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Approaching the GP for assessment

NAS94617
3 months ago

Hi all, I’m a thirty something year old female. 
my wife has recently undergoing assessment for neurodiversity and asked me to help fill her the forms out and we noticed that while the ADHD side of things seem to be very like her, the autism questionnaires seem to relate more to me so I have approached my GP for a chat.

I have a long history of mental health issues - childhood OCD, health anxiety, depression and generalised anxiety. I was badly bullied at secondary school to the point of feeling suicidal by a group of friends who I guess we now refer to as “frenemies” and when younger (18) was in an abusive relationship. 

I hve been lucky enough to study at uni, go on to get further higher education and have a great job, but I massively struggle with criticism (leads to a crushing depression), I get incredibly paranoid and anxious about things and massively sometimes struggle with social situations (have to have some alcohol etc to be able to cope which I know is maladaptive.) this is not exhaustive but they seem to be the traits that cause me the most distress.

my wife had a breakdown following our sons birth and was sectioned and in a mother and baby unit so I suspect I’m probably carrying some PTSD as well. 

I’m really worried that the GP will put this all down to PTSD which while I agree needs addressing (on sertraline and went through IAPT counselling when everything was happening) I think I have definetly noticed my neurodiversity has come out a lot more since all of this happened.

has anyone A) had an occurrence of PTSD which has led to ND traits coming out? And B) can anyone offer any advice how to approach my GP during my appointment? I did send them a rather long email explaining my reasons/situation for them to triage me. 

I don’t expect a diagnosis will change much for me, but I think it would help me understand myself more and be a better parent for my son. Especially if my wife is diagnosed as well. 

thanks for listening x

Parents
  • 3 months ago
    NAS94617 said:
    has anyone A) had an occurrence of PTSD which has led to ND traits coming out? And B) can anyone offer any advice how to approach my GP during my appointment?

    I suspect your ND traits were always there but when under significant stress our ability to mask is greatly reduced so it is most likely this which leads to these traits becoming significantly more noticable.

    PTSD affects most autists unfortunately - some from an accumulation of smaller events and some from big events. The end results are much the same and these are things that a good therapist will work through with you to "unpack" the experience and steal its ability to be so intrusive in your life.

    As for approaching your doctor, just book an appointment, tell them you want a referral and go in with having done some homework.

    I would have a look at https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/symptoms-causes/syc-20352928

    make a list of the symptoms you find you exhibit noticably from this list and write a paragraph on each explaining how they exhibit.

    Keep this list (probably best to take a photo of it) and take a copy to the GP along with a printout of the web page and tell them that this is the reason for the request. I doubt any reasonable GP will refuse.

    Also ask them for the Right To Choose route which will get a private consultation in less than a year compared to up to 4 years on the NHS.

    When you do get your consult you can produce the list above to save having to re-remember it all and it will give you time to consider more about the experiences to discuss with them.

    Prior to the assessment you may want to read up on the types of test they will give you so you can satisfy your own curiosity and not get overly anxious.  You should be able to contact the company and ask them the names of the tests they will provide and the info is largely available on the internet.

    This would be what I would do in your situation anyway.

Reply
  • 3 months ago
    NAS94617 said:
    has anyone A) had an occurrence of PTSD which has led to ND traits coming out? And B) can anyone offer any advice how to approach my GP during my appointment?

    I suspect your ND traits were always there but when under significant stress our ability to mask is greatly reduced so it is most likely this which leads to these traits becoming significantly more noticable.

    PTSD affects most autists unfortunately - some from an accumulation of smaller events and some from big events. The end results are much the same and these are things that a good therapist will work through with you to "unpack" the experience and steal its ability to be so intrusive in your life.

    As for approaching your doctor, just book an appointment, tell them you want a referral and go in with having done some homework.

    I would have a look at https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/symptoms-causes/syc-20352928

    make a list of the symptoms you find you exhibit noticably from this list and write a paragraph on each explaining how they exhibit.

    Keep this list (probably best to take a photo of it) and take a copy to the GP along with a printout of the web page and tell them that this is the reason for the request. I doubt any reasonable GP will refuse.

    Also ask them for the Right To Choose route which will get a private consultation in less than a year compared to up to 4 years on the NHS.

    When you do get your consult you can produce the list above to save having to re-remember it all and it will give you time to consider more about the experiences to discuss with them.

    Prior to the assessment you may want to read up on the types of test they will give you so you can satisfy your own curiosity and not get overly anxious.  You should be able to contact the company and ask them the names of the tests they will provide and the info is largely available on the internet.

    This would be what I would do in your situation anyway.

Children
  • 3 months ago in reply to Iain

    I really like your posts Iain, but don’t agree with your point about looking into the tests beforehand. I would say this could affect the way a person approaches the tests, and could lead to trying to second guess, causing more stress. Everyone being different of course. Personally I would say don’t look up anything about theADOS tests until after doing them…