ADHD assessment in 40s turns into ASD assessment, having a small child undergoing similar diagnosis...

Hi there, this is all a bit fresh for me. I've been going through the mill of "what's wrong with me" for a long time, since childhood in fact. About ten years ago I was diagnosed with Generalised Anxiety Disorder, which made me grateful to know there was a name for it after years of struggling, but even then it became clear it didn't explain everything. CBT didn't really help. I suffered from OCD traits as a child, which was later registered by a GP - lost many of those as an adult  - and my teens/20s were a struggle. As a child I read very early, and I picked up playing music at the age of 4 - my father describes me as always having "eccentric traits". I was bullied a lot, ended up in hospital with psychosomatic pain. I've obsessed about food hygiene and it making me ill my whole life and pretty much had an eating disorder in my teens/early twenties. I used to carry polo mints everywhere and panic if I didn't have them.

I always pushed past it because I felt I had to, but after several years of shutting myself away and living online in my twenties (my poor behaviour cost me a long term relationship), panic attacks about going out or to work, I started pushing myself to live socially and explore the world more. I've had numerous bad work experiences in my life, mainly as I can't really back down when something is wrong and want to fix it, which culminated in a very bad experience just pre-covid. I am sociable these days, and have a few close friends from my 30s, but interactions do often make me feel awkward, and I often wonder how I come across. I feel like I'm waiting for other people to finish talking. If something goes wrong, or I even perceive it, I fret about it forever.

So, to cut a long story incredibly short, just the assessment has had me looking back as if I'm Neo seeing the Matrix for the first time. I was looking for an ADHD assessment as I have historically poor sleep (not related to worry) and a terrible short-term memory, but after a two hour conversation with a mental health professional, all signs apparently point to ASD. Which came as a bit of a shock. I mean, I briefly considered it, but not seriously. So onwards to the long years of trying to get diagnosed properly.

My son, also undergoing getting diagnosis, may on the spectrum. He's quite young, just started school, can just about read already. We suspect he is hyperlexic as he has been obsessed with letters and numbers since he was two. He knows the Arabic, Hebrew, Japanese (Hirigana and some Katakana), Greek, Cyricllic, Polish, English and Welsh alphabets, and is now into music notes. He has little interest in toys. His interactions with kids - as he's sociable - is more in getting them to chase him rather than doing what they want. Otherwise he's extremely bright and very cheerful - if lacking in concentration in things that don't interest him. He is an amazing Super Mario player and loves 8 bit games.

I guess I'm just reaching out to see how people coped with this. I feel like I'm on a knife edge of understanding that could go either way with diagnosis, but the assessor was pretty sure. I also got an apology (they didn't need to) for being bounced around different departments because the Venn diagram of what I do/have had overlaps with other issues. Put it to the back of my head until then? Or learn to cope/understand myself better? As for our son, we just want him to be happy. So we feed his obsessions and praise him. And lots of cuddles, of course (also that means I get them back). Any thoughts or advice welcome, really. Apologies for the wall of text.

  • Thank you Kate, that means a lot. And best of to you too!

  • I can relate to your story in that you’ve taken various detours before coming to the realisation that you’re autistic. I was also diagnosed with GAD many years ago, and looking back I - like you - can now identify so many signs of autistic thinking and behaviour going right back to childhood. It takes time to absorb the degree to which this ‘thing’ was affecting my life so much when I didn’t even realise I had autism - it wasn’t on my radar until I realised my son was autistic (which became apparent because he found school so difficult and was severely struggling). 
    Your understanding of and support for your son sounds great - you’re obviously doing a great job there :) 

    good luck to both of you :) 

  • I said it wasn't worry. I just can't stop thinking

    Story of my life

  • Just to update this, I am confirmed to begin a first triage assessment. Waiting time is currently 20 months (still less than an ADHD assessment, for which mild cases aren't even looked at). In South Wales they have a triage to sort applications prior to a full assessment. Son's application has also gone in. Wish us luck!

  • So many Polo's. I'm surprised I have teeth at all. A dentist suggested the calcium in the mints suppressed the sugar hurting my teeth or something! I only stopped as someone pointed out that they don't calm me down due to the sugar content, and that mint can actually upset your stomach. I still carry around digestive remedies - so guess I haven't totally kicked the habit after all.

