How to pursue an autism evaluation as an adult... in 4 steps.
Step 1:
Read up on how autism is diagnosed.
In the US, practitioners use the DSM as a guide when diagnosing autism. In many other countries, they use something called the ICD.
You can find both online for free. Just make sure you're looking for the most current version (DSM 5-TR and ICD 11).
If you're not sure you're autistic and you're trying to understand whether or not you would be diagnosed, this is a really important place to start.
There are a ton of other resources online as well, and the more you read, the better, but you really need to understand the diagnostic criteria if you plan on seeking a diagnosis.
Step 2:
Write a thorough and exhaustive list of every sign you can think of that applies to you based on the diagnostic criteria.
This list will help you think of relevant answers to questions asked during an evaluation that you may have difficulty thinking of on the spot. And difficulty sifting through complex information on the spot is ironically a common challenge for autistic people. 🙂
Be sure to include examples from your childhood... the more, the better. Signs of autism being present during childhood is considered one of the specifications for an autism diagnosis.
If you're not sure where to start with this step, I created a worksheet to help you, which you can find on my website here (scroll to the bottom of the page)...
(1) Most practitioners that do assessments don't do them for adults. So, you'll probably need to sift through many to find one that does.
(2) Many practitioners are not up to date on their knowledge of autism and are not aware of the more subtle manifestations of it. So, in your research, you'll want to look for someone who's current in their knowledge and understanding of autism.
The best way to find a good practitioner is by getting a recommendation. But if you don't know anyone who can give you one, see if you can find information about practitioners on their website.
If you can't, you'll need to call them. I know... autistic people hate making phone calls 😬😅 but I have a resource to help with this as well 😊 (same page as my other resource... this one is called "Preparing for your initial phone conversation with a practitioner")
Step 4:
When you call a practitioner, be prepared to answer the question, "Why are you interested in pursuing an autism evaluation?" This is the first question I was asked when pursuing my own evaluation.
You'll also want to ask some questions about their process. If it's just one meeting or conversation, that's a red flag.
The practitioner should be evaluating you thoroughly by asking you detailed questions about your life, your childhood, your internal experiences...
...and also using other methods (like questionnaires and screening tests) to gather as much information as possible to use as references when making a final determination about your diagnosis.
Before I end this thread... I want to acknowledge that a formal diagnosis is not necessarily going to be best for everyone. Some people need to consider how a diagnosis might impact their job, citizenship, custody situation, and more.
All that said... I know that was a lot, but I also realize that there's a whole lot more I could have covered. So if there's anything I didn't cover that you'd like me to, please let me know!
#AutismAwarenessMonth
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8 reasons I've been called annoying that are all related to my autistic brain wiring...
1. I can be extremely literal and feel the need to correct misinformation... which usually seems minor to others, but never to me
2. I can "overcomplicate" things that others think are simple even though, to me, they aren't simple at all
3. I can be sensitive to jokes and a "buzzkill" when people around me think something is funny and I don't... especially when the "joke" is at someone else's expense
4. I can be a "goody two shoes" when people are behaving in ways that I believe will impact others negatively
5. I have a really hard time not talking about things I'm passionate about, and sometimes don't notice when someone isn't interested in what I'm saying
Real talk... my autism impedes my life in ways I can't ignore. It makes life super hard for me. But there are several nifty things it does to my brain that I don't often spend time celebrating. So...
Autism: the positives. At least through my eyes...
1. I can't look past the wrongs I see happening around me. I will call them out if I see them. I will stand up for those who are experiencing mistreatment whenever I can and use my voice to amplify theirs to the best of my ability.
2. Being "fake" makes me super uncomfortable. This means that, unless I feel being myself will hurt me in some way, I'm exactly the person you see in front of you. (Even when I mask to fit in, it's still the "real" me.)
If I describe a common autistic sign or trait and your first reaction is...
"That's not exclusive to autism," or
"Just because a person does that, doesn't mean they're autistic"...
I'd like to explain something to you...
No SINGLE sign or trait of autism is exclusive to autism.
Autism is a combination of numerous signs and traits that must exist together and meet a certain threshold in order to be considered autism.
Also, most individual signs and traits of autism can be due to other neurological conditions... like social anxiety disorder, ADHD, OCD, GAD, and even things like PTSD and depression.
Did you know there's a type of anxiety specific to autism that isn't explained by any of the existing anxiety disorders outlined in the DSM?
Researchers are referring to this type of anxiety as "Distinct anxiety" because it's distinct to autism and tied to autistic traits...
I'm sure many of you are wondering what this means, so I'll share a few examples.
- Anxiety tied to unexpected plan changes, changes in routine, or changes to the environment...
- Anxiety tied to special interests (not being able to talk about them or access them for some reason)
- Anxiety related to sensory sensitivities (not having access to safe foods/clothing items... or knowing an environment will cause sensory overload & being anxious to go there)
It's Autism Awareness Month, so let's bust a pretty common myth about autism.
"Everyone's a little autistic."
No hate if you've ever said this. But if you have, I hope you'll stick around for this. 🙂
If you think about autism as linear, where on one end of the line you have "not autistic at all" and on the other end you have "very autistic," it makes sense that someone who seems to have SOME signs of autism would be "a little" autistic.
But that's not how autism works.
The reason autism is considered a spectrum is that every autistic person has a different variation of autistic traits that impact them...
BUT the diagnostic criteria for autism very specifically define this impact as impairing a person's ability to function in their day to day.
It's Autism Awareness Month, so time to set some things straight about autism...
What people think autism is:
- What it looks like in movies
What autism actually is:
- Sensory sensitivities including extreme sensory anxiety when overstimulated
- Social and communication differences
- Social interactions are often challenging and draining
- Anxiety when routines are disrupted
- Struggles with transitions
- Repetitive movements (also known as stimming or self stimulatory behavior) & Repetitive behaviors (like eating the same foods and wearing the same clothes every day)