Worrying about assessment

I'm so nervous, I'm thinking about not going ahead with the assessment. I have schizoaffective bipolar disorder, I'm afraid that they will un diagnose that and remove my meds if they find I'm autistic. I need my meds. I don't know what to do, any advice? 

I’m autistic and bipolar. (I was diagnosed as autistic at the age of 50 and bipolar type II at the age of 53)

At the very worst they may question the diagnosis and perhaps suggest getting a second opinion from another psychiatrist but they can’t un diagnose the schizoaffective bipolar unless your autism assessment is being carried out by another psychiatrist, which would be very unusual, and probably not even then. (You would have been seen by two psychiatrists who came to a different diagnosis so the obvious next step would be to see another psychiatrist unless you were convinced one of the diagnoses was correct and the other one wrong.)

Equally they can’t remove your meds. Even if you are seen by a second psychiatrist and the psychiatrist thinks you would benefit from coming off the meds from a professional courtesy point of view if nothing else the new psychiatrist should discuss it with your old psychiatrist and you should always come off any meds anyway slowly under medical supervision unless your doctor says otherwise.

(During my bipolar diagnosis I don’t think my autism came up at all or if it did only in passing.)

I would go to the assessment. You have probably been waiting for a while for the assessment and if you turn this appointment down you may not get another appointment for a long time if ever.

Whoever is doing the assessment should already be aware of your schizoaffective bipolar diagnosis but regardless I think I would start the meeting by telling them that you have the diagnosis and that regardless of the outcome of your appointment you intend to continue to take your meds and that way everyone knows exactly where you stand. I imagine their response will be along the lines of of course, no problem.

I’m autistic and bipolar. (I was diagnosed as autistic at the age of 50 and bipolar type II at the age of 53)

At the very worst they may question the diagnosis and perhaps suggest getting a second opinion from another psychiatrist but they can’t un diagnose the schizoaffective bipolar unless your autism assessment is being carried out by another psychiatrist, which would be very unusual, and probably not even then. (You would have been seen by two psychiatrists who came to a different diagnosis so the obvious next step would be to see another psychiatrist unless you were convinced one of the diagnoses was correct and the other one wrong.)

Equally they can’t remove your meds. Even if you are seen by a second psychiatrist and the psychiatrist thinks you would benefit from coming off the meds from a professional courtesy point of view if nothing else the new psychiatrist should discuss it with your old psychiatrist and you should always come off any meds anyway slowly under medical supervision unless your doctor says otherwise.

(During my bipolar diagnosis I don’t think my autism came up at all or if it did only in passing.)

I would go to the assessment. You have probably been waiting for a while for the assessment and if you turn this appointment down you may not get another appointment for a long time if ever.

Whoever is doing the assessment should already be aware of your schizoaffective bipolar diagnosis but regardless I think I would start the meeting by telling them that you have the diagnosis and that regardless of the outcome of your appointment you intend to continue to take your meds and that way everyone knows exactly where you stand. I imagine their response will be along the lines of of course, no problem.