Schizotypal Disorder and Asperger's mutually exclusive?
According to ICD-10 you cant have Schizotypal Disorder and Asperger Syndrome at the same time, but I kinda fit the bill on both.
Is it a matter of what diagnosis you get first, and then you have to stick with it, or how do they imagine this should work?
(source: http://www.who.int/classifications/icd/en/bluebook.pdf )
under Asperger's syndrome it says;
anankastic personality disorder (F60.5)
attachment disorders of childhood (F94.1, F94.2)
obsessive-compulsive disorder (F42.-)
schizotypal disorder (F21)
simple schizophrenia (F20.6)
..and under Schizotypal Disorder it says;
Asperger's syndrome (F84.5)
schizoid personality disorder (F60.1)
Phonic
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Basic rule of thumb: if you were like this as a kid, it's AS.
It's stupid and there's no agreed upon difference, though you can often see somethings wrong in kids who eventually develop a personality disorder, it's not clinically significant (so they say) till they're adults.
One thing: being eccentric isn't necessary in ASD, it is in schizotypal, some people with ASD are very conforming, or try to be.
You might wanna try going to therapy for both, as both methods would help you I suspect.
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'not only has he hacked his intellect away from his feelings, but he has smashed his feelings and his capacity for judgment into smithereens'.
This is very tricky and complicated topic.
My observation is that ppl with ASD can also have personality disorders.
The basic with AS / ASD is that the disorder started from birth on.
Go and see a expert. To make the proper diagnose is complicated thing.
I think it happens that ASD ppl are misdiagnoised with schizoid personality disorder.
Be careful and ask a lot.
What it means:
You can't have both if one and the same symptoms are used to "prove" you have both disorders.
If for some reason it can be "proven" that you have two separate collections of symptoms, one that "proves" you have AS and one that proves you have (albeit they may mingle and fuse)
However, because most people either don't know themselves well enough to figure this out and/or most mental health professionals can't figure it out, the diagnoses are usually mutually exclusive to forestall horrendous errors of misdiagnosing an individual with multiple disorders they seem to have but don't actually because only one-two disorders cause the symptoms that are (mis-)understood to be lots of other disorders.
Usually, it's supposedly impossible to analyse a person to a degree that allows it to identify that what looks like "the same behaviour" to the outside can actually be caused by totally different reasons from the inside. You know... people only look at your forehead, not beyond, so either you have a decent amount of self-awareness and analytic skills to identify causes of most of your behaviours on your own or you probably have no idea why exactly you do all kinds of things you do - which means everybody else can know hardly more than that.
An example:
I, for one, can "prove" I have a set of symptoms with which I fulfil criteria for autistic disorder/AS and another set of symptoms with which I fulfil criteria for ADHD. Guess I'm lucky that my symptoms happen to be clear-cut and I have a good self-awareness (that ends about where my arm ends unlike the type of self-awareness that encompasses social awareness beyond one's self).
Nevermind, given the exact causes of both disorders are a bit of a mystery, it might still be that I only have one thing wrong with me that causes all symptoms... but that doesn't matter one bit for diagnoses of the DSM or ICD. So if criteria change and, say, autism starts including all kind of fancy symptoms such as chronic inattention that is unrelated to social ability, repetitive behaviours and sensory overload, then naturally, my proof would go "poof".
I do, for example, superficially fit criteria for dyslexia (odd, seeing how I seem to be hyperlexic actually), dyscalculia, dyspraxia because of ADHD - but I definitely do not have these disorders (hey, I can be awesome at maths) and the symptoms that look as if they form these disorders aren't consistent. They suddenly change and even completely disappear when addressing the ADHD.
I was allowed to look into how dyscalculia and dyspraxia are treated and while these treatments may have helped a little (from what I can tell), they would addressed something I don't have. I much rather address the original issue if it's known to me than do damage control by jumping to conclusions because of how things can get misinterpreted.
On a side note:
shizotypal disorder is really interesting, but I don't entirely trust the concept of "ideas of reference" and "odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms" for people like myself who happen to not have much of a cultural background because of autism/ADHD or for whatever others reasons. How to tell whether I have that or not when due to my impairments I never grew into the culture I was supposed to become accustomed to?
I guess that would be quite an obstacle when considering that an autistic person might have shizotypal disorder on top of their autism. Where to draw the line in such a case to avoid misdiagnosis?
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Autism + ADHD
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The trouble with having an open mind, of course, is that people will insist on coming along and trying to put things in it. Terry Pratchett
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