How to distinguish between several possibilities...(SA/AS)
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Spazzergasm wrote:
right now i really cant tell if it would be AS thats causing social anxiety disorder... or maybe in fact it's something like ADD? how can i tell if i have social anxiety because of AS, or maybe just think i have AS because im so nervous around people?
I'm sure there are a lot of misdiagnoses on that. Part of it is just if treatment doesn't work, I guess. I worked in therapy for a long time to get over some of my social anxiety, but being confidant in social situations ended up leading me to be confident that I could do things I couldn't do... I'd confidently botch up social interactions. "Trust myself," yadda yadda, to know when somebody is joking, only to find myself in a world of trouble when it turned out that they weren't joking.
When you go through therapy and learn to put aside your "neurotic fears" only to realize that those fears were totally justified.. they must not have been neurotic fears!
Especially so far as mental issues, people get misdiagnosed all the time. If the treatment for something makes you worse, you're probably being treated for the wrong problem.

It is difficult to tell the difference. The differential diagnosis between the two tends to focus not on the social aspects--which can be near identical and difficult to tell apart--but on the other aspects of autism, which won't be there if you only have social anxiety disorder by itself.
This list is the big difference between social anxiety and Asperger's:
Quote:
(C) restricted repetitive and stereotyped patterns of behavior, interests and activities, as manifested by at least two of the following:
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects
So here we see somebody who has special interests (#1), is very attached to routines (#2), stims (#3), and has an overwhelming focus on details instead of big picture (#4). You wouldn't expect any of these traits in someone with just social anxiety disorder.
This list is from the Autism description. These aren't in the Asperger's list, but an Aspie can have them if they're an Aspie with odd speech (falling just short of Autistic Disorder diagnostic category). If you see these in someone with social anxiety, an ASD is very likely.
Quote:
(B) qualitative impairments in communication as manifested by at least one of the following:
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
#1: Speech delay or being non-verbal
#2: inability to keep up your end of a conversation, or just inability to get what a conversation is in the first place
#3: Echolalia, functional or not; pre-recorded speech; pronoun reversal; making up your own words (neologisms); playing with words by repeating them over and over; using words for the way they sound instead of what they mean
#4: As a kid, played mostly by enjoying the sensory aspects of the objects you played with--ex., lining up, making patterns, letting the light reflect from them, spinning them, etc.--and didn't do make-believe play.
The reason I'm including the Autism criteria is that they are a good way to tell apart someone who is AS/Autism from someone who has social phobia + giftedness. A gifted child can have pedantic speech and special interests without being autistic.
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Callista wrote:
It is difficult to tell the difference. The differential diagnosis between the two tends to focus not on the social aspects--which can be near identical and difficult to tell apart--but on the other aspects of autism, which won't be there if you only have social anxiety disorder by itself.
This list is the big difference between social anxiety and Asperger's:
So here we see somebody who has special interests (#1), is very attached to routines (#2), stims (#3), and has an overwhelming focus on details instead of big picture (#4). You wouldn't expect any of these traits in someone with just social anxiety disorder.
This list is from the Autism description. These aren't in the Asperger's list, but an Aspie can have them if they're an Aspie with odd speech (falling just short of Autistic Disorder diagnostic category). If you see these in someone with social anxiety, an ASD is very likely.
#1: Speech delay or being non-verbal
#2: inability to keep up your end of a conversation, or just inability to get what a conversation is in the first place
#3: Echolalia, functional or not; pre-recorded speech; pronoun reversal; making up your own words (neologisms); playing with words by repeating them over and over; using words for the way they sound instead of what they mean
#4: As a kid, played mostly by enjoying the sensory aspects of the objects you played with--ex., lining up, making patterns, letting the light reflect from them, spinning them, etc.--and didn't do make-believe play.
The reason I'm including the Autism criteria is that they are a good way to tell apart someone who is AS/Autism from someone who has social phobia + giftedness. A gifted child can have pedantic speech and special interests without being autistic.
This list is the big difference between social anxiety and Asperger's:
Quote:
(C) restricted repetitive and stereotyped patterns of behavior, interests and activities, as manifested by at least two of the following:
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects
So here we see somebody who has special interests (#1), is very attached to routines (#2), stims (#3), and has an overwhelming focus on details instead of big picture (#4). You wouldn't expect any of these traits in someone with just social anxiety disorder.
This list is from the Autism description. These aren't in the Asperger's list, but an Aspie can have them if they're an Aspie with odd speech (falling just short of Autistic Disorder diagnostic category). If you see these in someone with social anxiety, an ASD is very likely.
Quote:
(B) qualitative impairments in communication as manifested by at least one of the following:
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
#1: Speech delay or being non-verbal
#2: inability to keep up your end of a conversation, or just inability to get what a conversation is in the first place
#3: Echolalia, functional or not; pre-recorded speech; pronoun reversal; making up your own words (neologisms); playing with words by repeating them over and over; using words for the way they sound instead of what they mean
#4: As a kid, played mostly by enjoying the sensory aspects of the objects you played with--ex., lining up, making patterns, letting the light reflect from them, spinning them, etc.--and didn't do make-believe play.
The reason I'm including the Autism criteria is that they are a good way to tell apart someone who is AS/Autism from someone who has social phobia + giftedness. A gifted child can have pedantic speech and special interests without being autistic.
hmmm....well i USED to be obsessed with reptiles....fervently obsessed. and i have tended towards having a few intense hobbies....but have been feeling so less and less...which may be dude to depression ive mentioned before.
while i do have rituals i stongly prefer to adhere to, and maybe a few i can get extremely distressed over, im really pretty flexible.
how does it mean by motor mannerisms? does it mean like nervous habits? because i tap my fingers and stuff a lot. i dont know if it's abnormally though. and i would say im more of a big picture person.
in the autism bit, i have/had a bit of both 3 and 4....im not sure if i have enough of any of these however.
darnit! i need a diagnosis.