Are most self-diagnoses correct?
I'm wondering if there has been any research done (or if any of you have heard from doctors or psychologists) on the percentage of adults who pursue a disgnosis of autism being positively diagnosed. I am just starting out on the process of getting a full diagnostic assessment done (the shorter session I did at an autism clinic was inconclusive), and although I know that each case is different, I'm curious if people who suspect they are autistic are generally proved correct.
Thanks!
People can have traits but that doesn't make them autistic. Someone can be nerdy and not be very social and still not be autistic because even though they may not be social butterflies, at least they can function socially somewhat. I often question if some of these self-diagnosed people really have autism.
People with autism come in all different levels of severity and also personality traits and problems are unique but the universal trait that all people with autism have is social skills deficits. Among those with high-functioning autism, the severity can also depend on personality. Those who are more friendly and adaptable will have an easier time then those who are unfriendly and unadaptable. Because being friendly and not too out of the blue can mask some of your social skills deficits while being adaptable enables you to adapt once you get out into the real world when mommy and daddy are no longer around.
There is literally no way to determine if a self-diagnosis is "correct" in comparison with a professional diagnosis. This is because the process that leads up to a self-diagnosis is typically quite different, sometimes WILDLY different, than the process involved in a professional diagnosis. A diagnosis of any kind is more than simply an answer to the question, "does this person have this condition or not?"; it also consists of an assessment process and a weighing of evidence, and this is where self-diagnoses and professional diagnoses differ.
As an extreme example, someone could decide that she is autistic simply because she liked lining up her toys as a child. This person might later get a positive professional diagnosis, but it would be absurd to consider her self-diagnosis correct simply because she and the diagnosing professional came to the same conclusion. The faulty reasoning process would render the self-diagnosis invalid, regardless of the results of the professional diagnosis.
There can be little meaningful comparison made between, for a more typical example, a self-diagnosis made up of introspection, some online tests, and talking to other autistic people, and a professional diagnosis that consists of an IQ test, review of school records, parent or partner questionnaires, and a diagnostic decision based on formal training and experience.
Thanks!
My psychologist/therapist has told me that in his experience, in most cases, if a patient suspects they fall into a certain catagory, the patient turns out to be right. Considering I'd suspected autism in my own case since I was in my early 20s, and the therapist (about a year and a half ago, maybe) picked up on it on his own with no input from me (and that was only on the second appointment), and my own doctor, hearing what the therapist said, froze and then said "good catch" (as if some things about me suddenly made more sense)...
Yeah, self-diagnosed people can often be spot on right that they're on the spectrum.
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Your Aspie score: 100 of 200 / Your neurotypical (non-autistic) score: 101 of 200
You seem to have both Aspie and neurotypical traits
What would these results mean? Been told here I must be a "half pint".
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As an extreme example, someone could decide that she is autistic simply because she liked lining up her toys as a child. This person might later get a positive professional diagnosis, but it would be absurd to consider her self-diagnosis correct simply because she and the diagnosing professional came to the same conclusion. The faulty reasoning process would render the self-diagnosis invalid, regardless of the results of the professional diagnosis.
There can be little meaningful comparison made between, for a more typical example, a self-diagnosis made up of introspection, some online tests, and talking to other autistic people, and a professional diagnosis that consists of an IQ test, review of school records, parent or partner questionnaires, and a diagnostic decision based on formal training and experience.
So what you're saying is they magically develop the condition post diagnoses and are wrong up until the professional diagnoses even if their self diagnoses is correct?...that does not make sense, seems to me that would imply they where correct in their assumption though I've never heard of anyone 'decide' they are autistic only because they lined up toys as a child and no other reason, so that example seems a little extreme to compare with more likely reasons people suspect being on the spectrum.
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People with autism come in all different levels of severity and also personality traits and problems are unique but the universal trait that all people with autism have is social skills deficits. Among those with high-functioning autism, the severity can also depend on personality. Those who are more friendly and adaptable will have an easier time then those who are unfriendly and unadaptable. Because being friendly and not too out of the blue can mask some of your social skills deficits while being adaptable enables you to adapt once you get out into the real world when mommy and daddy are no longer around.
We should do a poll on how many here call their parents mommy and daddy, I know they have never been my preferred terms.
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No. This is what I am saying:
I said that myself:
I purposefully gave an extreme example to make the point very clear that a self-diagnosis and a professional diagnosis cannot be compared simply in terms of outcomes.
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No. This is what I am saying:
I said that myself:
I purposefully gave an extreme example to make the point very clear that a self-diagnosis and a professional diagnosis cannot be compared simply in terms of outcomes.
If a self diagnosed person goes and gets an official diagnoses I think that implies some validity within that self diagnoses, since it turned out correct. Also I was agreeing it was an extreme example...I fail to see how using an example so far outside of more typical reasons people suspect they are on the spectrum that actually make a lot more sense and the way they go about coming to that conclusion proves any point about reality.
