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Jacoby
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09 Mar 2010, 8:34 am

As time goes on I've adapted and made progress. I still got plenty of issues but I'm no where near as bad as I was a few years ago. I'm sure some people have a harder time and some easier.



SuperTrouper
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09 Mar 2010, 9:18 am

I have a diagnosis of Asperger's (severe) at the psychiatrist's and autism (mild) at the psychologist's. I don't feel like I fit in at WP for the most part. Maybe that's why so many people here seem "mild"... because the rest of us have trouble fitting in here and don't post much. But I'm here, and I'm not mild.



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09 Mar 2010, 9:21 am

I was diagnosed with mild AS, originally by a counsellor I was seeing....the thing I will never understand/know is she said she felt I had Aspergers, but she also said that to talk to me I was 'normal', so I've always wondered what exactly I either did or she saw that made her say that to me in the first place......

Also, what I would like to know is of those WP members who are classed as 'mild AS', how many of you are female? There's the whole thing with females being much better able to mask ourselves and our AS than males, I'm female and I hide it pretty-well...the biggest impairments my AS gives me are sensory and social, but I am damned-good at pretending to be 'normal' for a while (the more you get to know me, the more I let my guard down and become me, warts and all!)

So, in females at least, is it that we're mild AS, or that our presentation is simply different a lot of the time?



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09 Mar 2010, 10:20 am

I still wonder what makes a person mild or severe... I can look at myself and see things that might be considered severe and other things about myself that might be considered mild. Most days I feel less like a spot on a spectrum and more like several spots on the same spectrum. Is it like math... you just claim the dot that best represents the majority of your symptoms? Mine change from day to day depending on how things are going in my life. It is subjective and confusing to me.


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09 Mar 2010, 10:34 am

I think that the reason that many Aspies are mild, is because AS is a very mild form of autism.


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Hector
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09 Mar 2010, 10:35 am

dossa wrote:
I still wonder what makes a person mild or severe... I can look at myself and see things that might be considered severe and other things about myself that might be considered mild. Most days I feel less like a spot on a spectrum and more like several spots on the same spectrum. Is it like math... you just claim the dot that best represents the majority of your symptoms? Mine change from day to day depending on how things are going in my life. It is subjective and confusing to me.

"Spectrum" is a misleading term in the sense that severity cannot really be placed on a linear scale. People with AS may be more or less "severe" in different respects. Even then, I'm not sure how one would actually measure severity. You can be concretely judged on how you behave, but is that a clear reflection of how you think compared to other people on the so-called spectrum?



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09 Mar 2010, 10:41 am

Hector wrote:
dossa wrote:
I still wonder what makes a person mild or severe... I can look at myself and see things that might be considered severe and other things about myself that might be considered mild. Most days I feel less like a spot on a spectrum and more like several spots on the same spectrum. Is it like math... you just claim the dot that best represents the majority of your symptoms? Mine change from day to day depending on how things are going in my life. It is subjective and confusing to me.

"Spectrum" is a misleading term in the sense that severity cannot really be placed on a linear scale. People with AS may be more or less "severe" in different respects. Even then, I'm not sure how one would actually measure severity. You can be concretely judged on how you behave, but is that a clear reflection of how you think compared to other people on the so-called spectrum?


I agree. I think the condition is describable by a region in the symptom space. It is not simply a linear thing. The term "spectrum" is an abuse of language, but, unfortunately, it is in common use.

ruveyn



Jingo8
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09 Mar 2010, 11:40 am

I dislike the fact people think of AS as a mild form of autism and i dislike the fact people think the "spectrum" goes from mild to severe.

A rainbow is a spectrum of colours, but each colour is 100% completely a colour. One colour is not more mild or severe than another. Sure a pastal colour is not as bright as neon, but they are still 100% colours.

Autism traits are not inherently mild or severe they just are. You can not be at the mild end of the spectrum. Sure you can be mild, but it's nothing to do with where you are on the spectrum. The spectrum is about traits. If i share the same traits as you, we are on the same place on the spectrum. How "mild" or "severe" we are depends on how badly/strongly those traits impact us. Your traits put you on the autistic spectrum and within that you fall roughly in the areas named AS, LFA, HFA etc.

The spectrum is about traits and your place on the spectrum depends on if you have a trait or not.

