Has my sister a neuropsychological disorder?
I may (nick)name "pathological nonconformism syndrome" (PNS) as "Wolff's syndrome". In Tony Attwood's "Asperger's syndrome" I read about S. Wolff's supposition(?) that between "being normal" and having Asperger's there is something called "schizoid personality disorder". I also found such a quotation on this webpage (https://www.reddit.com/r/aspergers/comments/2637hf/how_do_schizoid_disorders_and_aspergers_match_up/): Wolff (1998) regards “Asperger syndrome and schizoid/schizotypal disorders as interchangeable terms that identify roughly the same group of children”. PNS is a "global difference" for me, not an idiosyncratic cognitive style or unusual way of processing sensory stimuli. It may even be a sort childhood-onset schizophrenia (at least in some severe cases) in addition to being a subtype of autism (a pervasive developmental disorder).
My sister may appear for me as having "schizoid personality disorder" or "schizoid character". But personality disorders are rather not diagnosed before adulthood (she is about 14,5) and "personality disorder" is not a correct term for a disorder which would be on one spectrum with my condition (which is a subtype of autism). I think that her condition should be recognised. before her 18th birthday. Having a brother with serious mental health problem, diagnosed with F84 and F2x is an argument for conclusion that my sister is "somewhat different", not (just) "rude" or "impolite".
For me the condition of my sister may looks alarming in comparison to many Aspijkas about who I read My sister does not look to have "specific deficits" like prosopagnosia or cognitive deficits associated with theory of mind. She may look (I do not want to offend my sister) "stupid" in comparison to these Aspijkas. I think that her state should not be ignored. She may have "different nature" like me, but not to such a degree as I have.
My family looks "ignorant" and "helpless" about the case of my sister In elementary school she had even a bit worse marks than me. I suppose that she may be a disabled person because of an atypical subtype of autism. I have problems with imagining her future I would not name her condition as a personality disorder. My problems are also ignored by family. I am "unable to normal life". I may be afraid that my sister will end like me.
For my mentality my sister does not look similar to any other person. I "suggested" my grandmother that my sister can be an Aspijka, but my grandmother opposed. "Classic" Aspijkas about who I read appears better for my mentality than my sister. My sister looks somewhat "stupid" for my mentality, also because of supposition that her condition is related to my condition. I would say that I am seriously ill mentally, in addition my problem is "atypical", "rare".
For me my sister may look as more "disabled" mentally individual than high-functioning ASDer. And her problems may be seriously ignored. I do not rule out the possibility that she is really handicapped mentally (but not intellectually).
In some areas she is even worse than me! She has rather uglier handwriting, learned how to ride a bike later, had poorer grades in elementary school, has "deficit" of good will (is non-religious). When I read Tony Attwood's text about females with Asperger's, two themes were interesting to me: "childish voice" which is sometimes found among Aspijkas and interest in horses (I remember my "scrupules" about saying "horse" (in Polish and in plural instrumentative case) to describe interest(?) of my sister to a pedagogue or a psychologist when I was few years younger). She may be "harsher" Aspijka than it looks.
If I have to diagnose my sister, I would describe her as having a highly atypical sort of autism, not (just) rude or internet/computer addict. She makes very bad impression on me. I suppose that her behavior and emotionality may have something to do with genetics. Something "handicapped" may "emanate" from her to me.
I was more "spiritual" than her, had stronger (and generally stranger) interests(!), liked to do bicycle ridings, was generaly more "mobile". She may be unspiritual, "immobile", without "more serious" interests, her way of life appears to be more sedentary.
Today I suggested my mother and brother that my sister can have autism. They did not rule out the possibility of autism in her. She graduated to next grade few months ago and had very good marks on her certificate.
I remember that my brother once said something like that that my sister behaves like a ten years old [person]. I read that people with Asperger's can have emotinal maturity of 2/3 their biological age - and this opinion suggests that my 15-years-old sister has a sort of "aspieness".
Good news is that she appears to be uninterested in having boyfriend (impure temptations are bad, better be free of them). She can look somewhat "man-like", not "woman-like" in her behavior, which also suggests "aspieness". I do not know if she has good relationships with classmates. She may spend very much of time in Internet or playing computer games. This pattern of behavior may be something like "special interest" (although she looks somehow "devoid of passion" in comparison to me).
My sister two times behaved very aggresively against her mother. She hurted her mother physically.
Now the girl spends very much time with smartphone. I suppose that she has not an aucorigia, but is only aucoroidal, having "broader aucorigia phenotype", while my brother looks anaucoric (not aucoroidal and especially not aucorrigic). She makes bad impression on me. She had rather very good grades at the end of previous school year (I had worse results when I was in the same school level (third class of gymnasium)). She was not bullied in school (I was bullied in elementary school and gymnasium).
