Early signs of autism in low support needs adults? Freaking out before assessment.

Hi guys! I'm thinking about getting assessed for autism and the main part I'm really hung up on is the early signs. I didn't really seem like a very autistic baby, but started showing lots of signs by age 4. I was a sensory seeker as an infant and had a love of spoons where I would hold them and look at them. I also used to cry when I couldn't express my ideas, as I was a slightly late talker but was still within the normal range. By age 4, I had strong food sensory aversions, was referred to an SLP for pragmatic communication issues, had very literal communication, struggled to make friends and understand social rules, was a diagnosed sensory seeker, and had black & white perfectionistic thinking. I also had chewlery & was stimming by then as well. 

However, I was great at imaginative play, and would often play with my brother. I was a bit bossy at times and would complain that the other kids were doing it wrong but had good play skills in general. For example, I would yell at my brother for passing the ball the wrong way or would yell at my dance class when people turned the wrong way. I was also very hyperempathetic and personified my dolls. I had to put them to bed because I couldn't handle them being in a box.

Also, I have always had great eye contact and have always been affectively expressive. 

  1. Is this enough early developmental history? Or I guess has anyone been diagnosed with this type or amount of history? I'm worried about wasting my money if I won't qualify. 
Parents
  • Hey, no worries—your history sounds pretty classic for a lot of late-diagnosed folks, especially those who "masked" or flew under the radar early on. You're not wasting money; this is enough to bring to an assessment. Let me break it down.

    DSM-5 (the main guide clinicians use) says symptoms must be present in the early developmental period—think toddler/preschool years, not necessarily babyhood. But here's the key bit: they "may not become fully manifest until social demands exceed limited capacities." Meaning, stuff can simmer quietly until school, friends, or life ramps up. No need for obvious infant red flags—like poor eye contact or no babbling—if things kick in by age four.

    Your stuff?

    • Sensory seeking as infant (spoons obsession, looking/fascinating) → that's straight-up Criterion B: unusual sensory interests.
    • Late talking + crying over ideas + pragmatic issues by 4 → social communication deficits (Criterion A), literal style, SLP referral.
    • Food aversions, black-and-white thinking, perfectionism → repetitive patterns (B again).
    • Stimming, chewlery → motor/sensory stuff.
    • Struggling with friends, bossy rules in play, yelling at "wrong" ways → social rules and flexibility issues.

    The imaginative play and doll-personifying? Not a deal-breaker—many autistic kids do play pretend, especially if it's structured or solo. Bossiness often ties to needing control, not lack of empathy. Hyperempathy (feeling dolls' "pain")? That's common too—autistic folks can feel too much, just express it differently. Great eye contact and expressiveness? Some mask it well, or it's not a core deficit for everyone.

    Lots of adults get diagnosed with similar: subtle early quirks, then boom—toddler social/sensory hits. No infancy drama needed. Clinicians look at retrospective reports (your memories, family input), current traits, and how it impairs now. If you're struggling with overload, routines, or relationships, that's what counts.

    You're good—go for it. Assessments aren't "pass/fail"; they're about understanding yourself. If worried, jot down examples (like spoon fixation) and mention masking. Want help prepping questions for the assessor?

  • Yes please!! That would be so helpful!! I have my assessment in mid April and am completely perseverated on it. If it's helpful, here's what I've currently got going on/a more detailed development history. I would take any advice/reassurance you have!! Also, if you happen to know how clinicians weigh collateral vs reports or other info (old diagnostic reports, report cards, etc) vs self report vs scales that would be amazing too!! I score very high, especially on the monotropism questionnaire and on the RAADS-R (I score between a 149-153 when the cut off is 65). My rigidity/perfectionism is telling me that if I don't get the perfect collateral then I won't be found autistic. Amd to specify, I am ok with not being found autistic, but not over poor quality collateral or overshadowing of my own experiences. 

    Here's a general overview of what I've got going on. It's not perfect but hopefully it gives you a good idea: 

    Infancy 

    • tactile sensory seeking since infancy

    • a bit late to start talking but still on time; would cry when I couldn't ecpress my ideas

    ~4 yrs old:

    • seen by OT for sensory seeking

    • difficult understanding classroom/playground unspoken rules

    • referred to SLP for concerns with pragmatic communication (very literal in speech & understand), found to still be within typical range

    • documentation notes early black and white perfectionism (ie if I can’t answer all the answers on the test, I refuse to take the test at all)

    • difficult sharing food unless perfect symmetry can be assured

    • intense sensitivity to food; arfid like eating habits

    • difficulty making & keeping friends

    • Inappropriate approaching others 

    ~12 yrs

    • special interest developing

    • video shows intense stimming behaviors (tapping, chewing on my mouth, cricketing my legs, rolling out my ankles, etc)

    • teachers describe as a bit odd or quirky

    • described as "too perfect"; followed known social rules rigidly, difficulty understanding when to break them

    • beginning of intense friend loss and inability to cope

    • didn't understand other's humor, though it was dump, started feeling extremely unlike my peers to the point of questioning my gender

    ~14yrs

    • s******l, diagnosed with SAD

    • diagnostic report shows stimming behaviors (use of fidgets, rocking side to side, listening to same song over and over

    • very elevated scores for social difficulties

    • "diagnosed" with rigid and perfectionistic thinking patterns

    • elevated scores for depression and anxiety; diagnosed with GAD

    • regularly losing friends without understanding why

    • difficulty understanding social purpose of hygiene & "girl rules"

    • start masking ~13 with "social rules" like counting to three before raising hand or the rule of three hang outs to understand other's interests in me

    • first questioning autism

    • first memories of flat affect

    ~15 yrs

    • first memories of being hyperverbal & info-dumping

    • strain on family relationship "for the way I speak"

    • therapist notices difficulty with social rules, understanding, eye contact, affect, says I'm "socially autistic"

    • probable burn out that looked like depression & anxiety

    Currently:

    • roomates say I still infodump at inappropriate times

    • can be rude; difficulty understanding how others are feeling

    • high difficulty understanding humor to the point of social breakdown

    • mom describes me as hyperverbal; roomates say I can go on and on

    • roomates describe me as "ditzy"

    • intense masking & camouflaging behaviors

    • bouts of s*****lity & burnout

    • PMDD

    • High black & white thinking, perfectionism, perseveration

    Lifelong:

    • stong sense of fairness & justice

    • strong sense of empathy

    • Extremely deep, constantly philosophizing

    • Dyslexia 

    • ADHD

    • Difficulty reading people, has gotten better over time but it feels like I'm putting from a database to solve a mystery 

    • Intense rumination and difficulty switching focus, must "solve the mystery" of the social occasion 

    • Researching social rules & psychology/sociology to understand socializing 

    • Bragging, oversharing, difficulty adjusting to context 

    • Difficulty understanding levels of friendship even with explicit rules

    • Tendency to yell without realizing it; tendency to speak like a little professor or an academic (think a milder girl sheldon cooper; but also upper middle class & gifted)

    • Probably PDA

  • Yes please!!

    Please note that the person who replied to you originally was posting AI-generated replies, which they have now undertaken to stop doing. These threads refer: AI replies and Termination of AI posts.

    Please see the advice in my own reply, above.

  • These are perfectly valid links. Obviously, I had to ask AI where to find them but that's it.

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