Can autism get more serious when you have other psychological problems?

I have OCD and presumably DPDR for 8-12 years now (I'm 28) and they don't seem getting better. The latter is diagnosed as well but neither I nor the therapists are not sure it's the right diagnosis, but that seems to be the closest.

I had been to many therapists and psychiatrists along the years but we still couldn't really find the reason behind these syptoms acting up rather suddenly. Now we see a family therapist as well and it's getting clear that they are strongly associated with the family structure, I suspect with my quite unceartain background and the completely wrong distribution of roles as well.

I've always had traits that resemble autistic behavior since childhood, but they never meant that much of a problem, I didn't have meltdowns, I could manage.

But since my other problems arised, I do have meltdowns that strongly resemble autistic meltdows, I have a much lower tolerance for sounds, people, and any kind of information that sorrounds me, etc. My family therapist did recommend to look after if I have autism or not, and I am planning to do so as soon as I can.

Is it possible that other psychological problems make a really low acting autism worse, and they bring out more and more serious symptoms?

Thank you in advance <3

Take care!

  • Sounds like you really need an assessment with someone who is very qualified and skilled in both autism and other neurodivergences and OCD, DPDR and related conditions in order to establish whether you are autistic and if so which of your experiences are due to what.  The autistic need for routine and order can tip into OCD for many autistic people.  The pressure to be and behave like neurotypical people can result in problems in establishing clear identity and sense of reality for some autistic people.  The answer to that is generally getting to know who you are as an a perfectly normal autistic person, not a "failed" neurotypical one.

    Another possibility is that some psychological conditions, can create sensory issues.  So, the person is experiencing some sensory difficulties but not as a result of autism.

    It's not that autism "gets worse" as such really.  Severity labbels don't actually mean very much.  However, we are all impacted upon in different ways by the various dimension of our autism and those can change from context to context and under different conditions, and over the course of a life time.  For example, as a kid I used to go into extreme shut down in medical contexts, now into meltdown.  It didn't "get worse" really, it just manifests differently now that the circumstances are different - because I'm older.

    Sounds like you really do need an expert to assess and tell you what's what.