I do not think that she has true pervasive developmental disorder because she may have relatively good social skills (especially in comparison to me) and have friends in school (but I do not know about her so much).
Interesting that the level of aucorism increased with lowered birth weight and birth body length (I, my brother and my sister were born on time). I had the lowest birth weight from the three children and was diagnosed with Asperger's. My sister looks aucoroidal while my brother looks anaucoric (he scored 15 from 50 in AQ test if I remember it well), he has a girlfriend and is rather resourceful (and I am rather not).
I wonder if my sister meets criteria of any mental disorder from ICD-10. Maybe her condition would be classified as F99 - unspecified mental disorders. She spends very much time in Internet, with the computer or smartphone. She looks to have siginicantly better eye contact and facial expressions than me. I would not rule out the possibility of PDD in her, but it would be an atypical, maybe even undescribed PDD. She definitely has not classic autism (Kanner's syndrome). She may be somewhat similar to individuals with pathological demand avoidance (PDA). But I would not say that she has PDA. She may make an impression that she is about 5-6 years younger. Maybe she had emotional maturity of ten years old child when she was 16 years old? About 2/3 of biological age. This phenomenon may be quite common among Aspies. She spends almost all her free time in home, since about three years or maybe older no her colleagues came to my home. She is almost 17,5 years old, she will be an adult ten months later and she may presents herself as immature. Maybe she will receive diagnosis of immature personality disorder (although personality disorders may be not diagnosed before reaching 18 years old). She appears to be not interested in self-development, she is not religious. She dislikes open doors in my home and often tells me to lock the doors. It could look like an OCD symptom, but I think that it is not OCD. She also quite often tells me or my brother to make computer or TV more silent. I read about individuals with full-blown, clinical aucorigias who presented rather better than my sister.
I suppose that my sister might have something like schizoid disorder of childhood. She might be described as "somewhat shy" when she was about 7 - 8 years old.
She learned how to ride a bike probably somewhat later than me (and also my brother might learned how to ride a bike later than I, but my brother is not aucorigic). She might learn how to tie the shoes when was about 7 years old, quite late (I learned it when I was about 8, if I remember it well).
She had quite poor grades (3, Polish: dostateczny) in physical education (although last school year she had 4 (good)). Last school year she had poor grade in mathematics (2, Polish: dopuszczający).
My sister still spends very much time in her room, with computer, Internet or smartphone. She dislikes when I do not close the doors.
She may be autistic, but regardless she clearly has delayed fine motor skills.
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Diagnosed autistic level 2, ODD, anxiety, dyspraxic, essential tremors, depression (Doubted), CAPD, hyper mobility syndrome
Suspected; PTSD (Treated, as my counselor did notice), possible PCOS, PMDD, Learning disabilities (Sure of it, unknown what they are), possibly something wrong with immune system (Sick about as much as I'm not) Possible EDS- hyper mobility type (Will be getting tested, suggested by doctor) dysautonomia
I suppose that she may be autistic in my way, she might have "lite" version of my type of autism (which I named "pathological nonconformism syndrome"). But she may not be truly introverted - she talks with others by the computer or maybe smartphone. She also have no Kanner syndrome, like I. She (at least probably) never had contact with the psychiatrist.
I have:
- diagnoses of:
*Asperger's syndrome (since almost 10 years),
*OCD,
*schizotypal disorder
- certifcate of moderate level of disability,
- ruling of total incapacity of work from Social Insurance Institution,
- care allowance (153 PLN per month),
- social pension (above 700 PLN per month).
She does not practise sports. When I was younger than she, I played football with peers. I also rode a bike quite a lot.
She may make worse impression than I and many diagnosed Aspies about whom I read. But she appears to not be as socially inept as I, she was not mobbed in school, unlike I.
Most votes in the pool are for "rather no" and "definately no", but the difference is small. I think that she does not meet DSM-V criteria for ASD or even ICD-10 criteria for AS. Now I think that she is NOT aucorigic.
She may have normal or relatively normal social skills. She is better in cooking than me, I think. She has no special interests, OCD, stimmability (although sometimes, rather quite rarely, some stim-like behaviors were present). She "complain" about too noisy TV or computer some times. But she has no sensory overloads and shutdowns (even I do not have them). She (at least rather) does not present one-sided conversations.
When I was about 17 and she about 7 years old, she gave me quite good answer for the question associated with theory of mind (I rather did not know the answer despite being much older).
