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Lazenca_x
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18 May 2010, 5:26 pm

Hi, I haven't been here in ages! Anyway, when I asked my pdoc if I was an aspie, he replied by saying that autistic people do not generally get to the level that I'm at. By this he meant that autistic people do not get to university. He instead diagnosed me with paranoid schizophrenia. I'm now on abilify and clozapine. My difficulties might make me seem like an aspie. I don't do eye contact. It is difficult for me to look people in the eyes. I have a non changing facial expression coupled with a monotonous voice. I like routine in my life. I miss social cues etc. All these can be accounted for by schiz. Just because you are smart doesn't mean you are an aspie. The confusion that many normals make is to think they are aspie. I don't know what I am but it's ok. I mean, normals need to belong somewhere, to fit in. I don't need company. I don't need to belong somewhere as it makes me uncomfortable. Please share your thoughts.



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18 May 2010, 6:20 pm

When he said that autistic people don't get to the level you reached, that is simply not true. Some people on the autism spectrum are intellectually gifted, and many others are able to attend college, so I would be little skeptical of his diagnosis. If I were you I would consult someone who knows more about HFA to figure out if your issues are related to autism or whether you are on the schizophrenic spectrum.

Btw, abilfy is also approved to treat autism so it could help either way. I don't know about clozapine.



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18 May 2010, 6:21 pm

You're welcome here, any time. :)


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mechanicalgirl39
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18 May 2010, 6:21 pm

None of your traits sound schizophrenialike.


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Willard
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18 May 2010, 6:24 pm

You need a new doctor. Give that one a copy of Temple Grandin's book when you ditch him.



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18 May 2010, 6:58 pm

mechanicalgirl39 wrote:
None of your traits sound schizophrenialike.

They do, actually :wink: A flat affect, monotonous speech, and social withdrawal can be traits of schizophrenia. That said, those traits on their own could be personality related. (Or they could point to something other than schizophrenia.)
I don't know what your disorder might be, or if you even have one. Either way, your doctor made a rude generalization. :?



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18 May 2010, 7:02 pm

book_noodles wrote:
mechanicalgirl39 wrote:
None of your traits sound schizophrenialike.

They do, actually :wink: A flat affect, monotonous speech, and social withdrawal can be traits of schizophrenia. That said, those traits on their own could be personality related. (Or they could point to something other than schizophrenia.)
I don't know what your disorder might be, or if you even have one. Either way, your doctor made a rude generalization. :?


That may be true but that doesn't seem enough for a diagnosis of paranoid schizophrenia. My nephew has that and without meds he is clearly delusional.



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18 May 2010, 7:09 pm

I graduated engineering college magna cum laude and am a diagnosed aspie. So what he is saying is simply not true.


You sound more spectrum like then schizophrenic like to me.



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18 May 2010, 7:11 pm

Lazenca_x wrote:
Hi, I haven't been here in ages! Anyway, when I asked my pdoc if I was an aspie, he replied by saying that autistic people do not generally get to the level that I'm at. By this he meant that autistic people do not get to university. He instead diagnosed me with paranoid schizophrenia. I'm now on abilify and clozapine. My difficulties might make me seem like an aspie. I don't do eye contact. It is difficult for me to look people in the eyes. I have a non changing facial expression coupled with a monotonous voice. I like routine in my life. I miss social cues etc. All these can be accounted for by schiz. Just because you are smart doesn't mean you are an aspie. The confusion that many normals make is to think they are aspie. I don't know what I am but it's ok. I mean, normals need to belong somewhere, to fit in. I don't need company. I don't need to belong somewhere as it makes me uncomfortable. Please share your thoughts.



I know two different people who have Schizophrenia, one on meds and one not, and they have far more trouble functioning than most people with Asperger's. I think your doc has it backwards maybe we could diagnose him with dyslexia :lol:



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18 May 2010, 7:15 pm

Were those things you listed the only reason he diagnosed you with paranoid schizophrenia? And he's doping you? I'm not anti meds but I think it's extreme to medicate you for such an incomplete assessment. Do you have a history of delusions?



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18 May 2010, 8:22 pm

Those are serious drugs with potentially serious side effects. That not something I would ever, ever do without getting a second opinion.

But that's just me.



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18 May 2010, 9:30 pm

Given how far off your pdoc is about AS (plenty of people with AS go to college; sounds like he was thinking of Autistic Disorder), I'd have grave reservations about trusting his ability to dx schizophrenia. IMO you ought to get a second opinion.

Also, it's known that the "negative symptoms" of sx are very similar to certain autistic traits. And IIRC that's why in the DSM if someone is dx'ed with AS they can't be dx'ed with schizophrenia -- there's too much overlap.

Doctors can foul up, and you will have to pay for the consequences in ways he never will, if he's wrong. Good luck.



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18 May 2010, 10:56 pm

Lazenca_x wrote:
Please share your thoughts.


Well, if you're looking for an "official" answer, then I can say with certainty that you are not an aspie. A schizophrenia diagnosis explicitly precludes you from this condition under section IV of the currently accepted DSM:

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

This may change with DSM V or with a different diagnosis (assuming a mis-diagnosis). You could meet every other criteria and still fail the final test. But so what. You can still come here and post here and participate here. You're probably more like us than you are like any other group.

Hey, just for fun, do me a personal favor and use this logical counter-argument against your pdoc next time you see him:
  • Most neurotypical people do not go to college (only roughly 20% have attended (source: 2000 census data)).
  • I am going to college
  • Therefore, YOU cannot be neurotypical since most neurotypicals don't make it that far.
Gotta love some people's "logic".


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Last edited by ViperaAspis on 19 May 2010, 2:17 am, edited 1 time in total.

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18 May 2010, 11:41 pm

Willard wrote:
You need a new doctor. Give that one a copy of Temple Grandin's book when you ditch him.


YES

for the record, also, Temple Grandin is HFA which i think further proves the point that he doesn't know what he's talking about. Also didn't anbuend go to college? (looking up .. ) yes, she said on the thread about ADHD and giftedness etc. she went to college at age 14 and had troubles, but she began. so there are two examples of people elsewhere on the autistic spectrum that made it to university as well.

the more i read the more it is obvious some doctors have an immediate diagnostic bias (or are lazy) and if they don't see one trait they are looking for will change the diagnostic path without really getting to know what is going on. i am mortified that someone would throw around a diagnosis of schizophrenia without investigating further. i don't know the whole situation, but it doesn't sound like your doc dug too deep, anyway.


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18 May 2010, 11:58 pm

One of my old therapists told my parents that I would likely become psychotic due to the "negative symptoms" I was exhibiting.

Please get reevaluated. Being medicated for what could be the wrong condition would be tragic. He could be right, or he could be wrong, but please seek out another opinion.



Lazenca_x
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19 May 2010, 4:26 am

Well, I do have delusions. That means I'm not a typical nt. It is annoying though, to belong to a minority of people. Most people do not understand what it feels like to have a mental disorder.