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I remember a Wrong Planet topic or post that quoted a study which showed that certain online screening tests for ASDs perform almost as accurately as diagnoses. But, after the last half hour searching for it, I couldn't find evidence of it here or elsewhere.
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Yeah, self-diagnosed people can often be spot on right that they're on the spectrum.
If a patient suspects it, but not necessarily somebody who has not been a patient.
One of my friends recently self-diagnosed with OCD and I hate it because I know he's deadset wrong.
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I know the RAADS-R has a comparison of how those with "suspected ASD" (Which you could interpret as self DX'd) compare with neurotypicals and those diagnosed with ASD. See the plot at the bottom of this page.
Edit: the data for the chart appears to come from this study.
Personally, I think there are some flaws with doing a self diagnosis. But there are also flaws with the professional diagnosis path. Ultimately I think they work best as complements to each other rather than replacements.
Yeah, self-diagnosed people can often be spot on right that they're on the spectrum.
If a patient suspects it, but not necessarily somebody who has not been a patient.
One of my friends recently self-diagnosed with OCD and I hate it because I know he's deadset wrong.
To be honest, that makes no sense.
I'd suspected autism for a very, very long time before my therapist raised the issue. It was after he raised it that I told him I'd suspected it already (and for how long), and some time after THAT he made the comment about "the patient usually turns out to be right".
The patient has their suspicions apart from being a "patient". I'd had mine long before being that psychologist's patient. Nobody else I'd seen inbetween ever picked up the autism symptoms.
Your friend may be in the same position I was in.
If he's right, I hope he finds someone whose eyes are open wide enough to pick up on it.
Notice, my therapist didn't say such patients are ALWAYS right, just "usually".
By the way-
You say you "know" he's wrong. What do you have as qualifications to say that? For starters, do you see the world thru your friend's eyes, feel thru his skin and think thru his brain? Are you aware of his thoughts moment by moment? And are you a qualified professional who can make such a diagnosis?
_________________
AQ 31
Your Aspie score: 100 of 200 / Your neurotypical (non-autistic) score: 101 of 200
You seem to have both Aspie and neurotypical traits
What would these results mean? Been told here I must be a "half pint".
In my opinion, no one knows their body and mind better than themselves so I'd say most who self diagnose will be correct. I self diagnosed myself with AS after 2 years of researching and I am currently in the process of trying to get an official diagnosis (which takes a very long time/and is very difficult to get where I live). My GP agrees with me that I should seek a diagnosis because he could tell within 10 minutes that I showed many signs.
Yeah, self-diagnosed people can often be spot on right that they're on the spectrum.
If a patient suspects it, but not necessarily somebody who has not been a patient.
One of my friends recently self-diagnosed with OCD and I hate it because I know he's deadset wrong.
To be honest, that makes no sense.
I'd suspected autism for a very, very long time before my therapist raised the issue. It was after he raised it that I told him I'd suspected it already (and for how long), and some time after THAT he made the comment about "the patient usually turns out to be right".
The patient has their suspicions apart from being a "patient". I'd had mine long before being that psychologist's patient. Nobody else I'd seen inbetween ever picked up the autism symptoms.
Your friend may be in the same position I was in.
If he's right, I hope he finds someone whose eyes are open wide enough to pick up on it.
Notice, my therapist didn't say such patients are ALWAYS right, just "usually".
By the way-
You say you "know" he's wrong. What do you have as qualifications to say that? For starters, do you see the world thru your friend's eyes, feel thru his skin and think thru his brain? Are you aware of his thoughts moment by moment? And are you a qualified professional who can make such a diagnosis?
I have OCD and I know that having to have a calculator read 0 is not OCD. For him to go around claiming that he has a disorder is unintentional trivializing at its finest.
So using him as an example, it does make sense. In my experience it makes sense, as I have known many to diagnose themselves with problems that they almost certainly do not have. I don't have to give them so much benefit of a doubt as to believe that they have a serious disorder when their worst 'symptom' is stacking plates in colour sequence, for example.
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This is just semantic quibbling. It is literally meaningless as an objection.
That's one person you know, and not even an autistic person.
My experience has been that professionals are far more open to listening to self-assessments and considering self-diagnoses than the extremely rigidly anti-self-dx posters on this forum. Many people here are willing to appeal to notional experts to back up their antipathy toward self-diagnosis, but they don't really seem to care much about actual professionals who are known to say things like "If you think you're autistic, you probably are." (both Simon Baron-Cohen and Tony Attwood have said this).
Using him as an example is an anecdote. It is just as valuable as my own anecdote of having been professionally diagnosed with everything I've ever suspected I had. I know many people whose self-diagnoses have turned out to be correct, so now you and I have canceled each other out with anecdotes and you're back to square one.
But then I have some work a member here did analyzing self-diagnosis vs. professional diagnosis of Wrong Planet members, which supports the probability that people are more often correct than not.
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