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138poohbear
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27 Nov 2017, 7:05 pm

Today I've been told by the NHS that it's unlikely I can get a diagnosis without someone to provide evidence about my childhood. I'm 57 and there isn't anyone who can do that.

It's made me very agitated after what I've gone through in the last two months, realising this and getting evidence from people who know me now.

Is this right? Does anyone else have experience that would help getting a late diagnosis?

Many thanks.



Keladry
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27 Nov 2017, 8:21 pm

Most places will want to talk with someone who knew you when you were little. Some will do a diagnosis without doing that. For example, when I was diagnosed, the psychologist had not talked to my parents or sister or anyone else (however, I had also done quite a bit of research by looking through old records, and talking to people myself, albeit not in the frame of autism, and so could pass on the information). If you look around enough, you may be able to find someone who will diagnose you without needing to talk to your parents. No matter what though, I would try to find as much evidence as you can about your childhood (ie. school reports, other documents, etc.).

btw, just saw you posted about NHS, so you are in Britain. I'm in the US, but from what I've read on here, you would probably have to go outside of the NHS and do a private assessment if you don't have someone who can talk to them concerning your childhood.



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28 Nov 2017, 1:25 am

A sibling could be useful.


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Heidi60
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17 Dec 2017, 6:14 am

Hi, I received my diagnosis a year ago, I was 56, I had no one who could answer any questions about my childhood, they just asked me things about it, the whole assessment took just over 3 hours, don’t give up Hun, oh I had my assessment done in Sheffield

Good luck hun



138poohbear
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17 Dec 2017, 6:55 am

Thanks so much for the replies - I should have done this a while ago but have just been constantly overloaded.

I've got my first assessment with the psych tomorrow so I really appreciate the encouragement from Sheffield. :) I'm in Ayrshire. I feel like it's the test of a lifetime. Will I pass?! Lol.

Thank you. xx



Heidi60
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17 Dec 2017, 7:17 am

Oh wow! Good luck for tomorrow, I normally hate to ravel and meet with people, especially drs, but that day was so exciting, important and scary all rolled up into one, lol, and once she and the other dr told me my result, it was a big hurrah moment, now all my life suddenly was explained, all my quirks, my fears etc.
Just be yourself, you’ll do fine, let us know how you got on please

Heidi



138poohbear
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17 Dec 2017, 7:30 am

Will do, Heidi. Thanks.

I'm told it will be 4 -6 appointments a month apart so it could be some time!

But, yes. It's the one time when I just have to be myself rather than the person I've been masking all these decades!



Heidi60
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17 Dec 2017, 7:55 am

Ahh! I’m with you now, after years of getting someone to listen to me, I found it in the psychotherapist I was seeing, I told him that I don’t think it’s depression/high anxiety, told him I did the online tests for Aspergers, he got me to do one for him, he then agreed with me, he was my saviour, :D he wrote to my dr requesting she refer me to the Sheffield adult autism service, the same dr who laughed at me saying I didn’t have ASD, well maybe 4 or 5 weeks later I had forms to fill out prior the my assessment, and the rest is history lol, Never ever give up Hun, we deserve all we have been denied, Now awaiting a assessment date for my 13 year old daughter, I know she won’t have to struggle like us :heart:

I’m here if you need to chat, vent etc



AspieUtah
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17 Dec 2017, 8:07 am

138poohbear wrote:
Today I've been told by the NHS that it's unlikely I can get a diagnosis without someone to provide evidence about my childhood. I'm 57 and there isn't anyone who can do that.

It's made me very agitated after what I've gone through in the last two months, realising this and getting evidence from people who know me now.

Is this right? Does anyone else have experience that would help getting a late diagnosis?

Many thanks.

I know that what I describe here (in the United States) isn't too helpful regarding diagnostic criteria or policy in the United Kingdom. During my assessment in 2015, I attended my diagnosticians alone, but I had built a huge pile of evidence describing my autistic behaviors, characteristics and comorbids. I included a few of my photographs from my early years in which I refused to smile (or was crying for no reason) and, best of all, I brought my mom's Baby Book that she wrote and kept for me over the years. The book described in detail my neologisia (creating words; something autists often do as children). In combination, these artefacts and descriptions convinced my diagnosticians that my autism manifested in my earliest years (something a diagnosis for autism expects to find).

Focus on one or two behaviors or characteristics you remember having in early childhood, and describe them well in your own words, or with old artefacts. Others on Wrong Planet have mentioned that school records (like report cards) can innocently mention certain behaviors or characteristics that we know see as autistic.

Good luck! :)


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Last edited by AspieUtah on 17 Dec 2017, 8:10 am, edited 1 time in total.

138poohbear
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17 Dec 2017, 8:10 am

Thank you, Aspie Utah. Must be early there!

I don't really have photos or school records but I have a ton of memories I've noted down so at least I've got that.

It's quite a thing to go over your childhood at this distance and realise how it all fits. Just need to convince the psych.



138poohbear
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17 Dec 2017, 9:53 am

Thanks, Heidi. I've sent you a PM.



AspieUtah
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17 Dec 2017, 10:03 am

138poohbear wrote:
Thank you, Aspie Utah. Must be early there!

I don't really have photos or school records but I have a ton of memories I've noted down so at least I've got that.

It's quite a thing to go over your childhood at this distance and realise how it all fits. Just need to convince the psych.

Yes, because I help care for my (86-year-old post-stroke) mother, I find that waking up at about 4:00 a.m. helps me complete some of the things in my life before I launch into hers for the next 16 hours a day.