Your level or severity of autism or AS or whatever is about how severe your traits are. Now sure, AS traits in general are the type that lead to a better quality of life than LFA traits, but that's not to say someone with AS wouldn't be as disfunctional as someone with LFA, it's just that naturally, having an IQ of 100 will lead to a better quality of life than an IQ of 50, plus the mental tools to cope, mask and hide to get on in life. It's also not to say that someone with AS has an easier life, or finds their limitations less severe or less disabling. Naturally banging your head against a wall until it bleeds is going to get lots of visability and shock points and everyone is going to say poor you, but is it really more severe for the actual person than being unable to leave the house due to an impulsive need to check and recheck everything? Is lashing out and screaming more severe for the person doing it than shutting down and rocking in front of your work coleagues or schoolmates?
Again, quality of life there is no comparison, but i'm looking at how this effects all the people on this forum on a daily basis and you all say you have a mild form of a syndrome which is just a mild form of another condition, yet i read every day about how it effects your life as much as a blind person, more than a deaf person, more than someone in a wheel chair. How is that a mild version of "autism-lite"

So i don't consider myself to have mild autism, i consider myself to have full blown AS. If you remove the AS label i consider myself to have medium severity HFA. Nothing about what i struggle with is mild, but i'm aware of people with AS who have more severe symphoms than i do, so i wouldn't call myself severe.
The fact that most LFA's could never lead the life I do does not diminish my challenges within the diagnosis of HFA/AS, they're just a totally different set of challenges.

Who has the most severe mental issue, someone mentally ret*d or a genious with psycosis.
Who has the worst physical disability, a double leg amputee or someone under constant medication due to skeleton pain who can walk with crutches but can't sleep, concentrate or function due to pain?

Sorry long rambling post, i went back and rewrote a ton of it and duplicated stuff and now its way too long to make the point i wanted to, but may be interesting for someone to read. It's actually helped me organise my thoughts somewhat, which is interesting becuase i rarely get anything out of writing things down, it's usually just a poor copy of what i'm actually thinking.



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09 Mar 2010, 11:53 am

I suspect the real reason is that people are constantly told that AS is by definition mild so no matter what kind or level of traits they have that's how they are going to answer. That and the fact that mild vs severe is usually judged on a small number of superficial traits usually and it can be hard for autistic people to know how we appear to others.


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09 Mar 2010, 12:02 pm

2ukenkerl wrote:
I heard many say simply that AS was a MILD form of autism. Even some DIAGNOSED people here say they never thought they had autism, but something else. When I was a kid, Autism, at least as I ever saw it, was ALWAYS SEVERE! Maybe THAT is why HFA and AS are relatively new sets of criteria.

Heck, a lot of "moderate" or severe symptoms would violate the criteria for AS.

Quote:
(IV) There is no clinically significant general delay in language (E.G. single words used by age 2 years, communicative phrases used by age 3 years)

(V) There is no clinically significant delay in cognitive development or in the development of age-appropriate self help skills, adaptive behavior (other than in social interaction) and curiosity about the environment in childhood.

(VI) Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia."


if you want the historical rundown:

Kanner's patients were nearly all what would today be called mild or high functioning by one criteria or another. Even the girl who never talked had an IQ around 95 and estimated higher.

For a long time autism or Kanner autism meant what would today be called high functioning.

Then they started adding on people who used to be diagnosed with mental retardation. This was controversial. That made autism associated with what would now be called low functioning.

Then they rediscovered what would now ne called high functioning and the trend has shifted back again to closer to how it was originally. (Seceral of Kannwr's patients had high IQs, went to college, and had good jobs, and if diagnosed today may even have been called AS.)

most people aren't told about that. I found it by going back to original sources.

I don't believe in the categories I am just reporting on them.


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Asp-Z
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09 Mar 2010, 12:23 pm

League_Girl wrote:
I have noticed that lot of aspies are mild. How come not many of them are moderate or severe?

