My language skills are "too good" for ASD?

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somanyspoons
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08 Sep 2016, 9:22 pm

FullmetalTriforce wrote:
I got my evaluation results today, and apparently I *would* have an ASD diagnosis but he deemed my language skills "too good". I thought many on the spectrum had fantastic language skills. He also mentioned that since I had no delays in childhood, that I don't fit. (I walked and talked early.) I was a self-taught reader, too.

I went through a lot to get the evaluation, so I feel like my time and a ton of money was wasted, and I am more confused than before. I wanted some answers. Do these things really rule me out?

(Sorry to make another topic so soon.)


This guy needs a sternly written letter, and an appeal to any supervisor he might have if he's attached to a clinic or hospital. He's diagnosing you on old criteria - totally bad form. Legally, its malpractice. You might be not autistic. But if you are, its not because of your lack of language impairment. That's like saying someone doesn't have a cold because he doesn't have a headache. Some people with colds have headaches. Some people with colds don't get a headache. They all have a cold.



SharkSandwich211
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08 Sep 2016, 9:53 pm

I would agree with what others have said thus far. My language skills are great as well as my 6yr old 2E son who is also on the spectrum.



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08 Sep 2016, 11:48 pm

One of our WP members is fluent in ten languages. A number of members here have excellent language skills. It is really concerning that a professional person has such a level of ignorance about a condition he considers himself qualified to diagnose. I am appalled. I hope he did not advertise his services as specialising in Aspergers Syndrome diagnosis. If he did, you may be able to lodge a complaint with the local standards board that governs psychological practice.



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09 Sep 2016, 3:26 am

What is frieghtining and harmful is how common ignorence among professionals of adult autism is. This is what you get when one to two percent of money goes to Adult Autism research and services in arguably the most influential country in the world.


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John L
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09 Sep 2016, 5:05 am

FullmetalTriforce wrote:
Do these things really rule me out?

Not necessarily.

I suspect the reason you didn't get a diagnosis is because the 'disorder' part was missing; i.e. it hadn't impaired you or significantly impacted your daily life. Usually people get diagnosed with something because it's significantly impacting them in some way, and that label allows them to seek help specific to their condition.

Basically, in the absence of a significant problem caused by the condition, all he'd be doing is slapping a label on you. It doesn't do anything beside explaining some of the questions you might have. To that end, he said that he thought you had it, which was his way of giving you your answer and helping to explain things.

I'm not saying you do or don't have ASD, or whether he was right or wrong in his evaluation. This is just what I think his reasoning may have been.



somanyspoons
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09 Sep 2016, 8:11 am

John L wrote:
FullmetalTriforce wrote:
Do these things really rule me out?

Not necessarily.

I suspect the reason you didn't get a diagnosis is because the 'disorder' part was missing; i.e. it hadn't impaired you or significantly impacted your daily life. Usually people get diagnosed with something because it's significantly impacting them in some way, and that label allows them to seek help specific to their condition.

Basically, in the absence of a significant problem caused by the condition, all he'd be doing is slapping a label on you. It doesn't do anything beside explaining some of the questions you might have. To that end, he said that he thought you had it, which was his way of giving you your answer and helping to explain things.

I'm not saying you do or don't have ASD, or whether he was right or wrong in his evaluation. This is just what I think his reasoning may have been.


I was thinking the same. It might be that he was trying to communicate that you don't have enough impairment as a whole in life, and that your good verbal skills were one example of this. Online, we talk about autism being a difference that brings benefits and disabilities. But when it come to the diagnostic standards, practitioners are instructed to only look at how the person is disabled. You have to be able to demonstrate that the difference is preventing the person from performing tasks that would normally be expected. For example, my doctor picked out the fact that I sometimes have a difficult time with showering because of my sensory problems. To me, its a minor issue. I force my way through it so I don't stink. To him, that was an impairment of daily living skills and it let him match the diagnostic criteria.

So, its worth asking the question, if this is so. But its still a letter writing situatuion. He still left you feeling confused and left you with the impression that he didn't know what the f- he was doing.



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09 Sep 2016, 11:48 am

John L wrote:
FullmetalTriforce wrote:
Do these things really rule me out?

Not necessarily.

I suspect the reason you didn't get a diagnosis is because the 'disorder' part was missing; i.e. it hadn't impaired you or significantly impacted your daily life. Usually people get diagnosed with something because it's significantly impacting them in some way, and that label allows them to seek help specific to their condition.

Basically, in the absence of a significant problem caused by the condition, all he'd be doing is slapping a label on you. It doesn't do anything beside explaining some of the questions you might have. To that end, he said that he thought you had it, which was his way of giving you your answer and helping to explain things.

I'm not saying you do or don't have ASD, or whether he was right or wrong in his evaluation. This is just what I think his reasoning may have been.



