Struggling after being told I am not Autistic

Hi, I’m going to try and keep this short.

I recently had an assessment with Psychiatry UK where I was basically told I don’t struggle enough to have a diagnosis even though I do have autistic traits.

I have felt different my whole life and just cannot accept this as an answer. I am a woman in my early 20’s and I am aware of the fact that often women go undiagnosed because of outdated concepts as well as masking.

Has anyone else been in my situation before? And if so, how did you eventually get your diagnosis?

Thank you in advance, I’m feeling lost.

  • You’re exactly right. It almost felt as if I was being invalidated which left me feeling lost and questioning myself. But there is no denying that I am neurodiverse; I am so confident in that. I have since seen a counsellor; I mentioned this experience in another comment and she made me feel so validated. I’m really glad and lucky that I was able to do this as it’s going to help me understand myself further and I’ll hopefully be able to help make my life that bit easier by finding effective coping mechanisms.

  • As many have and will say, diagnosis is really only useful if you need it for support or,  to know why you had certain traits and feelings that meant you struggle in some way or ways in life so you can be more aware of yourself and how to care for yourself.

    There are some things that are so similar to autism and are treated differently (the meds for ADHD can mess with autistic People for example) so it's always best to have a diagnosis before any treatment that might bring risk with it. But if you don't feel you need medication then that's not an issue.

    Don't take it that you've been dismissed,  it would be easy for many autistic folks to not outwardly appear to need support, most of its hidden behind masking and mechanisms we've created to cope. I've been masking that long I can sometimes struggle truly being myself when I'm on my own!

    Even if it's not needed for any support reasons, It is sometimes just nice to have some confirmation of our own suspicions though, to know why we are the way we are and I guess this is what you feel you've had taken away from you??

  • Yes! There are a lot of undiagnosed autistic people in this world. We have the advantage of knowing who we are and having the possibility to better learn how to cope. We know that we are not alone. We have the explanation. This fact itself is a really helpful thing. Lack of diagnosis does not make you less autistic. You are who you are your whole life. I think your gp’s approach is good. 

  • Yeah I do think that must be the case. The only thing is, the things that I do struggle with didn’t really come up although mentioned in the pre assessment questionnaires. I’m going to follow my gp’s advice to get counselling for what I do struggle with as this may be all I need to help me cope better.

  • The 'work arounds' you describe are the result of your autism negatively affecting your daily life. A neurotypical person would not have any of your problems, that you are ingenious in finding ways to cope is not a negation of you having problems in the first place.

  • i think the issue perhaps is that a diagnosis is by doctors and they are doing diagnosis to then seek how to help you. if they realise you dont need help and your not struggling they move onto the next person, likely as they are busy and they only want to see people that seem to actually need help.

    you can if you wish take it as your autistic, but yet dont require help. the diagnosis bit is mainly to get help. a treatment, a triage for a issue. if no help is needed they dont proceed. they said you have autistic traits but dont need help, so they are saying your autistic but a diagnosis is mainly for proceeding with help and you dont need that help so they are saying diagnosis isnt necessary but the fact they said you have the traits they are pretty much saying you are. so if you want you can take it in your mind as a admission and diagnosis, but not on system no help required so they didnt put you through their system.

  • I recently came into the knowledge that I am neurodivergent. I was told that it would be really difficult to get an official diagnosis on the NHS, but having completed a great many self-tests and research on the spectrum, I am 100% convinced that I possess high-functioning autism. It has explained a lot of things about my behaviour, both currently and in the past, and I have found the whole experience to be liberating and validating. At this point I don't feel I need the 'official diagnosis' at all. There is enough empirical evidence for me to feel confident of what I have and who I am. 

    If you feel that you have autistic traits and that everything you've read about it matches and explains your behaviour, then let that be enough for you. Official diagnoses are driven by criteria that is constantly shifting. False negatives are bound to occur. 

  • I spoke to my gp who recommended counselling for accepting myself and to help with my struggles.

    She told me that I don’t need the label and that if I have autistic traits then I do and that’s what makes me who I am. 

