Afraid of not getting autism diagnosis

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26 Dec 2020, 10:13 pm

Here's one thing that puzzles me. Why do I want this diagnosis so much? I am not even 100% sure I'm autistic. There are certain key characteristics lacking, that seem to be very typical for those on the spectrum. Routines and habits for example. Not only I don't need those, but on the contrary, I really need changes and challenges, otherwise I become frustrated. So I like to move countries regularly. Or at least furniture. Another lacking typical characteristic is sensory sensitivities. I don't think I have those. On the contrary, I like loud noises, unless they are people's voices.

So, right now, I don't think people could tell I'm autistic. I function, I socialize, I look people in the eyes, I listen to them. It just takes effort, that's all. And sometimes I'm still awkward, especially in uncommon social situations. But that can happen to everyone. I tried to tell my boyfriend about my suspicions, he didn't believe it.

My suspicions came after seeing a TED talk by a girl who told how girls with Aspergers fly under the radar because of their abilities to imitate proper behavior. That! That was me. That was my childhood. I always wanted to have friends but had no clue how to get them. I used to think that I need to say interesting things to get people interested in me. That never worked. So I was alone and I watched them. And I still couldn't figure it out. I had no idea that emotions are supposed to be involved in communication. I realized that in my late twenties when I did some group psychotherapy, accidentally. It was about communication. I watched the other members of the group sharing their feelings. When one cried, the others got sad, and some of them cried too. When one was happy, the others were happy for her and said supportive phrases. No one tried to say anything interesting. They said very simple things, something cliche, something you would expect to be said because they all say it. And they all preferred it that way. I was going to this group therapy for a year. And I got it! I actually got it. I think I even felt it. So I kept watching like I always did, but this time I knew what to look for. I was assessing people's feelings. Trying to understand what is the topic of the conversation. Keeping myself to that topic. Listening more. Mirroring their feelings. Saying simple things. After that, friendships and relationships became easier. Although I still struggled to keep them, and every time I moved country, I didn't keep in touch with the friends I made.

So now, I am almost normal... It just took me extra three decades to become like this, compared to everyone else... They knew it from childhood. And I started getting it only towards my thirties. I didn't think this was because of autism, I didn't know much about autism then. I just thought I was socially dumb and insensitive.

I struggle. I am probably depressed. Most of my life is wasted. So many wrong choices made. My current relationship among them. It got so bad a couple of years ago, that I became determined to find out what is wrong with me. Why am I so socially stupid, why I don't feel like I'm at home anywhere I go? I researched a number of various disorders. Then I saw that TED talk about Aspergers in girls. It clicked. I checked the list of symptoms for aspie girls. About 80% applied. Strangely enough, it got me excited. It looked like the answer to my problems. Or at least a starting point, from which I could go and find a solution.

But at the moment I feel a bit stuck with this. I think maybe I should get a proper diagnosis and talk to a psychologist. On the other hand I am postponing it as much as I can, because I am afraid that the psychologist will say I am normal. This could happen, because I am now indeed almost normal, thanks to what I've learned, thanks to how I can pretend. Or, this could happen, because my current country doesn't really have therapists who specialise in adult autism. I know they picked up on children's autism recently, but no one talks about adult autism here.

And I don't really understand, why am I so afraid of not getting diagnosed. After all, I am not sure myself... Maybe I AM normal, afer all. But if I am, then why? Why all of this, why?



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27 Dec 2020, 1:08 am

cornerpiece wrote:
Here's one thing that puzzles me. Why do I want this diagnosis so much? I am not even 100% sure I'm autistic. There are certain key characteristics lacking, that seem to be very typical for those on the spectrum. Routines and habits for example. Not only I don't need those, but on the contrary, I really need changes and challenges, otherwise I become frustrated. So I like to move countries regularly. Or at least furniture. Another lacking typical characteristic is sensory sensitivities. I don't think I have those. On the contrary, I like loud noises, unless they are people's voices.

