Do you think getting diagnosed matters?
It was an important step for me because what turned out to be meltdowns / shutdowns were originally misdiagnosed as panic/anxiety attacks. I was given medicine that didn't help and caused side-effects that were making the problem worse.
I ended up seeing multiple therapists that kept getting frustated bc to them I wasn't doing the work to improve or open up (thanks to the combo of bad interroception and alexythemia), getting on a lot of drugs for things like depression / anxiety, and then using other treatments to battle the list of side-effects. It took my autism diagnosis to convince the health professionals to try a different path and wean me back off SSRI's especially.
Personally it also helped because as a late-dx person, I just learned to distrust myself and listen to others only. So even though I was pretty sure I was autistic, the self-doubt and imposter syndrome didn't let me accomodate myself properly... I kept just thinking I could power through it or something. The diagnosis gave me a real thing to point to when I second-guessed things like "no this is real, its not in your head."
So for me, it was pretty life-changing. But I know others view it as less necessary and I'm jealous of them tbh.
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The question is, does it matter to you? If it does, then you should make an attempt to obtain it.
There are many reasons why one would want a diagnosis. One could be to obtain legal protections under the various disability rights laws in whatever country you are in. Another could be for self-edification or understanding. Another might be for benefits. I don't know your situation or that of anyone else.
Now, your psychiatrist is correct that it will not change anything, other than possible legal protections or benefits. You will still be the same person you always have been. Others will treat you the same way they always have (or sometimes downplay the fact that you are on the spectrum). As for suicide, especially those who get diagnosed late in life, the issue might be is that there is no real support for the person after diagnosis. I ran into that in 2005 when I got diagnosed. I was told that the doctors did not know how to deal with adults on the spectrum. That might have changed in the past 20 years but again, that depends on your situation.
So although I voted that it is important, that is only because there was not a 3rd choice that was neutral. It really depends on the person and their needs and wants.
Hey everyone, thank you to all who responded to my topic. A lot has happened since then regarding my journey toward getting a diagnosis, I will try to answer you specifically later when I find enough free time and mental energy but for now, I wanted to share an update.
I recently finished reading "Is This Autism? A Guide for Clinicians and Everyone Else," and it was incredibly helpful. It clarified many things and allowed me to see myself more clearly. Based on my experiences, I strongly suspect I have Asperger's/Level 1 Autism, even though I haven’t received an official diagnosis.
I had an appointment at a hospital recommended by my psychiatrist to explore the possibility of a diagnosis. Unfortunately, the psychiatrist I saw was very dismissive. They told me there was "no point" in getting a diagnosis and that it would bring more negatives than positives due to potential labelling. I found this response incredibly biased and invalidating, especially after all the effort I’ve put into understanding myself. It feels like psychiatrists here focus more on prescribing medications than on understanding their patients, particularly adults with suspected Level 1 autism. Hearing about others being diagnosed later in life is inspiring but also highlights how unlikely this is in my country, at least.
Despite feeling deeply misunderstood and disappointed, I’m determined to keep pushing forward. This pattern of being misunderstood is something I’ve experienced throughout my life, and I’m trying to stay strong. If I can find affordable psychotherapy, I believe it could be a turning point for me.
On another note, I wanted to ask if anyone here has experience with fluoxetine. My psychiatrist prescribed it for depression and anxiety, but it’s been a challenging experience. While it helps to some extent, I’ve noticed extreme fatigue, increased sensory sensitivity (to noise and light), and worsened derealization. The derealization feels like the world is shaking (almost like an earthquake) or that my brain is spinning on an amusement park ride. It’s overwhelming and leaves me questioning if the negative side effects outweigh the positives.
I also read in the book that SSRIs like fluoxetine may not always be effective for people with autism. However, that psychiatrist in the hospital dismissed this idea, saying there’s no correlation between autism and SSRI effectiveness—and they also dismissed the importance of an autism diagnosis entirely. I’m not sure what to believe anymore. I plan to discuss this further with my psychiatrist, but I’d love to hear if anyone here has had similar experiences with fluoxetine or SSRIs in general.
I appreciate any advice or insights you can share.
