Can someone help me understand my Autism assessment results?

So about a year ago, I went to an assessment center to get tested for Autism because I had been talking about it for a while with my parents and therapist. After a couple weeks they sent me a report with all the results, and I was not diagnosed with Autism. But the report is confusing and contradictory, and I'm sick of not understanding it so I figured I'd ask people on here to see if anyone has any advice or similar experiences.

My confusion comes from the fact that while I was not diagnosed with Autism, a large part of the report does not seem to support this conclusion. For context, here are some of the things said in the report:

"The pattern of answers Sadie gave on the PAI [Personality Assessment Inventory] is consistent with an ASD diagnosis based on current research."

[On the Social Responsiveness Scale, Second Edition (SRS-2):] "Scores in this range, however, indicate deficiencies in reciprocal social behavior that are clinically significant and tend to lead to severe and enduring interferences with everyday social interaction. In general, such scores are strongly associated with a clinical diagnosis of autism."

"Sadie completed the Adult Autism Spectrum Quotient (AQ), which is a self-report measure of symptoms commonly associated with autism spectrum disorder. Sadie’s scores yielded a score of 41/50. Scores in this range (over 32) typically indicate significant autistic traits."

Those three are from the main body of the report, by the end in the Summary and Diagnostic Impressions sections they seem to have totally reversed their position:

"While Sadie may meet criteria for autism based on symptoms count, the pervasive and development nature of the disorder (i.e., impacting all aspects of life to a significant degree across the lifespan) does not appear to reach a clinical threshold. The range of what is considered typical functioning is quite broad, meaning that most individuals experience some type of distress or difficulty in their daily lives. Further, Sadie’s emotional problems seem to have impacted her functioning significantly and cannot be ruled out as the cause for difficulty."

"Another factor complicating Sadie’s presentation which can present as a neurodevelopmental disorder (e.g., autism, ADHD) is trauma. Sadie reported a history of trauma related to abuse...Trauma arrests development, impacts mood, can cause emotional lability or blunting, and cause executive dysfunction."

So what gives? I can't be Autistic because I have "emotional problems"? I've read this thing so many times and I just can't understand why that would cancel out everything else relating to an Autism diagnosis. If anyone can help me understand this a little better, I'd really appreciate it.

Parents
  • I think they are saying that because of your history of trauma they can’t be sure if that is the cause of your traits rather than autism because they present in similar ways. The part about “across the lifespan” likely means you didn’t have traits before you were traumatised (or they don’t think you did) whereas autism is present throughout life

Reply
  • I think they are saying that because of your history of trauma they can’t be sure if that is the cause of your traits rather than autism because they present in similar ways. The part about “across the lifespan” likely means you didn’t have traits before you were traumatised (or they don’t think you did) whereas autism is present throughout life

Children
  • I've heard it said though that often traits are very subtle prior to secondary school as that's the first big chasm to jump in terms of being more greatly challenged/disabled by one's environment. I don't think I presented in a hugely obvious way as autistic in my earliest years (and still don't, due to masking), yet the diagnosis was still a positive one.  

    I'm very vulnerable to imposter syndrome I think, so I'm a bit more sensitive to your well-meaning comment than maybe I should be!