Psychiatrist overstated my symptoms?

Hello all,

I got my diagnosis last year, late on in life.

In the first session, which was with a psychologist, she referred to me as being very able in masking my condition through learned responses over the decades and that, as I have a pretty decent level of intelligence, a degree and post-grad, am able to analyse and respond appropriately much of the time, although it has never been or felt natural.

can hold conversations, but I do sometimes have to get people to repeat themselves multiple times for information to sink in. I find the process of figuring out when I should be talking / responding tricky at times and often make abortive attempts to say things. This seems to have become worse over time.

In the second session, and in the report, the psychiatrist said I am not able to follow conversations / cannot sustain conversations. This is sort of true with people I do not know, but I can keep a conversation going with people I know. He is correct that I use very formal language much of the time. I have to be VERY familiar with someone to relax into speaking less formally, or have to put huge energies into masking. I think the psychiatrist overstated this somewhat, although I did not think to challenge it at the time, being relieved to finally have a diagnosis.

I am able to sustain short conversations with strangers, but often only with great effort, or if it is something I know about. I am not a fan of small talk.

I used to have a job as a teacher, which involved interaction and conversation, but this almost exclusively based on knowledge / discussion of my subject specialism.

I am going to be seeing Occupational Health in the near future, and worry that if I mask too effectively it will seem to contradict the diagnosis.

Any advice?

Thanks.

Parents
  • Maybe to the assessor it was really obvious you were autistic but they needed to write things in the report to sort of "cement" this against the criteria because you are so high masking. Not about looking for things which are not there but picking up on subtle things in order to show you do meet the criteria. Also they have to go off what happened on the day. It might be you had quite an anxious day so you might have had more difficulties. Would OH see the full report or do they just need to see the result? Maybe with OH focus on the bits of the report which relate to what help you need.

  • OH will see the whole report. To be honest, I was having an anxious day as it was such an overwhelming and important experience.

    I think you may be correct that, as an expert, he saw the autism as being obvious, given our lengthy discussion, and therefore clarified the difficulties I have "underneath the mask" as it were.

    OH should be focussed on the help I need. I think they request the report just to confirm a diagnosis, to ensure I wasn't faking a disability!

Reply
  • OH will see the whole report. To be honest, I was having an anxious day as it was such an overwhelming and important experience.

    I think you may be correct that, as an expert, he saw the autism as being obvious, given our lengthy discussion, and therefore clarified the difficulties I have "underneath the mask" as it were.

    OH should be focussed on the help I need. I think they request the report just to confirm a diagnosis, to ensure I wasn't faking a disability!

Children
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