I ended up seeing multiple therapists that kept getting frustated bc to them I wasn't doing the work to improve or open up (thanks to the combo of bad interroception and alexythemia), getting on a lot of drugs for things like depression / anxiety, and then using other treatments to battle the list of side-effects. It took my autism diagnosis to convince the health professionals to try a different path and wean me back off SSRI's especially.
Personally it also helped because as a late-dx person, I just learned to distrust myself and listen to others only. So even though I was pretty sure I was autistic, the self-doubt and imposter syndrome didn't let me accomodate myself properly... I kept just thinking I could power through it or something. The diagnosis gave me a real thing to point to when I second-guessed things like "no this is real, its not in your head."
So for me, it was pretty life-changing. But I know others view it as less necessary and I'm jealous of them tbh.
I've often wondered if my experiences are being mislabeled too. The side effects of medications like fluoxetine have been particularly challenging for me, and I’m starting to wonder if they’re doing more harm than good.
I completely relate to the self-doubt and imposter syndrome you mentioned. Even though I strongly suspect I’m autistic, I keep questioning myself and feel like I need external validation to truly accommodate my needs. Hearing that your diagnosis helped you trust yourself and advocate for better care is really inspiring. It’s frustrating when professionals seem more focused on dismissing or medicating symptoms than understanding the bigger picture, especially for adults seeking a late diagnosis.
Your journey sounds both difficult and empowering, and I’m so glad it ultimately led to a better understanding of yourself. I hope to reach that point too, whether or not I get a formal diagnosis.
Did they mean some objective disadvantages you may have after getting an official diagnosis in your country or just a general notion that it's unhelpful to look on a label, and not on actual problems?
I also read in the book that SSRIs like fluoxetine may not always be effective for people with autism. However, that psychiatrist in the hospital dismissed this idea, saying there’s no correlation between autism and SSRI effectiveness—and they also dismissed the importance of an autism diagnosis entirely.
I've been taking fluoxetine for several years (mostly for OCD) and tolerated it quite well. I also tried duloxetine (SNRI) and it worked really well for some time, but then side effects became worse than with fluoxetine. But I never had such serious side effects as you describe - mostly there were problems with sleep and attention.
As for the link between SSRI effectiveness and autism - I don't know how well it is established in research, but it's a thing I've read in several places. I think it's been observed quite consistently that some autistic people have high blood levels of serotonin and it's very possible that in their case SSRIs aren't very useful and can cause more side effects. Also, my psychiatrist and diagnostician suggested the same. But as always, it depends, e.g. Temple Grandin has written that fluoxetine helps greatly in her anxiety. Anyway, claiming that there is NO correlation seems like an ignorance to me.
It's always trial and error with meds - unfortunately often one must try different meds to see which has the best ratio of benefits to side effects. Some side effects can also pass, but I don't know how long you should wait - if you've been taking it for more than a month, than I don't think it'll be much better.
I hope you'll manage to figure things out.
_________________
Recently diagnosed with ASD, still skeptical.
Feel free to PM me if you want to or are really bored.
Either overthink or don't think at all - there's no middle way.
No, they meant that getting an official diagnosis in my country has no disadvantages. However, he indicated it may affect me natively due to "labelling" myself and it's unhelpful to look on a label as I am not a kid anymore to get early specific therapies. Looks like I need to find a psychotherapist instead of a psychiatrist.
As for the link between SSRI effectiveness and autism - I don't know how well it is established in research, but it's a thing I've read in several places. I think it's been observed quite consistently that some autistic people have high blood levels of serotonin and it's very possible that in their case SSRIs aren't very useful and can cause more side effects. Also, my psychiatrist and diagnostician suggested the same. But as always, it depends, e.g. Temple Grandin has written that fluoxetine helps greatly in her anxiety. Anyway, claiming that there is NO correlation seems like an ignorance to me.
It's always trial and error with meds - unfortunately often one must try different meds to see which has the best ratio of benefits to side effects. Some side effects can also pass, but I don't know how long you should wait - if you've been taking it for more than a month, than I don't think it'll be much better.
I hope you'll manage to figure things out.
Thank you! It has been more than a month since I started using fluoxetine, but derealisation -especially the prior dissociation part of that without extreme shaking feelings- happening more frequently. Fatigue feeling is kinda decreasing though. But hypnopompic hallucination also appeared last night again as I saw an undefined kind of psychedelic colourful geometric object on the wall between sleep-awake that made me terrified. I am going to talk about these with my psychiatrist soon.
