Do I have Asperger's or some other kind of mental illness?

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akwart
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10 Feb 2021, 5:02 am

Hello, I'm new here and I could use some help. I'm trying to figure out what type of disorder that I might have, and what I should do about it. I know that I should probably schedule an appointment for a clinical diagnosis, but it is usually over $200 per session, and I just can't afford to do that right now.
But anyway, about 90% of the time I’m completely normal, and people would never guess that there is anything wrong with me. I can be very polite, intelligent, easy to get along with, and have a great sense of humor. But the other 10% of the time I’m loaded down with all sorts of weird social problems and anxieties. Here is a list of all the issues that I have:

-I can be socially awkward at times, and I have a hard time making small talk. It is fairly easy for me to talk to a few select people, but with most people I hardly say anything at all. So I normally prefer to be by myself.
-Sometimes I have panic attacks in social situations. Confrontational situations with bosses or coworkers, public speaking, job interviews, and going on dates are usually the worst. But sometimes even just regular conversations can cause panic attacks.
-I have lots of awkward body language, lack of eye contact, and I blush very easily.
-When I’m stressed out I can be very fidgety, with leg shaking, nervous ticks, and teeth grinding.
-Sometimes when I get really excited or nervous I can have some speech problems such as stuttering, slurred speech, or mispronouncing words.
-I have a terrible attention span and I’m constantly daydreaming. Sometimes it’s so intense that I make lots of weird facial expressions while I’m daydreaming.
-I sometimes have meltdowns over really stupid things, like not being able to find my remote, or my computer giving me problems.
-I get frustrated when I’m trying to learn a new skill, especially when the people who are teaching me start to lose their patience with me. This has given me a lot of problems when it comes to developing a successful career.
-I spend a lot of time making long lists of all kinds of things.
-When I get depressed I sometimes drink too much, as opposed to keeping up with a lot of my responsibilities, such as cleaning my house or running errands.
-99% of the time I am extremely nice to people, probably to the point of being a "people pleaser" who has a difficult time with boundary issues. But in rare circumstances, if I'm bullied or pushed way too far, then I can potentially go completely ballistic on someone.

So based on all of these things, I’m trying to figure out what I might have. I'm a 44 year old male, and throughout my lifetime, I’ve seen about a dozen different psychiatrists, and they each have a completely different opinion about what I might have. I’ve been told that it might be Asperger's Syndrome, or High Functioning Autism, or Tourette's Syndrome, or Social Anxiety Disorder, or Depression, or ADHD, or OCD, or maybe a little bit of everything.
I've tried over a dozen different medications, and the only one that seemed to help me was klonopin, but my doctor eventually took me off of it because it is considered too addictive for long term use.
I’ve tried taking a bunch of online tests to help diagnose myself, but the questions that they ask usually don't match up very well with all of the symptoms that I have. So the results are usually somewhat inconclusive.
So does anybody have any thoughts about what I might have or what I can do about it?



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10 Feb 2021, 6:36 am

You do have traits so you might be right, though we are unable to assess as it needs an assessor to determine if one is on the spectrum or not.

Here in the UK the assessments are free but there are very long waiting lists. I understand that though you pay over there instead of waiting years, you don't have to wait that long.

Cost is a difficult one. I did hear in some states colleges may offer a free assessment? I do not live over there but it is worth asking, especially if it is an university specializing in psycology where they want people to study? It is just an idea.

I hope all works well for you. Welcome to Wrong Planet.



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10 Feb 2021, 10:13 am

Asperger's is a developmental disorder, not a mental illness.


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10 Feb 2021, 10:17 am

Autism is always traced to early childhood. Pick up some literature and dig into your early life. If you have it, there were always signs in your childhood.



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10 Feb 2021, 10:18 am

There is no one here who can diagnose you without direct personal observation and interviews.  You would be better off to consult an appropriately-trained and licensed mental-health professional than to list your subjective observations in hope that a group of strangers will give you the "diagnosis" you expect.

And, as others have said, Asperger's Syndrome is NOT a mental illness!


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madbutnotmad
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10 Feb 2021, 11:06 am

akwart wrote:


-I can be socially awkward at times, and I have a hard time making small talk. It is fairly easy for me to talk to a few select people, but with most people I hardly say anything at all. So I normally prefer to be by myself.

People with ASD often have problems with small talk.

-Sometimes I have panic attacks in social situations. Confrontational situations with bosses or coworkers, public speaking, job interviews, and going on dates are usually the worst. But sometimes even just regular conversations can cause panic attacks.

The ASD brain is known to have abnormalities in the frontal lobe which causes poor emotion regulation.
This is why confrontations can cause major problems.
In addition, a high percentage of people with ASD also have abnormalities with regards to how they process sensory information, often being not only hypersensitive, but also taking in more information than normal, which overloads the ASD brain with stress hormones. People with ASD also often suffer from abnormalities to the part of the brain that is used to regulate stress in a way that makes the person with ASD find it hard to cope with the levels of stress that they encounter in normal day life. In addition, people with ASD also have problems trying to hone in on one source of sensory information in a busy sensory environment where there are several sensory sources active at once.

-I have lots of awkward body language, lack of eye contact, and I blush very easily.

lack of eye contact can be present, as making eye contact overloads the ASD brain with lots of complex sensory information.

-When I’m stressed out I can be very fidgety, with leg shaking, nervous ticks, and teeth grinding.
ng, slurred speech, or mispronouncing words.

Such things can be regarded as "stimming" and ASD shutdowns. The grinding teeth is often attributed or a symptom of an anxiety disorder.

-I have a terrible attention span and I’m constantly daydreaming. Sometimes it’s so intense that I make lots of weird facial expressions while I’m daydreaming.

