience & traits are very similar to others, and I am fairly certain I probably have gone undiagnosed until now. However, there is still that niggling worry that I am looking for something that isn’t there per se.

    Thank you again for your response, as I says it’s really reassuring to hear from others who have been through similar and have similar traits to me. 

  • Hi grogu, I'm also awaiting a diagnosis so understand what you are going through... I'm also an overthinker... So have wondered all the things you have thought about. 

    On the counting, this is something I have done since childhood, it's only recently that I've realized just how much I do it without thinking.

    It's normally numbers up to 10. I've thought about it like you, and thought I could stop if I wanted to, I don't believe anything bad will happen....I know what you mean when you say you kind of enjoy it. 

    Anyway, I think you have made the right decision to seek a diagnosis, I'm sure knowing either way will help you.

    Good luck.

  • Waiting is so hard under these circumstances, and I imagine there's be no harm at all in checking in with the process in exactly the ways you've suggested. Just to be sure. 

    It's not wasting anyone's time (not yours, not the NHS's) to get answers, whether that's 'yes you have autism' or something else equally illuminating that will help you 'know thyself' long term and do/research what's best for you. I can understand the inclination to feeling that way, as many of us on here are worriers and over-thinkers by nature. But it's to your and society's mutual benefit if you get some help with this. Giving yourself a best shot to stay well long term. 

    I'm genuinely grateful for the length of your post (I struggle with keeping things short too) as the way you've itemised your key issues and history kind of reassures me (even post-diagnosis) that the imposter syndrome that sometimes creeps in is exactly that. Many things on your list overlap with my own. That's just a selfish thing, but I'm also happy for you that you're piecing it all together in such a comprehensive way that I'm sure can only help with the assessment process and eventual answers.