So, right now, I don't think people could tell I'm autistic. I function, I socialize, I look people in the eyes, I listen to them. It just takes effort, that's all. And sometimes I'm still awkward, especially in uncommon social situations. But that can happen to everyone. I tried to tell my boyfriend about my suspicions, he didn't believe it.

My suspicions came after seeing a TED talk by a girl who told how girls with Aspergers fly under the radar because of their abilities to imitate proper behavior. That! That was me. That was my childhood. I always wanted to have friends but had no clue how to get them. I used to think that I need to say interesting things to get people interested in me. That never worked. So I was alone and I watched them. And I still couldn't figure it out. I had no idea that emotions are supposed to be involved in communication. I realized that in my late twenties when I did some group psychotherapy, accidentally. It was about communication. I watched the other members of the group sharing their feelings. When one cried, the others got sad, and some of them cried too. When one was happy, the others were happy for her and said supportive phrases. No one tried to say anything interesting. They said very simple things, something cliche, something you would expect to be said because they all say it. And they all preferred it that way. I was going to this group therapy for a year. And I got it! I actually got it. I think I even felt it. So I kept watching like I always did, but this time I knew what to look for. I was assessing people's feelings. Trying to understand what is the topic of the conversation. Keeping myself to that topic. Listening more. Mirroring their feelings. Saying simple things. After that, friendships and relationships became easier. Although I still struggled to keep them, and every time I moved country, I didn't keep in touch with the friends I made.

So now, I am almost normal... It just took me extra three decades to become like this, compared to everyone else... They knew it from childhood. And I started getting it only towards my thirties. I didn't think this was because of autism, I didn't know much about autism then. I just thought I was socially dumb and insensitive.

I struggle. I am probably depressed. Most of my life is wasted. So many wrong choices made. My current relationship among them. It got so bad a couple of years ago, that I became determined to find out what is wrong with me. Why am I so socially stupid, why I don't feel like I'm at home anywhere I go? I researched a number of various disorders. Then I saw that TED talk about Aspergers in girls. It clicked. I checked the list of symptoms for aspie girls. About 80% applied. Strangely enough, it got me excited. It looked like the answer to my problems. Or at least a starting point, from which I could go and find a solution.

But at the moment I feel a bit stuck with this. I think maybe I should get a proper diagnosis and talk to a psychologist. On the other hand I am postponing it as much as I can, because I am afraid that the psychologist will say I am normal. This could happen, because I am now indeed almost normal, thanks to what I've learned, thanks to how I can pretend. Or, this could happen, because my current country doesn't really have therapists who specialise in adult autism. I know they picked up on children's autism recently, but no one talks about adult autism here.

And I don't really understand, why am I so afraid of not getting diagnosed. After all, I am not sure myself... Maybe I AM normal, afer all. But if I am, then why? Why all of this, why?

Welcome to wrong planet

You probably need to see a psychologist because of two main reasons.
1. Things are not working out in your life at the moment, you are depressed, relationships not working out etc.
2. Your last sentence says it all you need to know WHY. That why might not be autism but you need to know it.

Assuming it is autism just because over the decade's autistic people learn how to act nonautistic does not change the fact they are autistic. Too much not being oneself does cause problems.

Finding a proper specialist to assess women is difficult. One good thing to come out of the pandemic is that people have learned how to do things remotely. So a lot of the assessment can be done at home with maybe one or two in-office visits. I am not sure but if your country is a member of the European Union assessments might be valid in all member countries. We do have European members who can probably help you more than I can.

In the meantime, we are here and many of your issues are quite familiar to other members here. Whether you need practical advice or just people to listen to you that have an idea of what you are going through this is a good resource.


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“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


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Blue Jay
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27 Dec 2020, 4:31 am

ASPartOfMe wrote:
Whether you need practical advice or just people to listen to you that have an idea of what you are going through this is a good resource.


Thank you very much.
I wasn't exactly sure what I needed, probably both listening and advice. And both make me feel better, so thank you.

I was also hoping maybe someone else had similar doubts and fears, or still has them. They could share them here, too.