People with ASD often have poor attention span, as they are easily distracted by sensory information.
The strange facial expressions probably just one of your idiosyncratic traits.

-I sometimes have meltdowns over really stupid things, like not being able to find my remote, or my computer giving me problems.

This is common, due to rigid thinking, need to adhere to routine. etc.

-I get frustrated when I’m trying to learn a new skill, especially when the people who are teaching me start to lose their patience with me. This has given me a lot of problems when it comes to developing a successful career.

Problems with communication can make learning new skills hard.

-I spend a lot of time making long lists of all kinds of things.

Making lists, or the love for making lists can also be a trait.

-When I get depressed I sometimes drink too much, as opposed to keeping up with a lot of my responsibilities, such as cleaning my house or running errands.

Drinking as a method to self medicate in order to help with ones depression and anxiety is also very common.

-99% of the time I am extremely nice to people, probably to the point of being a "people pleaser" who has a difficult time with boundary issues. But in rare circumstances, if I'm bullied or pushed way too far, then I can potentially go completely ballistic on someone.

Yes. very common among people with ASD, but also generally anyone with any comorbid mental health disorders


May I also say that I also agree with Frord, in that none of the people on this forum are qualified health care specialists and certainly none that have the experience or specialist qualifications to evaluate or diagnose ASD.

In my experience the best person to seek out is someone who is a clinical psychologist who is experienced and qualified specifically in evaluating and diagnosing ASD.

From experience, the process isn't as simple as fulfilling a criteria by giving them a list.
My evaluation for example took considerable work and included interviews with me, my friends, my parents,
as well as evaluation of life history, conditions of birth, behaviour as a baby onwards.

Reviewing any evidence that confirms various traits.
So, I would recommend that you seek out a legitimate clinical psychologist who is specialist in this specific area, as most doctors and psychiatrists are clueless.

If you need to find a clinical psychologist who specialises in ASD in your country / area, i recommend that you contact the autism charity for your area / country.

Hope this helps.



Phoenix20
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10 Feb 2021, 11:12 am

Why spend thousands getting a label that is unlikely going to change anything in your life? Being self diagnosed Asperger's is good enough for many people.



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10 Feb 2021, 11:27 am

Phoenix20 wrote:
... Being self diagnosed Asperger's is good enough for many people.
... But only if you are not seeking treatment for comorbid conditions, assistance from an agency, or special consideration for education, employment, or housing.


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10 Feb 2021, 11:51 am

Fnord wrote:
Phoenix20 wrote:
... Being self diagnosed Asperger's is good enough for many people.
... But only if you are not seeking treatment for comorbid conditions, assistance from an agency, or special consideration for education, employment, or housing.


And a lot of aspies aren't (me included). I don't think he was asking how to get accommodations, I think he was asking your opinion if he has it.

In any case, I am surprised by the response that he got. Just a few years back I was under impression that a lot of people in aspie community were self diagnosed and they were trusting their self diagnosis without any expert opinion. Also they viewed it as a community thing a lot more than medical thing so they sort of knew how to see their own.

And I tend to agree with the past view that I just described. I mean, Asperger is a very fluid diagnosis. What is considered Asperger today wasn't diagnosible few decades ago and, conversely, something that is normal today will perhaps earn Asperger label few decades later. What about relatives of aspies that also seem a bit rigid or have some traits, yet can't be diagnosed by today's standards? I don't think there is a clear cut line and a lot of it is up to gray areas. So thats why I don't think that experts necesserely have any authority on this matter.



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10 Feb 2021, 12:06 pm

QFT wrote:
Fnord wrote:
Phoenix20 wrote:
... Being self diagnosed Asperger's is good enough for many people.
... But only if you are not seeking treatment for comorbid conditions, assistance from an agency, or special consideration for education, employment, or housing.


And a lot of aspies aren't (me included). I don't think he was asking how to get accommodations, I think he was asking your opinion if he has it.

In any case, I am surprised by the response that he got. Just a few years back I was under impression that a lot of people in aspie community were self diagnosed and they were trusting their self diagnosis without any expert opinion. Also they viewed it as a community thing a lot more than medical thing so they sort of knew how to see their own.

And I tend to agree with the past view that I just described. I mean, Asperger is a very fluid diagnosis. What is considered Asperger today wasn't diagnosible few decades ago and, conversely, something that is normal today will perhaps earn Asperger label few decades later. What about relatives of aspies that also seem a bit rigid or have some traits, yet can't be diagnosed by today's standards? I don't think there is a clear cut line and a lot of it is up to gray areas. So thats why I don't think that experts necesserely have any authority on this matter.


The OP seems to be looking for a definitive answer to what might be causing problems in his life. He does not know if it is ASD or something else he listed in his post. The only person that can answer that is a professional. Note, ASD and ADHD can have similar symptoms, but they diverge in very important way. Also, both those conditions can be comorbid. It would not be responsible to simply say diagnose yourself with whatever condition you like. He is looking for help. That starts with understanding the problem.

I think self diagnosis is fine if you are trying to understand yourself on a personal level where you need no assistance. Autism is also an identity and has value in that.



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10 Feb 2021, 12:15 pm

Jiheisho wrote:
... I think self diagnosis is fine if you are trying to understand yourself on a personal level where you need no assistance...
I feel inclined to agree.  However, getting an official diagnosis "puts icing on the cake" of understanding in this context, metaphorically speaking.


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10 Feb 2021, 12:18 pm

Yes, I share some of the experiences you describe. However, like people have said, you really need a professional diagnosis. ASD and ADHD can share the same symptoms, but they are also different--ADHD can require medication, unlike ASD.

Klonopin is a benzodiazepine. And it is additive and can have negative effects with long-term use. It is kind of a scary medication and a schedule IV drug.