    My advice is just be persistent. I kept saying there's something else going on that isn't GAD. When the anxiety professional asked what worry was keeping me up at night, I said it wasn't worry. I just can't stop thinking. That kind of booted them out of trying to persist framing it as GAD, they listened more, apologised and sent me back into the system for an ADHD assessment... which ended up becoming an ASD assessment.

    At the end of the day we'll all be fine. It's all about management and if carrying about Polo's helped control our issues as a kid, then carrying around knowledge will help us as adults.

    PS I'm sure writing overly long and wordy responses is also part of this - should've mentioned that in my assessment documents...

  • Thans for sharing JT, it's appreciated. The world can be a harsh place - I was once thrown under the bus by an employer for sharing my issues with generalised anxiety disorder - so your reluctance is understandable. I tend to be overly open with people, which is problematic and can get me in trouble, and have an insatiable lust for justice so I tend to tackle things head on. Then fall into crisis when I get in too deep. Hopefully I can now start to learn to break that cycle.

  • Thanks Dawn for the very kind words, and thank-you for the link. Just to clear it up - not that it matters a whole lot really! - but I'm a Dad. Perhaps I should've expressed that! His mum is great though and handling my issues and our sons with ease. She's used to me and my quirks by now and we're learning about our son every day (his latest obsession is musical notes, which we're only too happy to divulge).

    The assessment is done, here in Wales you self-refer (however we have the backing of the mental health nurse), then just wait until they can see you. It might be that I have ASD traits in amongst lots of other things... hence me getting bounced around... and may not get diagnosed with it at all. The assessor seems sure though, so I guess we'll see. As for our son, to us it seems pretty evident and I'd genuinely be surprised if he wasn't diagnosed.

  • Sorry to take so long replying. My brain was absorbed with work and kid issues then got ill... getting ill and having a kid go hand in hand. I'm still struggling to process it but it does make sense. It's just an assessment for the time being - diagnosis will take ages in the NHS, but at least we've made a start for both myself and our son... I hope you also gain clarity on your situation soon! 

  • Polos ! That's one for my list :) It's difficult to recognise things from your childhood as potential traits without some verification. I assumed everybody had Polos.  I've just written a small essay on Polos and Children with ASD, but it started to get quite fanciful so I backspaced it!

    re: being bounced around different departments.  It was a Venn diagram that led me to self-diagnose.  Tomorrow I'm going to start a course of EMDR for my CPTSD, but I need to mention getting an ASD referral.  I'm concerned that I might get bounced back due to overlap eek !

    Its sounds like you're doing just fine. Regardless of the outcome, you've started learning some really useful things about your abilities and needs.  That's me being super positive.  I'm actually crapping myself about a result :)

  • Your journey of self discovery is a familiar one. I went that route if bullying, query, anxiety, CBT, therapy, social failures, OCD, perfectionism, ADHD for me, then a suggestion of ASC before I finally got diagnosed. 

    Anyone who knows me thinks I'm a bit reclusive, but I know for sure nobody would ever consider I might be in the spectrum because I mask so well.

    Tough job now is, accepting myself. But then also, awaiting society to become educated enough to include those diagnosed on the spectrum into their world - think I might be waiting a long time - so I can safely and calmly identify as ND.

    Atm, I don't plan to ID as ND anytime soon I'm sad to say. Just too much ignorance out there, even within my own family.

  • Hi there, there are some real positives in your story there. That apology from services is indicative of a willingness on their part to want to understand better - so different from what I experienced and I'm glad to hear they are moving on.

    You also sound like a great mum who has a handle on your son's needs. With you, I sure his future will be bright.

    As I late diagnosed person (I was 56), yes it's a shocker to begin with and that wait for confirmation is agony and the immediate aftermath can be bewildering. We've all been there, but in the end this too will be a good thing. It will answer your life time of questions. Essentially, what's wrong with you? Nothing! You just had a tougher time than most dealing with a world not well designed for you and now you will start to see what you can change around you to make life better; to live it on your terms.

    Have they completed your assessment now, or are you still in the process?

  • I am in my 40s and have a recent diagnosis of ADHD. I've had part 1 of my autism assessment today. The Dr said she's confident I have autism, and says part 2 is a formality. For me, having a name for my struggles is a relief, but I'm feeling like I need a little time to process it all.