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27 Dec 2020, 5:16 am

As a child I struggled with social interaction and sensory issues, to the point of distress at times. Until the age of 10 I was chronically underweight as I avoided food mainly due to strong dislike of various textures. I was raised by my elderly grandparents who took my to the local GP a number of times but in those days there was little understanding of many of the disorders including ASD that are now better understood.

I felt alone and different. However, I did form friendships with a small number of children at school and this set me on a course of practicing social skills and behaviour in order to fit in. It took a long time but I by my late 20's I could get by though it took another 30 years before I could feel reasonably comfortable in social situations.

I gravitated towards health care, initially interested in the technical and scientific aspects of this but found that the necessary contact with others further speeded up the above process. I became interested in other people, finding their behaviour fascinating - but often felt like an observer, someone who didnt belong.

I had a string of unsuccessful relationships which included two failed marriages. The positive here was two daughters - who have been the constants in my life, and now have children of their own.

Having worked with people with ASD I realised many years ago that I was on the spectrum - in fact my second wife would often say, usually after some conflict relating to various aspects of my 'obsessional' and repetitive behaviour that I was definitely Autistic.

However I avoided any kind of diagnosis at all costs and wouldnt even discuss the possibility. Why? I now know it was the fear of being told I wasnt Autistic. If I wasn't then why was I different? Was I ill? Did I have some deeply routed personality problem? Did I have no diagnosable issue and if so where did that leave me? The prospect of being left in a position of such uncertainty frightened me so I avoided it.

Fast forward to two years ago as I approached my 60th birthday and at the start of a new relationship I decided to get a grip on the issue. My new partner, who had been previously married to someone with Aspergers asked me why I hadnt been diagnosed. I was quite shocked - was it so obvious? She said that it wasnt obvious at all, but it was to her.

I decided to go through the diagnostic process. I did this privately due to the long NHS waiting list. I wasnt worried about the process but I was very worried about the outcome - what if I didnt have Autism? Where would that leave me?

In any event I went ahead. The Psychiatrist who confirmed the diagnosis at the end of the process said that I had developed refined masking strategies and coping mechanisms but the clinical team had no doubt at all about my diagnosis. At my request the report and confirmation was sent to my GP and placed on my NHS file - not that I needed any action to be taken, but I just wanted it on record.

This process brought me a measure of peace and calm that I find hard to describe. It helped frame a narrative with my family that means they understand why I sometimes have to wear earplugs when the grandchildren are visiting or need to take myself away from people at times plus all the other eccentricities that are obvious. We now all have a common understanding.

I dont discuss it at work because I dont need to. I feel that I am good at my job and my colleagues respect what I do and value my opinion and co-working with me. A number comment in a light hearted way that I am definitely on the spectrum - but then, I believe a number of them are too!

Had I not been diagnosed then I would have just had to continue figuring out what was at the core of my actual and perceived difference, thats all - it wouldnt have been the end of the world. I see that now.


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cornerpiece
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27 Dec 2020, 10:11 am

Velorum wrote:
...


Wow. Velorum. You've put it into words so well. And thank you for your story.

I guess it's worth to overcome this fear and try getting the diagnosis. And if I don't get a positive one immediately, due to lack of local expertise, I might try ASPartOfMe's advice and see if I can get a it remotely, from a specialist in Europe.



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27 Dec 2020, 10:46 am

cornerpiece wrote:
Here's one thing that puzzles me. Why do I want this diagnosis so much? I am not even 100% sure I'm autistic. There are certain key characteristics lacking, that seem to be very typical for those on the spectrum. Routines and habits for example. Not only I don't need those, but on the contrary, I really need changes and challenges, otherwise I become frustrated. So I like to move countries regularly. Or at least furniture. Another lacking typical characteristic is sensory sensitivities. I don't think I have those. On the contrary, I like loud noises, unless they are people's voices.

So, right now, I don't think people could tell I'm autistic. I function, I socialize, I look people in the eyes, I listen to them. It just takes effort, that's all. And sometimes I'm still awkward, especially in uncommon social situations. But that can happen to everyone. I tried to tell my boyfriend about my suspicions, he didn't believe it.