My nature want to have autistic or truly schizophrenic siblings or parents. Then the need of wife would be smaller. It looks bad for me to be the only person in my home and closer family who has ruling of disability due to mental health problem. I am lonely in my oddness. My nature may complain that I have no sister or brother with full-fledged ASD or true paranoid schizophrenia with real hallucinations, delusions and negative symptoms.
"Sister from the dream" of my mentality would present such characteristics:
- lack of intuitive theory of mind
- weak central coherence
- speech delay (first word when 3 years old, first sentence at 4,5 years)
- idiosyncratic sensory processing, hypersensitivity or hyposensitivity, frequent sensory overloads
- total prosopagnosia
- excitation waves with severe stimming
- special interests, very strong, idiosyncratic, inflexible, with hyperfocus
- need of sameness and predictability, many routines and rituals (but not associated with magical thinking)
- marked dyssemia, no eye contact, poor facial expressions, prosody
- PIQ much larger than VIQ, but no intellectual disability (for example PIQ 140, VIQ 110)
- no happiness from being together with others, social reciprocity deficits, tendency to one-sided conversations about special interests, lack of spontaneous sharing of enjoyments and achievements
- literal concrete thinking, no understanding of metaphors
- echolalias, pronoun reversals at least in childhood
Living with four non-aucorigic people (mother, father, brother, sister) is not a cause of happiness to my odd mentality. I am "black sheep" in my family. Other family members are not like I.
I may suppose some mental disorders or its traits in my sister.
One of them is schizoid personality disorder. She may be asexual and may do not want to have boyfriend and have not him. I think that asexuality is something positive and not a symptom of mental disorder (schizoidia may be looked as another sort of character, temperament for me).
Another condition which might be present in her case is immature personality. She may behave like 10-years-old child.
She may have some traits of pathological demand avoidance (she may like when others talk about her and she started to walk quite lately, about 14th month of life(?)) and NVLD (some clumsiness, she might have some difficulties with learning to tell the time from the clock).
I have a hope that she has no conduct disorder or antisocial personality.
I know relatively little about my own sister, she may be not so well inclined to me. I rather do not talk with her.
My mother was above 32 years old when she bore my sister. I am about 9,5 years younger than my sister.
My sister was not bullied in school, which may decrease risk of being autistic. She will have her 18th birthday for about 4 months. I "can't" talk with her. She still spends very much time with the computer or smartphone.
She may look as someone "in between" me and my brother - for me not autistic (at least in more "classical" ways), but also not "psychotypical" (she may behave as 10-11 years old girl).
My brother might have a girlfriend when he was about 17,5 years old. Since about four years no her colleagues went to our home.
I do not know what she wants to do in adult life. I had no plan for adult life in her current age (17,5 years).
My sister may look pretty neurotypical but I might not exclude even the possibility of "schizoautistic" disorder in her case.
She likes to bake cakes last time (and is rather good in that, I do not do it).
She still spends much of the time with the computer or smartphone(?), in the Internet - the same fact as mentioned in my previous post is still true.
Sometimes she uses bad words. She may look to be rude instead of mentally disabled like I.
My brother said something like that my sister behaves like 10-years-old child when she was about 16 years old.
I did not write posts in this topic for more than four years. Now my sister is an adult, she is nearly 22 years old. She presents (at least relatively) worse now than before adulthood. She gives me worse impression than "many" persons with ASD who received Asperger's syndrome diagnosis late in life and recieved social pension (which means that someone is markedly disabled). My sister is often markedly vulgar, even to her mother. My sister does not say so much about herself, it is hard to talk with her. She often complains that it is too loud for her (for example during closing the doors) or that doors are not closed, even for relatively short time. It is annoying and uncomfortable for me (and sometimes also for others). I have relatively mild obesity, probably due to psychotropic drugs prescribed to me by psychiatrists, but she appears to have even larger obesity than me despite the fact that she does not take psychiatric medicines (and have no psychiatric diagnosis or ruling of disability). She probably never worked and did not completed the studies (for some time she had paid studies (600 PLN per month)) and is not studying to get bachelor's or master's degree (I am not certain because she does not talk about her life achievements so much). I completed higher education to get BSc and MSc degrees (but not in so "technical" field) and have social pension and care allowance despite it (due to mental health problems, for example PDD). Parents do practically nothing about her mental health and even rather not help her in the area of getting the job or having higher education. My sister may have very small amount (if any) of money which is not for closer family (but, for example, from working or disability financial benefits). For me she appear to be mentally disabled, if she has not an ASD, it may be even more bad that she presents herself as she presents now (because ASD could be a "justification" of her (even very) poor life performance as adult).