    I think it was just hard for me to accept because I know that I do not function like a neurotypical person and I just wanted to have that validation almost to prove it to myself and others. So I’m hoping that counselling will help me to accept myself and not care what other people think of me or say about me. I’m also hoping that it will actually help me cope with the things I do struggle with.

  • I absolutely agree. We fit here so this is place for us. Autism is a life long condition meaning it should be diagnosable during the whole life. I also manage by myself, therapists disappointed me so far but I keep looking. This site also helps me a lot. I know I would have been diagnosed when I was a kid if my mom has agreed to have me tested. Even now when I told her I’m autistic, she said “no, you can’t be autistic because autistic people do repetitive movements” - I do them. - yes, but it’s not like that. And then I hear “stop rocking, stop bouncing your leg, picking your lip” etc. other time I hear that I can’t be autistic because 10 years ago I went to a company party that had a lot of activities outdoors and that was the only reason I we t there. Otherwise I hear “stop sitting alone go party meet some people” and lady but not least “autistic people have no friends or only one friend” I have one long term friend. Then I hear “yeah but it doesn’t make you autistic”. They can point out all my traits like understanding things literally or catching slower than others, other things that are classic autistic traits but if I suggest that I’m autistic then I hear no. The knowledge and awareness are empowering, so I don’t care what they say anymore

  • I just wanted there to be an explanation for how I am.

    You have autistic traits which almost certainly means you are on the autism spectrum so it helps to understand about autism as a whole and then dig into information about the traits you experience. I would recommend the following for this:

    Understanding Autism For Dummies - Stephen Shore, Linda G. Rastelli, Temple Grandin (2006)
    ISBN 0764525476

    A super simple summary is that your brain developed a different way to the majority of people (about 15% of the population is neurodivergent, of which 2% are autistic, so there are a lot of us) through a process that is still being understood so all they say at the moment is that it is probably genetic with a few other factors.

    The brain development meant that a lot of the information filters that are wide open in very young children do not start to switch off or consolidate which is the case for neurotypicals - instead we have lots of information flooding into us and it is why so many of us are super sensitive to light, sound, smell, touch etc.

    Everyone seems to get a random selection of traits and intensities for some reason (still being researched) but this means we are all a bit different to one another, making it hard to lump us together and point at someone to say "they're autistic".

    So in summary - we don't know enough yet but you are who/what you are and the best thing is to accept it and deal with what you can identify which are your traits.

    If you stuggle with these then a therapist skilled in autism would be my recommendation for helping you come to grips with it and accept yourself.

    That is the whistlestop summary if it helps.

  • Hey there

    Thanks for posting, I have not started the process of seeking an assessment yet but I plan to. Like you said I need validation for myself and to understand why I have struggled being so different all my life so far. 
    This obviously isn’t picked up on easily as I mask a lot, it’s how I’ve survived so far but awareness has made me question why should I mask. 
    I am terrified of being told that I am not autistic as internally I struggle most days with something, I am not after support from the NHS and feel like I can just about manage things myself by being on here, having my therapist and being by myself as much as I can. This is difficult as I’m married (just about) with 2 children one of which is autistic. 
    I think anyone who is self diagnosed is completely valid, just to be taking part on here tells me that you have found a place where you fit. That’s happened for a reason. 
    I totally understand why you feel disappointed as I would and probably will too in the future.

    As the others have said it doesn’t mean that you are not it just means that you didn’t match their criteria. 
    You know yourself well enough to identify so accept your own judgment. 

    I do wish you well in the future and stick around here. 

  • I find myself in the points mentioned by you. But these issues still affect my life mildly. I don’t go out with anyone, avoid crowded places, shopping centres, anything that makes me feel uncomfortable. I cover my ears in the bus, I use sunglasses, I keep at least few meters distance if there is someone with strong perfume around me. Watching movies or tv is overwhelming to me, so I hardly ever watch anything, or even if - with breaks and the lowest possible brightness. I also can’t drive a car due to overwhelm and panic attacks. But there is a solution- public transport. So I don’t think I would be asessed with list of issues that don’t impact my life significantly. I even managed to find a job that minimises my anxiety. The only thing that I feel impacts me is struggle making friends and maintaining friendships. I tried but people always somehow ghost me and I don’t even know why. 