My suspicions came after seeing a TED talk by a girl who told how girls with Aspergers fly under the radar because of their abilities to imitate proper behavior. That! That was me. That was my childhood. I always wanted to have friends but had no clue how to get them. I used to think that I need to say interesting things to get people interested in me. That never worked. So I was alone and I watched them. And I still couldn't figure it out. I had no idea that emotions are supposed to be involved in communication. I realized that in my late twenties when I did some group psychotherapy, accidentally. It was about communication. I watched the other members of the group sharing their feelings. When one cried, the others got sad, and some of them cried too. When one was happy, the others were happy for her and said supportive phrases. No one tried to say anything interesting. They said very simple things, something cliche, something you would expect to be said because they all say it. And they all preferred it that way. I was going to this group therapy for a year. And I got it! I actually got it. I think I even felt it. So I kept watching like I always did, but this time I knew what to look for. I was assessing people's feelings. Trying to understand what is the topic of the conversation. Keeping myself to that topic. Listening more. Mirroring their feelings. Saying simple things. After that, friendships and relationships became easier. Although I still struggled to keep them, and every time I moved country, I didn't keep in touch with the friends I made.

So now, I am almost normal... It just took me extra three decades to become like this, compared to everyone else... They knew it from childhood. And I started getting it only towards my thirties. I didn't think this was because of autism, I didn't know much about autism then. I just thought I was socially dumb and insensitive.

I struggle. I am probably depressed. Most of my life is wasted. So many wrong choices made. My current relationship among them. It got so bad a couple of years ago, that I became determined to find out what is wrong with me. Why am I so socially stupid, why I don't feel like I'm at home anywhere I go? I researched a number of various disorders. Then I saw that TED talk about Aspergers in girls. It clicked. I checked the list of symptoms for aspie girls. About 80% applied. Strangely enough, it got me excited. It looked like the answer to my problems. Or at least a starting point, from which I could go and find a solution.

But at the moment I feel a bit stuck with this. I think maybe I should get a proper diagnosis and talk to a psychologist. On the other hand I am postponing it as much as I can, because I am afraid that the psychologist will say I am normal. This could happen, because I am now indeed almost normal, thanks to what I've learned, thanks to how I can pretend. Or, this could happen, because my current country doesn't really have therapists who specialise in adult autism. I know they picked up on children's autism recently, but no one talks about adult autism here.

And I don't really understand, why am I so afraid of not getting diagnosed. After all, I am not sure myself... Maybe I AM normal, afer all. But if I am, then why? Why all of this, why?


I am on a list waiting to be assessed. The funny thing was that in the last so many years I had so many people ask me or tell me they thought I was an aspie or had autism etc, that I assumed that someone I knew was pranking me and had put them up to saying it.
But when it dawned on me I wanted a "Yes/No" answer.

The reason why is throughout most of my life I had been getting issues which I now know are partial and full shutdowns. I did not know this before I joined this site. I just knew I had issues that I could not explain and I was unable to put into words to doctors or doctors did not know much about shutdowns, so I was made to feel like some sort of time waster in the past as nothing came up on the usual tests and I was really suffering with shutdowns having the blood tests... (Hospital smells and enviroments are a shutdown trigger for me)... I had to eventually change doctors and the old doctors claimed they had lost all my records.... Which actually was the best thing that happened to me.

But what you said about being scared about the assessment incase you are not on the spectrum I can fully relate to because I am in the same position.

Let me explain a bit here. When for all ones life one has been struggling somehow but does not know why and has not been able to explain it to oneself let alone others... And then one comes across something that for the first time ever explains how one feels and has logical answers... One mentally "Grasps" it and is scared to let go(!), as if one lets go ones whole life comes crashing down as NOTHING makes sense which will feel worse then if one had never known...
[Though for me I hit crisis point where I could not go on if I had not had everything slot in place when I needed it as I had hit major burnout several times and only in the last burnout did I know what was happening to me].

So yes. It is this Matrix pill moment where one gets offered the red pill or the blue pill... Where one HAS to pick the pill that reveals all or one will be in mental anguish for the rest of ones life... So get an assessment.