No, they meant that getting an official diagnosis in my country has no disadvantages. However, he indicated it may affect me natively due to "labelling" myself and it's unhelpful to look on a label as I am not a kid anymore to get early specific therapies. Looks like I need to find a psychotherapist instead of a psychiatrist.
As for the link between SSRI effectiveness and autism - I don't know how well it is established in research, but it's a thing I've read in several places. I think it's been observed quite consistently that some autistic people have high blood levels of serotonin and it's very possible that in their case SSRIs aren't very useful and can cause more side effects. Also, my psychiatrist and diagnostician suggested the same. But as always, it depends, e.g. Temple Grandin has written that fluoxetine helps greatly in her anxiety. Anyway, claiming that there is NO correlation seems like an ignorance to me.
It's always trial and error with meds - unfortunately often one must try different meds to see which has the best ratio of benefits to side effects. Some side effects can also pass, but I don't know how long you should wait - if you've been taking it for more than a month, than I don't think it'll be much better.
I hope you'll manage to figure things out.
Thank you! It has been more than a month since I started using fluoxetine, but derealisation -especially the prior dissociation part of that without extreme shaking feelings- happening more frequently. Fatigue feeling is kinda decreasing though. But hypnopompic hallucination also appeared last night again as I saw an undefined kind of psychedelic colourful geometric object on the wall between sleep-awake that made me terrified. I am going to talk about these with my psychiatrist soon.
I think you should go back to your doctor. Hallucinations even at night aren't a side effect to be taken lightly. There are plenty of other medidations from other groups that are more effective for some people than SSRIs. SSRIs aren't as "safe" and "good" as they are branded to be. There are SNRIs, anti-anxiety medications, sleep medications, mood stabilisers, stimulants if you have ADHD - plenty of other options.
Edit: I have had problems with SSRIs as well. Increased anxiety and excess drive, overstimulation due to not perceiving overstimulating experiences as unpleasant (presents as memory problems, feeling like I can't get rid of certain emotions and impressions, because it takes too long to calm down, brain felt crammed), sleep problems. I need 9-10 hours of sleep a day. SSRIs aren't harmless and you should seek out other options if you can't handle the side effects, if they are as bad as the thing the med was supposed to treat.
This really hit hard because at my recent appointment, my psychiatrist told me that getting a diagnosis wouldn't change anything and questioned the point of it all. she pointed out that I should accept and love myself without needing any diagnosis, and she dismissed it as something that wouldn’t impact my life. But everything I’m learning suggests otherwise. Knowing you’re autistic can mean access to support, understanding, and even resources that can make life significantly better. So hearing her say this felt dismissive my worries, like she didn’t care about what I needed or what I was going through.
I went to her because she seemed a good psychiatrist, but now again I’m feeling let down and like I wasn’t really heard.
I’d love to hear what you all think. Does getting diagnosed matter to you? Did it make a difference in your life, or do you feel it's important for those who suspect they might be on the spectrum?
1. I voted it's not important, because a formal diagnosis with all the tests and the such might not really be helpful or might even be a detriment. My perspective: I'm hard of hearing and I have already had my share of ableism, as soon as some people notice a disability... problems arise and it'd be better if they didn't know, they build all kinds of misconceptions about you and think they need to baby you. I'm hesitant to share the autism diagnosis, I'd tell a few people IRL who are my friends who shared their diagnoses before and we can support each other and that's it.
2. However, I think you should consult with a professional and not rely too heavily on the Internet and your intuition. Professionals have more knowledge and experience. Don't get me wrong, the patient knows best their symptoms and experience, but not the exact diagnosis and often appropriate treament. There is a lot of nuance in medicine.
3. I wouldn't take the suoscide risk too serioisly if you don't have suiscidal thoughts and they aren't a problem for you. Same goes for increased risk of all other mental health conditions. The truth is they rarely exist in isolation from each other, but you won't ever have every single correlated one.
4. Diagnosis isn't a prerequisite to self-understanding, formal diagnosis isn't a prerequisite for appropriate treatment, however, if you suspect you're autistic or a professional told you, you should share it with mental health professionals whontreat you, because it's an important piece of information that impacts the treatment.