This is what I have heard about AS. One of my aspie friends who is severe also notices there isn't many severe aspies and lot of them are mild. Even she feels she doesn't it in here because she is severe. Plus I remember doing a poll in the past about how bad is your AS and the majority voted mild. That's when I was told by one of my online friends lot of aspies are mild. This was back in 2007. Even aspies I would talk to online would say they are mild when I ask how bad theirs is. I can also remember someone here saying of course aspies are going to be mild, it's a forum of autism. Some people think there is no such thing as a mild aspie or a moderate aspie or a severe aspie. I guess some people don't like to rate conditions and doctors do. But I notice they seem to rate it differently based on what I have read here and at I2. I bet if I went to different doctors and had them rate my AS, I would probably get different results.


Asperger's, by definition, is mild autism.



pascalflower
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09 Mar 2010, 12:25 pm

Jingo8 wrote:
I dislike the fact people think of AS as a mild form of autism and i dislike the fact people think the "spectrum" goes from mild to severe.

A rainbow is a spectrum of colours, but each colour is 100% completely a colour. One colour is not more mild or severe than another. Sure a pastal colour is not as bright as neon, but they are still 100% colours.

Autism traits are not inherently mild or severe they just are. You can not be at the mild end of the spectrum. Sure you can be mild, but it's nothing to do with where you are on the spectrum. The spectrum is about traits. If i share the same traits as you, we are on the same place on the spectrum. How "mild" or "severe" we are depends on how badly/strongly those traits impact us. Your traits put you on the autistic spectrum and within that you fall roughly in the areas named AS, LFA, HFA etc.

The spectrum is about traits and your place on the spectrum depends on if you have a trait or not.

Your level or severity of autism or AS or whatever is about how severe your traits are. Now sure, AS traits in general are the type that lead to a better quality of life than LFA traits, but that's not to say someone with AS wouldn't be as disfunctional as someone with LFA, it's just that naturally, having an IQ of 100 will lead to a better quality of life than an IQ of 50, plus the mental tools to cope, mask and hide to get on in life. It's also not to say that someone with AS has an easier life, or finds their limitations less severe or less disabling. Naturally banging your head against a wall until it bleeds is going to get lots of visability and shock points and everyone is going to say poor you, but is it really more severe for the actual person than being unable to leave the house due to an impulsive need to check and recheck everything? Is lashing out and screaming more severe for the person doing it than shutting down and rocking in front of your work coleagues or schoolmates?
Again, quality of life there is no comparison, but i'm looking at how this effects all the people on this forum on a daily basis and you all say you have a mild form of a syndrome which is just a mild form of another condition, yet i read every day about how it effects your life as much as a blind person, more than a deaf person, more than someone in a wheel chair. How is that a mild version of "autism-lite"

So i don't consider myself to have mild autism, i consider myself to have full blown AS. If you remove the AS label i consider myself to have medium severity HFA. Nothing about what i struggle with is mild, but i'm aware of people with AS who have more severe symphoms than i do, so i wouldn't call myself severe.
The fact that most LFA's could never lead the life I do does not diminish my challenges within the diagnosis of HFA/AS, they're just a totally different set of challenges.

Who has the most severe mental issue, someone mentally ret*d or a genious with psycosis.
Who has the worst physical disability, a double leg amputee or someone under constant medication due to skeleton pain who can walk with crutches but can't sleep, concentrate or function due to pain?

Sorry long rambling post, i went back and rewrote a ton of it and duplicated stuff and now its way too long to make the point i wanted to, but may be interesting for someone to read. It's actually helped me organise my thoughts somewhat, which is interesting becuase i rarely get anything out of writing things down, it's usually just a poor copy of what i'm actually thinking.


I agree with you that a person has a condition 100%, but that is not what the spectrum is referring to.

At least for me, when I speak of "spectrum" in regards to disorders, I mean a hypothetical grading in reference to an absolute standard.
In your analogy of "A rainbow [as] a spectrum of colours", a rainbow only exists in relationship to the person's view. A rainbow never exits at a specific point in space, because it is purely an artifact of light and water molecules at an angle to the observer. Rainbows are not physical real things, they are a frame of light.

Now, when I speak of Autism, I do not speak of your Autism,or Johnny's Autism, or suzie's Autism, I speak of a standard Autism, usually DSM, but that standard may not actually exists in a real person. My reference is more often than not someone like Rainman (Kim Peek). So someone is mild in comparison to Kim Peek, or severe in comparison to Kim Peek.