The waiting period is long. A day is a long time to wait... In my area... Well. Look at the date when I joined this site. I joined straight after finding that I had been put forward to be assessed. (I did not know if I had done the right thing so I joined to ask a question about shutdowns (I did not know that is what they were called) so I was thinking that I could take my name off the list if it was a wrong decision.... I am still here on the list! :D ).

So yes. GET YOURSELF ON THE LIST!


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27 Dec 2020, 12:31 pm

cornerpiece wrote:
ASPartOfMe wrote:
Whether you need practical advice or just people to listen to you that have an idea of what you are going through this is a good resource.


Thank you very much.
I wasn't exactly sure what I needed, probably both listening and advice. And both make me feel better, so thank you.

I was also hoping maybe someone else had similar doubts and fears, or still has them. They could share them here, too.

You are welcome.

One fear many have of getting diagnosed have is that autism is a permanent condition. For some an autism diagnoses crushes hope that they will ever become completely “normal”. One can as you have learn how to act reasonably “normal”, but it is not like the flu or a broken leg where you suffer for a while and overcome it or cure it. Many do not want to want to find this out.

Many other people find the diagnosis a relief. There is an explanation for past wrong choices that does not involve them being a bad person, a lazy person etc. This allows a degree of self forgiveness. Having autism partially or completely explain who one is helps people find their strengths and steer clear of situations that is fine for most people but problematic for them. Just knowing there are other people going through similar things is helpful. All of the above helps with self esteem which is often low or non existent in people who are struggling and do not know they are autistic and think they are just a loser. Low self esteem greatly increases the chance of failure and makes one miserable all the time.

As seen above there is no one way people react when they suspect or find out they are autistic. That is a matter of ones personality.


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27 Dec 2020, 12:56 pm

ASPartOfMe wrote:
cornerpiece wrote:
ASPartOfMe wrote:
Whether you need practical advice or just people to listen to you that have an idea of what you are going through this is a good resource.


Thank you very much.
I wasn't exactly sure what I needed, probably both listening and advice. And both make me feel better, so thank you.

I was also hoping maybe someone else had similar doubts and fears, or still has them. They could share them here, too.

You are welcome.

One fear many have of getting diagnosed have is that autism is a permanent condition. For some an autism diagnoses crushes hope that they will ever become completely “normal”.


Even I know I am not normal! Hahahahhaha! I have tried for years to be normal. It doesn't work.


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27 Dec 2020, 1:54 pm

My understanding is that ASD is not the only explanation for some of the symptoms. It would take a professional to figure out the correct diagnosis.

For instance, my understanding is that the symptoms at the stronger end of ADHD substantially overlap with the lower end of ASD.


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30 Dec 2020, 10:37 pm

ASPartOfMe wrote:
Many other people find the diagnosis a relief. There is an explanation for past wrong choices that does not involve them being a bad person, a lazy person etc. This allows a degree of self forgiveness.


You nailed it there with "self forgiveness". I think if someone confirmed the diagnosis, I could stop trying to be someone else, accept myself and focus on using my strengths. So far, I always thought I am just failing in areas where I, like everyone else, need to perform. So I guess I want a permission to be different.

Oh, and thanks everyone for not bitching about the fact that there were threads like this before. I just saw them at the bottom under "Similar Topics". They are a few years old, though.



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31 Dec 2020, 12:14 pm

cornerpiece wrote:
ASPartOfMe wrote:
Many other people find the diagnosis a relief. There is an explanation for past wrong choices that does not involve them being a bad person, a lazy person etc. This allows a degree of self forgiveness.


You nailed it there with "self forgiveness". I think if someone confirmed the diagnosis, I could stop trying to be someone else, accept myself and focus on using my strengths. So far, I always thought I am just failing in areas where I, like everyone else, need to perform. So I guess I want a permission to be different.

Oh, and thanks everyone for not bitching about the fact that there were threads like this before. I just saw them at the bottom under "Similar Topics". They are a few years old, though.