I am glad that you have memories you could describe. I did this, and it worked well. Because of the abundance of descriptions, my diagnosticians simply accepted it all rather than challenging my memories one by one.

Yes, it was quite cathartic to review, systemize and analyze the first 53 years of my life. I was worth the effort beyond the diagnosis.


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Diagnosed in 2015 with ASD Level 1 by the University of Utah Health Care Autism Spectrum Disorder Clinic using the ADOS-2 Module 4 assessment instrument [11/30] -- Screened in 2014 with ASD by using the University of Cambridge Autism Research Centre AQ (Adult) [43/50]; EQ-60 for adults [11/80]; FQ [43/135]; SQ (Adult) [130/150] self-reported screening inventories -- Assessed since 1978 with an estimated IQ [≈145] by several clinicians -- Contact on WrongPlanet.net by private message (PM)


ASPartOfMe
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17 Dec 2017, 12:12 pm

138poohbear wrote:
Will do, Heidi. Thanks.

I'm told it will be 4 -6 appointments a month apart so it could be some time!

But, yes. It's the one time when I just have to be myself rather than the person I've been masking all these decades!


It is thorough so that should give you confidence in the result. I would advise you to discuss the masking in some detail, why you feel the need to do it, what you do etc.


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DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity

It is Autism Acceptance Month

“My autism is not a superpower. It also isn’t some kind of god-forsaken, endless fountain of suffering inflicted on my family. It’s just part of who I am as a person”. - Sara Luterman


138poohbear
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18 Dec 2017, 12:40 pm

Well, I'm just back from the assessment. It was pretty uncomfortable.

Lasted 90 minutes and the psych was quite full on, giving me loads of info at the start, sitting right opposite me in my personal space, no handshake until I offered one and I got overloaded. Also he told me he had already prepared a report about me from speaking to other members of the team I had seen and from the paperwork supplied to him. I was a bit put out by that, given that he hadn't even met me before drawing that up.

After putting on the sunglasses and re-arranging the seating so I was at 90 degrees to him instead of right opposite, I managed to relax a bit and he started asking questions which made it easier. We covered all the points I was expecting - sensory, social, obsessions, stims (though he he didn't know that word) etc - and I did feel better towards the end.

He made it clear his department didn't specialise in ASD diagnosis but, hinting that what he had already learned about me and his own experience with me would be enough, he didn't think it would be necessary to refer me to someone more specialised. I took from that, that I fit the bill so far.

What he also said, in terms of not having childhood evidence, was that without such evidence before the age of 3 he could only give a conditional diagnosis. He mentioned someone in a similar situation, and that was their result.

There are two more sessions to go where he will further refine the report, with me being able to read it and have input, and that will be that.

Phew. I think it's relatively a good outcome but I'm thoroughly drained.

Thanks for all your input. It really, genuinely helped to know you guys were there for me. :)



AspieUtah
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18 Dec 2017, 1:35 pm

138poohbear wrote:
Well, I'm just back from the assessment. It was pretty uncomfortable.

Lasted 90 minutes and the psych was quite full on, giving me loads of info at the start, sitting right opposite me in my personal space, no handshake until I offered one and I got overloaded. Also he told me he had already prepared a report about me from speaking to other members of the team I had seen and from the paperwork supplied to him. I was a bit put out by that, given that he hadn't even met me before drawing that up.

After putting on the sunglasses and re-arranging the seating so I was at 90 degrees to him instead of right opposite, I managed to relax a bit and he started asking questions which made it easier. We covered all the points I was expecting - sensory, social, obsessions, stims (though he he didn't know that word) etc - and I did feel better towards the end.

He made it clear his department didn't specialise in ASD diagnosis but, hinting that what he had already learned about me and his own experience with me would be enough, he didn't think it would be necessary to refer me to someone more specialised. I took from that, that I fit the bill so far.

What he also said, in terms of not having childhood evidence, was that without such evidence before the age of 3 he could only give a conditional diagnosis. He mentioned someone in a similar situation, and that was their result.

There are two more sessions to go where he will further refine the report, with me being able to read it and have input, and that will be that.

Phew. I think it's relatively a good outcome but I'm thoroughly drained.

Thanks for all your input. It really, genuinely helped to know you guys were there for me. :)

I didn't know that "conditional" diagnoses could be made. :? But, maybe it will become "unconditional" after the assessment(s) are completed, and he has discussed the matter with the members of the team you had seen. It sounds like he is going the extra mile for you.

I am glad you made it through, so far! It is looking good for you. :D


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Diagnosed in 2015 with ASD Level 1 by the University of Utah Health Care Autism Spectrum Disorder Clinic using the ADOS-2 Module 4 assessment instrument [11/30] -- Screened in 2014 with ASD by using the University of Cambridge Autism Research Centre AQ (Adult) [43/50]; EQ-60 for adults [11/80]; FQ [43/135]; SQ (Adult) [130/150] self-reported screening inventories -- Assessed since 1978 with an estimated IQ [≈145] by several clinicians -- Contact on WrongPlanet.net by private message (PM)


138poohbear
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18 Dec 2017, 1:49 pm

Thanks AspieUtah.

I think he meant the diagnosis would have a qualification that it was done without childhood evidence which cannot be produced. In relation to the person he cited, he said that was enough for that person.

In relation to me, he seemed to indicate that if it wasn't enough for me, a further referral to a more specialised time might be possible but he was keen not to jump the gun on anything.