The person may very well have individual traits that are statistically less common, or physically more restrictive, but at least for me, I sum up all the traits into how much functioning is the person capable of in comparison to any average person or Kim Peek.

A spectrum is graded by a standard. The standard itself does not have to fit on the spectrum. One only needs to use an agreed upon method of mapping the relationship between the spectrum and an actual person. That is what the DSM is suppose to do. It's suppose to be a standard, and a person is put on the spectrum accordingly to how accurately he maps to that standard.

the words mild and severe are comparative words. There is always an implied thing being compared to, and that comparing can change between 2 people or 2000 people. I can be mild compared to you, but you can also be mild in comparison to someone else.



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09 Mar 2010, 1:17 pm

I remember in October as a new member at WP last year having this discussion in a thread.

Willard pointed out that in his opinion 'there is NOTHING mild about AS'.

I assumed he meant everyone EXCEPT me of course; I mean I MUST be mild if I have a science degree, professional qualifications, my own business started from zero and a very good income...........

WRONG.........despite all the intellectual and academic trappings I am socially impaired and it is anything but mild. I dont notice it because I don't mix with people much outside of my business. I DO notice it at home and I AM very impaired.

Willard was spot on, with me anyway.

Thanks Willard.


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09 Mar 2010, 2:22 pm

Danke, Spot

I still say that just because we may be more articulate than our less communicative brethren, the sensory hypersensitivities and social handicaps we manifest are no less debilitating internally, nor a less disabling set of handicaps in terms of practical reality.

Example:

I get some mail from a government agency notifying me than I've been enrolled without my knowledge in a program that takes money out of my household budget that I can't afford to lose. I go immediately into panic mode and toss the paperwork on a counter, where it sits for a month while I worry and hyperventilate and stim endlessly, making myself physically ill, until finally I have a day when I feel calm and competent enough to sit down and actually read the documents over, only to find that while I was incapacitated by anxiety, the deadline for opting out of that unaffordable program has now passed and I'm in for an even more complicated maze of government paperwork to straighten the mess out, if in fact, it can be straightened out at this point.

And while one who doesn't suffer from this level of anxiety and executive dysfunction would see this behavior as simply foolish and cowardly, that doesn't change the fact that the effect on my day-to-day survival is anything but mild.

The frightening part is, while at a certain age you might hope to eventually outgrow that sort of thing, I'm finding that it is actually becoming worse as I get older. My functionality seems to have peaked somewhere between ages 25-40, followed by a rapid decline. So, yes, during a certain portion of my life I appeared to be almost completely normal. But it doesn't last.

AS gets tagged as 'mild' based on external appearances only. I know when I was first diagnosed, I tried to convince myself MY AS was a mild case of mild Autism. I was kidding myself. Once I studied the condition thoroughly, and came to see how deeply it had been coloring every aspect of my life for decades, I had to admit - there's nothing mild about this at all. I had just learned enough coping mechanisms over the years that I'd become very good at hiding it.

Even from myself.



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09 Mar 2010, 2:32 pm

If you look at it as a spectrum, the mean is the neurotypical mean. Aspies and auties are at one tail of the distribution.

Tails on a bell curve are heavier towards the mean, and tail off away from the mean. Thus, there will be more people in the part of the tail tht is closer to the mean - the "mild" end.



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09 Mar 2010, 2:38 pm

I think you (person 2 posts before me) are right.

I am diagnosed autistic and I have a friend who was diagnosed AS. People tend to read me as severe and her as mild based on a few parts of our appearances.

But we both have serious trouble with daily living tasks, in roughly the same amounts and same areas. She gets help from a boyfriend, I get help from the state.

We both had the same kind and level of receptive language delay. She may have just never had the period of lost speech I had in early development. I now have no useful speech and she has some some of the time and none the rest of the time.

We both have pretty extreme trouble recognizing objects and words in our surroundings and have to work hard to perceive more than just lots of colors and sounds. (And both of us have spent enough of our lives like this that we have devised alternate ways to understand and navigate our surroundings)

We both have trouble going out on our own safely. Neither of us have been able to go out much without cops following and stopping us since we were teenagers. We both have trouble understanding when cars come at us in streets and parking lots.

We have the same kind of thinking. Same approach to language.

All that and more the same and we get put on totally opposite ends of the spectrum because of a few superficial differences. It's amazing.


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