It helps to have professional validation for one’s suspicions. It is not neccassary.


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31 Dec 2020, 1:13 pm

Welcome to Wrong Planet. Good luck on pursuing a diagnosis, that is if that is your goal.

A little over two years ago at around the age of 70, I came across a discussion about Asperger's Syndrome. And as I dug deeper I realized, that is ME. I thought I was the only one in the world like this, so it was quite a shock. So I did a little self analysis and put my thoughts down on paper and it became a 115 page book. So in the end I positively knew I was an Aspie.

In general, I tend towards using the term Aspie rather than Autistic because Autism carries a disability connotation. Whereas Aspie in my opinion does not. And I do not consider myself to be disabled but rather quite the opposite. I am not disabled just different with a slightly different brain structure with more interconnecting wiring. Besides there is very little difference between being a High Functioning Autistic (Level 1) and being an Aspie. The vast majority of people on the autistic spectrum are Level 1's. which means the person may be able to live a relatively independent life with minimal support. It is the Level 2's and Level 3's that need the most help.

Looking back over my life, I suspect that if I had been diagnosed with autism at an early age, I would have never accomplished many of the things that I have over my lifetime. I would have walked around with a disabled sign stamped into my forehead. And many doors and opportunities would have disappeared before my eyes. The world is too quick at judging people or maybe the proper term is "misjudging". Anyways at age 72 I am happy, happy with the way my life turned out. And knowing I am an Aspie fills in many voids.

Now I am going to switch subjects here and make a book recommendation. Try and track down a book called "In An Unspoken Voice" by Peter A. Levine. It might be of help. This book explains STRESS. Aspies are subjected to quite a bit more stress over their lifetimes than the average person. Stress unless it can be vented builds up over time and transform into distress. Some examples of distress are anxiety, depression and a variety of psychological disorders.


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01 Jan 2021, 4:36 pm

jimmy m wrote:
Looking back over my life, I suspect that if I had been diagnosed with autism at an early age, I would have never accomplished many of the things that I have over my lifetime. I would have walked around with a disabled sign stamped into my forehead. And many doors and opportunities would have disappeared before my eyes. The world is too quick at judging people or maybe the proper term is "misjudging". Anyways at age 72 I am happy, happy with the way my life turned out. And knowing I am an Aspie fills in many voids.

Now I am going to switch subjects here and make a book recommendation. Try and track down a book called "In An Unspoken Voice" by Peter A. Levine. It might be of help. This book explains STRESS. Aspies are subjected to quite a bit more stress over their lifetimes than the average person. Stress unless it can be vented builds up over time and transform into distress. Some examples of distress are anxiety, depression and a variety of psychological disorders.


Thank you, Jimmy. For your perspective on diagnosis, and for the book recommendation. The book is on Amazon, and there's audiobook, too.



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01 Jan 2021, 6:52 pm

jimmy m wrote:
The vast majority of people on the autistic spectrum are Level 1's. which means the person may be able to live a relatively independent life with minimal support.


How true is this? I have not seen conclusive evidence either way. Autism Speaks [url=citing a 2016 CDC study claims]https://www.autismspeaks.org/autism-statistics[/url]

31% of children with ASD have an intellectual disability (intelligence quotient [IQ] <70), 25% are in the borderline range (IQ 71–85), and 44% have IQ scores in the average to above average range (i.e., IQ >85).


The problem all of this is mixed up in Autism politics with people seeing what they want to see. The ND's will say the level 2's and 3's are disabled by society or comorbids. The anti-ND's will say the "Level 1's are not autistic or do not "have real autism". The people like us will mostly interact with autistics that can write sentences, Parents of severe autistics will be interacting with other parents of autistics who are banging their head against walls and wandering off to the nearest body of water if they have the time to interact with others at all.

I would hazard a guess that the percentage of "Level 1"'s are higher than shown due to non and misdiagnosis, but I doubt it is the vast majority are level 1's but that might be my own bubble talking. Andlevels of needed support might not always conflate with intelligence. I just do not think there is enough evidence to make a conclusion.


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