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Fnord
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22 Jul 2015, 8:07 pm

StarTrekker wrote:
Fnord wrote:
It is unlikely that a General Practitioner will be able to give you an appropriate diagnosis. Only appropriately-trained and licensed mental-health professionals can make an official diagnosis of an ASD. As far as I know, none of the members of WrongPlanet have that kind of training; and if they did, they would need to interview you in person. Your list of symptoms is entirely subjective, and is therefore unreliable. An objective opinion drawn from direct observation is essential for an accurate and valid diagnosis. Online tests can not provide an objective ASD diagnosis, either. I suggest that you ask your doctor for a referral to a psychiatrist or psychologist who specializes in Autism Spectrum Disorders.
Please go back and read the beginning of his post, Fnord. He's not asking us if we can diagnose him, he's asking if it's a worthwhile use of time to go to the effort of seeking a diagnosis at the age of 43 ...
Please go back and read the last sentence of my first post in this thread. I have set in in bold letters in the quoted text above for you to more easily notice it this time around.



StarTrekker
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23 Jul 2015, 1:00 am

He was already going to ask his GP; he would then receive a referral if the doctor decided one was needed.


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cathylynn
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23 Jul 2015, 1:12 am

here's a brief test based on the criteria docs use. the results might help you decide how you want to proceed. your description of yourself reminds me of me.

http://www.iautistic.com/test_AS.php



Skurvey
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23 Jul 2015, 1:30 am

All the advice above is helpful I think - definite, can't stress enough, you need an ASD specialist.

As for getting diagnosis in your 40s - I was diagnosed at 45. To me it was a great relief. It suddenly answered all the doubts I had; the way certain things did not occur to me. I was released from all my learnt social reactions, my filing cabinet of responses. I had an answer for my depressive feelings. I have even given up the grog, as it was my main social crutch. I think it's more about understanding yourself, knowing that you do this or that as part of your autism not cause your some weirdo.

It doesn't change who you are, but more like how you think about yourself - which is great for the self esteem.


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AspieUtah
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23 Jul 2015, 9:21 am

Skurvey wrote:
...can't stress enough, you need an ASD specialist....

This is true. In 2014, chose the first diagnostician who agreed to see me and accepted Medicaid. Bad choice. While she was friendly, she was the diagnostician for a therapeutic clinic whose primary clientele were children aged three to 11 years. The clinic itself was strewn with childrens' toys and tiny furniture. Her clinical experience was two years beyond getting her Master's degree. When I asked (humorously) if she had ever diagnosed "somebody as old as I am" (51 years at the time), she said "a few." Hm. She used the multiphasic Personality Assessment Inventory (PAI) which, I learned later, hasn't been validated for ASD diagnoses (though it did find two additional comorbid diagnoses; GAD and OCPD). She refused to consider (by accepting or refuting) my self-report screening inventories. She noted a few observable characteristics, but ignored most that I described. In the end, I felt that she was applying her knowledge of childhood ASD to an adult who, in his preceding 50 years had learned quite well to adapt (mask). That was, in part, my fault. Her knowledge base was limited. And, my ASD diagnosis was deferred.


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kraftiekortie
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23 Jul 2015, 9:24 am

You need someone who is schooled in 2015 autism.

Many clinicians are still steeped in 1980s (or older) standards as far as autism is concerned.



shepherd
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23 Jul 2015, 10:19 am

Many, many thanks all who have posted and PM'd with information and advice, it's reassuring to hear other people's stories and to get advice based on real life experience. So thank you all.

Apologies if my original post was ambiguous, I am/was aware that a GP couldn't diagnose, but it was my understanding that a referral must be made through a GP. However I think had I not posted here I would have simply accepted whoever a GP might have referred me to, rather than insisting on someone with up to date experience of diagnosis in adults.

As to my motivations for seeking an answer, I think I have beaten myself up a lot over the years, in part because I struggle so hard with social interaction, understanding and responding 'correctly' to people. For a long time I have felt like I am failing as a person in some way because of my inability to understand and enjoy other people or social situations in the effortless way most people seem to.

I have also suffered from depression and I suspect that this is actually, in some way, related to the frustration generated within myself about my own perceived failings and my inability to relate to people the way others do.

Accepting that this is just who I am and that I'm not 'broken' just different, could possibly be a huge relief. I think I would quite like to cut myself a break.

I am left in two minds. Is a diagnosis of whatever on a piece of paper going to give me anything more than an acceptance in my head of the same fact?

I don't know.



kraftiekortie
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23 Jul 2015, 10:24 am

If you're an adult, and are functioning independently, the diagnosis will probably serve, primarily, as something which reaffirms a personal impression.

Under the present climate, I doubt it if it will be of much use in a job sense. It's more useful within academic contexts.



Girl_Kitten
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23 Jul 2015, 10:33 am

shepherd wrote:
Many, many thanks all who have posted and PM'd with information and advice, it's reassuring to hear other people's stories and to get advice based on real life experience. So thank you all.

Apologies if my original post was ambiguous, I am/was aware that a GP couldn't diagnose, but it was my understanding that a referral must be made through a GP. However I think had I not posted here I would have simply accepted whoever a GP might have referred me to, rather than insisting on someone with up to date experience of diagnosis in adults.

As to my motivations for seeking an answer, I think I have beaten myself up a lot over the years, in part because I struggle so hard with social interaction, understanding and responding 'correctly' to people. For a long time I have felt like I am failing as a person in some way because of my inability to understand and enjoy other people or social situations in the effortless way most people seem to.

I have also suffered from depression and I suspect that this is actually, in some way, related to the frustration generated within myself about my own perceived failings and my inability to relate to people the way others do.

Accepting that this is just who I am and that I'm not 'broken' just different, could possibly be a huge relief. I think I would quite like to cut myself a break.

I am left in two minds. Is a diagnosis of whatever on a piece of paper going to give me anything more than an acceptance in my head of the same fact?

I don't know.


Are you currently depressed and seeking treatment for that? If so, a diagnosis may help your therapy. Depression and anxiety are often co-morbid conditions with Autism, in part because of the social failings common with us that you have described.



shepherd
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23 Jul 2015, 10:43 am

I was on tricyclics for a time last year and was about to go see the GP about it again. I have been having mood swings, panic attacks and bad sleep, which I have come to recognize as the warning signs.

It does make sense to me that the two things could be linked.