"they think you are joking or something" --- I suffer from chronically re-occurring muscle inflammations, and very often as soon as one part of my body feels better, another part has come into full pain. It's seriously affecting my life, and I mean that. I have sought medical attention for it on two occasions and both time nobody really came to any firm conclusion nor even scheduled further investigation, even though this is impacting me badly. It's no laughing matter.
The other week an acquaintance sat down to chat with me in the park, and as it had been a while since she last saw me, and when she last saw me I had a severe "frozen shoulder" which was so bad that movement was very, very painful, she asked me how I was doing and if it was any better.
I told her, without smiling, that well the frozen shoulder has finally seemed to have recovered, but now the other section of muscle on the other side of my body has flared up again.
She laughed as if I'd cracked a really good joke, and said something like "well at least it's not both sides bad at the same time, hahahahah!"
I would have preferred a polite, caring "Oh sorry to hear that, how are you managing the pain? Is work okay?" Instead I get her laughing like a jackass. Didn't know that just my delivery means I could have had a career in stand-up. [/sarcasm]
And in general I'm not taken seriously. I'm often disbelieved, dismissed, not given credit for a point I raise being a legitimate one in real life situations. I feel a lot of it has to do with a combination of factors creating a "perfect storm". Height, not looking my full age meaning that strangers who I can well see are my own peers talk down to me as if they "know better," plus a high voice, childish voice -- and yes I've tried to modify it but try faking a voice as well as faking NT sometime...