New here - autism and MH overlap!

Hi all, thought i’d introduce myself and would really appreciate some feedback from anyone on your perspectives on my experience as i’m currently undiagnosed, awaiting assessment, but am exploring the possibility that I could be autistic. 

I am a female in my late 20s and grew up in a working class family where, with no ill intention, problematic themes in my childhood were not recognised nor addressed. I suspect my Dad to be quite significantly autistic but remains undiagnosed, he has a typical male presentation. I trained and become a psychotherapist as a career. 

I have experienced recurrent mental health problems since childhood - most prominently OCD. I was selective mute from childhood into teen years and had a stutter. I grew out of the stutter and started to talk more to others as i got older but still always felt a difference between me and them. I had lots of compulsions during childhood and rituals to manage such as ordering things. In adulthood, despite gaining a career and having more social interactions, the OCD amplified with focus on my vision. I am very sensitive to light and can become hyper focused on bodily sensations that people usually do not have awareness of. My brain often feels like it runs 100mph, and like it’s ‘on fire’ by the end of the day particularly if ive been in challenging environments with lighting and socialising. I tend to experience difficulties with understimulation as well as overstimulation, so for example when i have to sit for a long period of time without focus i tend to want to stim in some way. I have developed lots of ways of stimming. 

My mental health took a real crash in the last year after bereavement and health concerns in my immediate family, and i just could not cope with the change. I ended up with 2 months under the crisis team and subsequent access of therapy which is good but ive always felt a part of the jigsaw is missing. The above saw a recurrence in previously well managed OCD symptoms. This led me to explore autism a lot more seriously , after several mental health professionals mentioned it to me. 

I still am in the phase of feeling a bit of an imposter for even thinking I could be autistic, as if its me being dramatic. I have been learning how females can present very differently to males at times. I just would appreciate some feedback from yourselves on the things ive said and if its rang true for anyone else’s experiences. Thanks so much! 

  • Hi.

    my wife is currently undergoing a similar process.

    she was diagnosed with EUPD/BPD following a post partum psychosis after the birth of our 2 year old. 

    I think one think that stuck out for me was a bank nurse at the psychiatric unit she was in explained how they see a lot of women in their late 20s/30s who have been diagnosed with a personality disorder who had they been diagnosed as neurodiverse when younger and got the support then they would not have gone onto develop a personality disorder as they would have developed coping strategies for their neurodiversity so it seems to be common for the two to co-exist.

    her psychiatry team have referred her for assessment x

  • It’s sounds like you very much indeed have autistic traits and definitely worth you exploring this further. I’ve only recently been diagnosed at 33 years old, like you I felt I had parents who didn’t address it either. This has resulted in most my adulthood full of mental health issues and diagnosis of BPD. I do wonder if I had been diagnosed and knew as a child that I was autistic, how different my mental health would have been, as I’ve too been under crisis team, been sectioned etc. But as I’m beginning to unmasking and learn more about my autism, I feel like my mood has started improving and learning ways to deal my difficulties which I always put down to being a bad person.

    If you haven’t already, definitely do an AQ50 online test, as I found this really helpful when I was exploring autism before I was diagnosed. Here is a link to embrace autism, which, along with this NAS website, has been extremely helpful for me and might help you too: https://embrace-autism.com/autism-tests/

    If I can say to, it’s not uncommon for autistic people to have comorbid conditions such as ADHD, and I’m like you in terms of hypo focus / under stimulation, and on my diagnosis report it was suggested I get referred for ADHD assessment. So you might want to also consider if you could also have ADHD, as if you are also ADHD, there might be some medication that can help with hypo focus and under stimulation etc. 

    Don’t feel like an imposter though, you’re definitely not being dramatic (although I’m hypocritical as I definitely have imposter syndrome even after being diagnosed lol)… you’re absolutely valid in exploring this further and considering that you could be autistic … which it sounds like you are!

  • Thank you so much for this - super helpful! I know ASD and OCD can often be comorbid but just didn’t realise the hyperfocus would be such a factor. It’s exhausting at all. Constant cycles of rapid repetitive thoughts/preoccupations. To the point that the experience of a certain sensation can feel unreal and seperate from yourself. Sometimes I would call it ‘sticky brain’ 

  • I'd permanently run over and over in my head till I was exhausted

    Absolutely same here! I’m often exhausted by my replay of the same thoughts/dialogues etc to the point that I’m feeling sick like going to vomit and I get actually a headache from them but it still keeps playing and my brain is chewing it even for weeks or months. I was offered meds for that. Some neuroleptics that would make me gain weight and lactate. I decided to not take them. 

  • The OCD you describe sounds like rumination and hyperfocus.

    After being diagnosed I found out a lot about my traits and symptoms, one of which was the debilitating hyper focus on certain things, usually negative ones that I'd permanently run over and over in my head till I was exhausted, unable to do anything else but think about them. I'd previously assumed this was OCD rather than just autism on its own, but turns out it's a common trait in ASD. I think it could be the same mechanism that creates our special interests which are as strong and steel as much focus, but these are things we enjoy rather than our worries.

  • Thank you for this! What meds do you take please? No worries if you don’t wanna say! 

  • Yeh everything you said sounds like autism. I am also sensitive to light and sounds. Well it’s less that I’m sensitive and more that these things just irritate me so much that I can get angry. I do take meds and they help a lot though. It sounds like yeh you could be on the spectrum