Imposter syndrome and stress after assessment

Hi, I’m brand new here (and feeling a bit daft about posting)!

I don’t know anybody who was diagnosed as an adult, but I had an assessment yesterday, will find out if I’m receiving a diagnosis or not in a month, and now I’m feeling quite alone with my emotions about it all - really hoping somebody might be able to relate and offer some words of wisdom!

So, I’ve suspected for about a decade, ever since my kid was diagnosed (lots of lightbulbs during that process), then my partner at the time gently suggested I might want to look into assessment for myself. I checked out AQ at that time, and did it again a couple of times over the years (other people also raised it with me during this time, hence repeated tests), and I always scored high…but I just convinced myself I must have been lying (though I know I definitely wasn’t), or that everyone gets results like that (I know they don’t). During covid lockdowns everything came to a head, I couldn’t pretend to myself that things were okay any more, and I was referred for both adhd and autism assessments.

I was diagnosed ADHD, and that was fine. I knew I obviously had it, as did everyone who’d ever spent time with me - not something I managed to hide at all! I didn’t hear anything at all about my autism assessment…until a week ago when I finally answered a call from a number that had been trying me for a couple of months (anxiety over ‘why are they calling so often’ outweighed anxiety over answering the phone Joy) - suddenly I had more forms to fill in, then less than a week later I was having an assessment. Pretty overwhelming, to be honest!

The issues I’m having now, that I can’t really talk to anybody about: first, I didn’t realise that I was in denial. I’d asked to be assessed for a reason, I was referred for a reason, but I convinced myself I was either a borderline case or not at all. When I took RAADS for the first time before this assessment I was expecting a borderline score for sure…but it came out in the 180s (even with me being cautious in how I answered some of the questions to avoid skewing the result) and that sent me into a bit of a spiral. I went looking for other diagnostic tests, thinking I’d probably find one that would negate the others, but I consistently got results that essentially said “you’re autistic af mate“. I still felt like a fraud, and for some reason I don’t fully understand just didn’t want to accept this (thoughts like “haha no that can’t be right”), so I finally started properly looking into if/how I might actually fit the criteria and started to think about if there were any examples - again, I expected to find that my experiences didn’t ‘fit’…but it turned out there was a lot. Overwhelmingly so - to a point of suddenly thinking “how was this missed for four decades!??” I also seem to have had very, very similar experiences to other women who have gone through life undiagnosed. Loads of stuff from my past, from early childhood onwards, suddenly made a lot of sense when I looked at my memories through this lens. I then watched the Christine McGuinness documentary and felt very ‘seen’. Still felt like a total fraud for some reason, though!

After the assessment yesterday I’ve woken up at 5am in a cold sweat worrying I’ve made an idiot of myself, or that I didn’t communicate effectively, or that the (really lovely) woman I spoke to thinks I’m faking - going over every single thing that was asked, everything I said, how I behaved, EVERYTHING. I mask really well most of the time - I can make a great first impression and people usually wouldn’t realise how much anxiety I’m dealing with under the surface; I’m having thoughts like “what if I hid it too much?” but also “I was really nervous and stressed out - what if I didn’t hide it but she thinks I was putting it on!?”

Can anybody relate to any of this? Sorry it’s so long, hugest thanks to anyone who makes it through this novel!

  • > convinced myself I must have been lying (though I know I definitely wasn’t), or that everyone gets results like that (I know they don’t).

    What helped me was to get my closest friend, who I lived with for years, to take the test answering how he thought I would answer, and then to do it again as himself. He scored 35 (matching my score when doing it myself) as "me" and 15 as himself. Until then I'd been looking at the test thinking "well I don't see how anyone could possibly score less than 25, so 35 can't be a very high score." It was very validating to see those results.

    I've also heard it said that "non-autistic people very rarely think they're autistic."

    Assessors are trained to see through masking, so please try not to worry too much. But even if your results comes back without an official diagnosis you can still identify as autistic because you are the expert on yourself. You can even try other providers for a second assessment if you need it on paper for work or benefits or something.

    The way I see it, if learning about autism, treating myself as autistic, joining groups for autistic people and learning from their experiences all improve my mental health and ability to function, then (a) that strongly suggests I'm autistic, and (b) even if by some extraordinary coincidence I have some mental health condition that very closely mimics autism but isn't autism, does it matter that I'm calling it autism instead? If regarding myself as autistic leads to improvements in my life, then clearly it's the right thing to do.