  • One of the prerequisites for a diagnosis of ASD/ASC is that it has to have a negative impact on your day to day life. This impact can be many things: not being able to make phone calls to make appointments, having to get off buses because someone's perfume is overwhelming, people misunderstanding you because of your facial expression or tone of voice, being unable to engage in conversations because of background noise, finding crowded places unbearable, being unable to easily switch between tasks at work, finding it difficult to initiate conversations with strangers, the list is potentially endless. I think that you may have not emphasised how and to what degree your autism impacts you. If you come across as not requiring any support or accommodation in daily life, the assessor will not diagnose you, I'm afraid. You cannot rely on an assessor asking the right questions, you have to be proactive and write these things down unambiguously on any forms and bring them up during an assessment.

  • Being “high functioning” and high masking gives the big risk of falling in cracks. You may be autistic (because this is the structure of the brain, you are not only periodically autistic- when you suffer the most) so this is the sad thing that you are not suffering enough to get diagnosis, you are too “normal” or at least you seem that way if you can pass as NT, but you are not “normal” enough to fit in and just live your life like everyone else. I’m not even going for diagnosis, for few reasons, but currently I know that I’m so well, I wouldn’t get one. I have a job, which I like, I have one friend and family. So yes, I’m lucky and comparing to many other autistic people who are alone I’m really well. Currently. But I used to suffer a lot. I think you can try with a private clinic. For me getting diagnosis is not a priority, because the knowledge and awareness and this site help me enough. Unlike the mental health professionals who gave me mostly negative experience such as gaslighting, wrong diagnoses, awful meds that didn’t help etc. I myself figured out what suits me best, I discover myself and it’s interesting journey, with help of this forum I found the emotional wheel which helps me a lot too. All that without official diagnosis, I just concentrate on growing, developing and finding solutions for myself regardless of psychiatrist’s opinion. Once I heard that I have many autistic traits but I’m married so I’m not really autistic. Other time I heard that it’s not a problem I don’t have any friends close to where I live (my only friend lives in other country). 

  • They are a private organisation paid for by the NHS. 

    I suggest you appeal and seek support from advocacy groups. 

  • Hi, thank you for your advice, I really appreciate it! I just feel as though what I do struggle with wasn’t really mentioned or spoken about. I know it might sound silly, but the reason why I went for a diagnosis was for validation of my feelings and  experiences I have had and do have. I just wanted there to be an explanation for how I am.

  • Urgh... sounds like a partial assessment. It's a shame. There really should be an ASD Level 0. I think that the required amount of support needed can change through someone's life. You may be "fine" now according to the assessment, but it doesn't mean that will always be the case. To be clear, I don't think that they have said you are not autistic. But I'm not a doctor.

  • I had to complete a questionnaire that went through birth until now. I also had to have a relative fill a similar questionnaire out about me. I then had an online teams call as my assessment. I just feel as though what I do struggle with wasn’t really spoken about. The psychiatrist said that because I have friends and can understand other people’s feelings and didn’t struggle academically that he wouldn’t diagnose me. Slight smile

  • Reading what you have said very carefully. I don't think that they are saying that you are not autistic, but they are not willing to do the proper tests based on what they think 'struggle' means. Is that correct? Or did you actually have the full blown assessment with the picture books, puzzles and talking to your relatives?

  • I have felt different my whole life and just cannot accept this as an answer

    It helps to bare in mind that the label of autism given out by these assessments is about whether you are affected by your neurodiverse traits enough to meet the threshold of being disabled.

    Neurodiversity is a spectrum which means you have a number of different traits, each at a level of impact on your life. If you have enough at a high enough level then you qualify as disabled.

    You are quite probably still neurodivers but not badly enough effected to meet the threshold value that has been somewhat arbitarily chosen.

    In essence, you are autistic but not enough to need help.

    You are still capable of suffering from your traits so I would advise to consider yourself as autistic and look up the traits you exhibit and learn how to manage them and improve your quality of life.

    Look at the posts here, contribute, ask questions and learn - that is what this site is for, and also for some social chit chat sometimes Slight smile

    We will still consider you as one of us if that means anything.