Autism v trauma

Hi 

I'm exploring whether I may be autistic.  

I'm a 54 year old woman who has had a LOT of emotional trauma and subsequently a LOT of therapy.  Despite that I still struggle on an existential level.  I've recently wondered about Autism as a cause of some of my issues.

I have spoken to my therapist and explained about my thoughts.  She hasn't dismissed it. But she thinks it's going to be impossible to tell trauma from Autism. 

I don't want or need a full diagnosis.   I just would like a small confirmation.  I'm in UK so, subject to NHS.  I am considering an initial assessment via a private company (circa £100).  

My concern is if I go to GP I'll get 'filtered out'.  

The traits I chime with are 

1 parasocial bonds

2 rich inner world/fantasy

3 monotropic/deep dives/hobbies

4 tomboy/nor jiving with girls and girly things

5 never knowing the right thing. Having to learn social cues

6 difficult in change of script/situations

7 intensity and disproportionate emotions

8 perfectionism. Dislike of open loops

9 difficulty and high cost of loads

10 stims - lip chewing

11 test scores - see below

12 dislike of social norms - illicit internal reaction

My scores

EQ 38

CAT-Q 122

RAADS-R 80 (social relatedness 41)

AQ 22

SQ 63

ASRS 9

Aspie 84(85%NT)

RSD 104 high. Anticipatory anxiety of rejection 29

ACE-Q 5

Any thoughts?

Parents
  • Hello.

    I sorry life has not been as kind as it could have been for you.

    The AQ-50 is the main screening test. I think the score for clinical significance is 30-32. You are higher than NT typical though. This is not the only measure, but may likely influence your GP.

    Its not a competition, that's just for info. Presentations differ.

    Trauma can cause a lot of similar effects.

    Here are some differences, but it is not exact and these are just my opinion.

    Autism is lifelong, the traits were there when young and before the trauma. Although they could have been masked or only become apparent as life stress increased. Note that many autistic people also have trauma.

    Stress comes from overload with autism, rather than fear with trauma.

    Time pressure being hard, difficulty starting tasks, monotropic focus, etc. are autistic things.

    Problems with tasks are fear based with trauma. Remove the fear and be in a safe space and you are ok. Executive function can be ok. It is not caused by being pressured, overloaded or the environment.

    Sensory differences show up in autism. Trauma can give heightened threat responses, such as hearing sensitivity raised, but things like touch and preference for certain fabrics may not be present.

    Emotions are fast with trauma. They tend to be delayed with autism. You think then feel, you live more in your head. Rather than feel first the act.

    Thinking about conversations and social interactions and scripting them is much more an autistic thing.

    Autism tends to feel like you are different, running a different operating system, not quite aligned with others. Social interactions don't go quite right or are a bit awkward (you can learn but something new is hard or to be avoided). Trauma tends to feel like you are not safe.

    Autism tends to have more confusion.

    Autism can make you more prone to trauma.

    Autistic burnout is a giveaway though. Autistic burnout does not go quickly, it requires alone time and you feel better by reducing demands. Trauma can feel better quickly if threats are removed, and company can help not hinder.

    Autism is more a processing difference. But of course from the inside it is not easy to tell you are not viewing it quite the same.

    Hope this helps.

Reply
  • Hello.

    I sorry life has not been as kind as it could have been for you.

    The AQ-50 is the main screening test. I think the score for clinical significance is 30-32. You are higher than NT typical though. This is not the only measure, but may likely influence your GP.

    Its not a competition, that's just for info. Presentations differ.

    Trauma can cause a lot of similar effects.

    Here are some differences, but it is not exact and these are just my opinion.

    Autism is lifelong, the traits were there when young and before the trauma. Although they could have been masked or only become apparent as life stress increased. Note that many autistic people also have trauma.

    Stress comes from overload with autism, rather than fear with trauma.

    Time pressure being hard, difficulty starting tasks, monotropic focus, etc. are autistic things.

    Problems with tasks are fear based with trauma. Remove the fear and be in a safe space and you are ok. Executive function can be ok. It is not caused by being pressured, overloaded or the environment.

    Sensory differences show up in autism. Trauma can give heightened threat responses, such as hearing sensitivity raised, but things like touch and preference for certain fabrics may not be present.

    Emotions are fast with trauma. They tend to be delayed with autism. You think then feel, you live more in your head. Rather than feel first the act.

    Thinking about conversations and social interactions and scripting them is much more an autistic thing.

    Autism tends to feel like you are different, running a different operating system, not quite aligned with others. Social interactions don't go quite right or are a bit awkward (you can learn but something new is hard or to be avoided). Trauma tends to feel like you are not safe.

    Autism tends to have more confusion.

    Autism can make you more prone to trauma.

    Autistic burnout is a giveaway though. Autistic burnout does not go quickly, it requires alone time and you feel better by reducing demands. Trauma can feel better quickly if threats are removed, and company can help not hinder.

    Autism is more a processing difference. But of course from the inside it is not easy to tell you are not viewing it quite the same.

    Hope this helps.

Children
  • Thank you Stuart.

    You have compared and contrasted Autism and trauma.  But I chime with things from both.

    I was born into a domestically violent and oppressive home. So I  have no before or after to look to.

    I have stress from load, but fear too.  I don't think I have any sensory issues. 

    I live in my head a lot, feeling separate from the world. But I have quick firing intense emotions and threat response from fear and trauma.  I have fierce perfectionism.  This is two-fold: a feeling that things should be a certain way and should never be deviated from, but also because of fear and anxiety that if it's perfect I'll be safe.

    I script out loud when alone, or in my head when with others.   I rehearse conversations, replay conversation, justify, organise out loud. 

    I feel like I'm running a different program to everyone else.  Don't feel some things come naturally.   I'm uncomfortable in the company of other women as I feel I just don't know how to be with them. It just doesn't compute.

    I get emotionally and mentally exhausted easily.  Just going to work etc.  I have a lot of alone time to decompress. 

    I have deep interests, intertwined with parasocial connections, that lead to me being in fantasies a lot, to the point of maladaptive day dreaming. 

    Given my life, I fully accept there is trauma.  The question is, is there autism there too. And are they too intertwined to distinguish. 

    Thank you for your input