Well if the doc thought the OP had symptoms but still felt it didn't quite fit, then that is a good enough diagnoses. At least the OP knows he has autistic features. Autism is a disability, not a quirk or a personality as people make it out to be online. Now if the OP were in school, that might have been a different story.


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09 Sep 2016, 12:38 pm

This doctor's potential only saving grace... albeit not complete in any way, was if they indeed said "language" and meant it in the holistic not-strictly-verbal sense. I have tremendous "language" issues despite having an exceptional grasp of written and spoken English, contextual syntax and vocabulary. ...but if you non-verbal me too hard or too often I will be UTTERLY unclear on what you are saying.

Being able to comfortably communicate with other humans... in that sense, good "language" skills are going to make a diagnosis harder to confirm.

Still, your doctor might just be an idiot. I once had a psychiatrist tell me I was bipolar and not ADhD because I wasn't hyper and all her other ADhD clients couldn't sit still for 40 minutes. I didn't bother explaining that the "h" was optional. I just found someone else (who diagnosed me in about 15 minutes).

As everyone else has said... you can go back, or find someone new, but prepare yourself and go armed. Know why it makes sense and why it doesn't make sense before you ever go into their office, and you will be victorious, to hijack the words of Sun Tzu.



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09 Sep 2016, 1:03 pm

Well, then according to him, I wouldn't have aspergers either. I had no speech delay or other language problems. I learned to talk early and had a great vocabulary. I think everyones "main problem" with aspergers (or autism in general) is the social aspect. The two other requirements (speech and repetitive behaviour) seem sort of.. Not as important to me.



FullmetalTriforce
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09 Sep 2016, 7:14 pm

I'd hoped that I made it pretty clear to him (the neuropsych) that I am impaired by numerous things. But my verbal skills leave something to be desired. I speak choppily and a little slowly, and get caught up in synonyms - I'm far better on paper. I'd have written him a note, but apparently he has Papyrophobia, because I can never bring any with me!

I have not stressed to him my low stress/frustration tolerance (and possibly, poor emotion control), my OCD tendencies, my motivation issues, poor practical memory, and poor self-care. I feel impaired by these things.

Anyway, he was unquestionably referring to my good grasp of English and my desire to learn a foreign language, and said "That flies in the face of ASD."

My "people language" skills are... non-existent. But since I took distance learning all my life, he blames this problem on my "sheltered life", and offers that I simply go socialize and learn. As if I have not tried!

He did, at least, verify that my processing speed & working memory are "bad". I'll be seeing him again at some point, I think? He is not straightforward so I really don't know.



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09 Sep 2016, 8:09 pm

Is there an opportunity to obtain a second (or third) opinion elsewhere?



somanyspoons
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09 Sep 2016, 8:36 pm

FullmetalTriforce wrote:
I'd hoped that I made it pretty clear to him (the neuropsych) that I am impaired by numerous things. But my verbal skills leave something to be desired. I speak choppily and a little slowly, and get caught up in synonyms - I'm far better on paper. I'd have written him a note, but apparently he has Papyrophobia, because I can never bring any with me!

I have not stressed to him my low stress/frustration tolerance (and possibly, poor emotion control), my OCD tendencies, my motivation issues, poor practical memory, and poor self-care. I feel impaired by these things.

Anyway, he was unquestionably referring to my good grasp of English and my desire to learn a foreign language, and said "That flies in the face of ASD."

My "people language" skills are... non-existent. But since I took distance learning all my life, he blames this problem on my "sheltered life", and offers that I simply go socialize and learn. As if I have not tried!

He did, at least, verify that my processing speed & working memory are "bad". I'll be seeing him again at some point, I think? He is not straightforward so I really don't know.


He said your problems were do to being sheltered? Please do not give this asshat more money. If you go back to him, it should be as an opportunity for him to make amends towards you. That's SO offensive. Maybe you should be reporting him to the state? That might be an over-reaction, but only a slight one. This is just not right. If it were me, I would express my concerns to him and give him an opportunity to apologize before reporting him to the state licensing committee. Everybody has a bad day, and it doesn't sound like he's being malicious. He's simply not admitting the limitations of his knowledge and in general not providing appropriate therapy.



TheEndIsNearUs
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12 Sep 2016, 12:43 pm

As an autistic person with a special interest in linguistics, I would certainly say a knowledge of language and / or an eloquence of speech is certainly not enough to rule out a diagnoses. When I was little, I was nonverbal by choice, not by lack of a ability, and in fact I was very articulate when I did speak. As for reading, I learned at a normal pace [though I had trouble reading silently, and still do sometimes].

Verbal communication skills are not the only thing that makes or breaks a diagnosis; many of us, like myself, have decent ability in this but a lot of trouble in other areas [expressing emotions, sensory sensitivities, strong attachments to objects or subjects, etc].


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