My experience was that after a lifetime spent unconsciously overcompensating for something I could neither name nor comprehend, having a formal Dx was THE most kindest thing I ever gave myself.
Many medical folk mistakenly belive they are doing us a favour when they say: don't limit yourself, don't diminish your humanity, don't label yourself etc etc. However, whilst it should not take a Dx to take better care of ourselves, human nature being as it is, a formal Dx can really be a positive step in rebuilding our shattered lives of unrelenting swimming against the tide.
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I recently finished reading "Is This Autism? A Guide for Clinicians and Everyone Else," and it was incredibly helpful. It clarified many things and allowed me to see myself more clearly. Based on my experiences, I strongly suspect I have Asperger's/Level 1 Autism, even though I haven’t received an official diagnosis.
I had an appointment at a hospital recommended by my psychiatrist to explore the possibility of a diagnosis. Unfortunately, the psychiatrist I saw was very dismissive. They told me there was "no point" in getting a diagnosis and that it would bring more negatives than positives due to potential labelling. I found this response incredibly biased and invalidating, especially after all the effort I’ve put into understanding myself. It feels like psychiatrists here focus more on prescribing medications than on understanding their patients, particularly adults with suspected Level 1 autism. Hearing about others being diagnosed later in life is inspiring but also highlights how unlikely this is in my country, at least.
Despite feeling deeply misunderstood and disappointed, I’m determined to keep pushing forward. This pattern of being misunderstood is something I’ve experienced throughout my life, and I’m trying to stay strong. If I can find affordable psychotherapy, I believe it could be a turning point for me.
On another note, I wanted to ask if anyone here has experience with fluoxetine. My psychiatrist prescribed it for depression and anxiety, but it’s been a challenging experience. While it helps to some extent, I’ve noticed extreme fatigue, increased sensory sensitivity (to noise and light), and worsened derealization. The derealization feels like the world is shaking (almost like an earthquake) or that my brain is spinning on an amusement park ride. It’s overwhelming and leaves me questioning if the negative side effects outweigh the positives.
I also read in the book that SSRIs like fluoxetine may not always be effective for people with autism. However, that psychiatrist in the hospital dismissed this idea, saying there’s no correlation between autism and SSRI effectiveness—and they also dismissed the importance of an autism diagnosis entirely. I’m not sure what to believe anymore. I plan to discuss this further with my psychiatrist, but I’d love to hear if anyone here has had similar experiences with fluoxetine or SSRIs in general.
I appreciate any advice or insights you can share.
Your experiences with psychiatrists sound as bad as or worse than mine. I would avoid. Also that gunk they put you on - avoid, due to side effects. Never heard of such a thing, definitely avoid.
My shrink prescribed SSRIs also, back in the 1980s. I guess the reason he played houseplant during our talk sessions was that he relied upon the power of the pill. I guess they feel that therapy is useless, only chemistry works. The logic is: people attending counseling sessions, do so because they have low willpower and are incapable of correcting themselves through their own efforts, and therefore only chemistry can help. Perhaps that is so in some cases, I do not believe it is so in all. I believe self-improvement is possible, and so is the formation and enhancement of willpower.
Some of us on Wrong Planet take N-acetyle cysteine, the NOW formulation, 600mg 2x daily, I have found it moderately helpful so far, and the Wikipedia page is just euphoric and recommending it for whatever ails ye. It is dirt cheap and has no side effects I have become aware of, yet. I forget to take it sometimes and don't feel too much different. I hope it is not mere placebo but I do feel like it helps. Have not heard any reports of side effects in others.
_________________
My magical motto is Animus facit nobilem. I like to read fantasy and weird fiction. Just a few of my favorite online things: music, chess, and dungeon crawl stone soup.
For me, diagnosis have been extremely important. Because I am going on disability, and I need my disability documented for that.
I didn't get the diagnosis to go on disability, no. At the time I was intending on continuing to work and stuff. But I at least needed it for ADA accommodations to be lawfully protected.
_________________
ASD level 1, ADHD-C, most likely have dyscalculia as well. RSD hurts.
RAADs: 104 | ASQ: 30 | CAT-Q: 139 | Aspie Quiz: 116/200 (84% probability of being atypical)
Also diagnosed with: seasonal depression, anxiety, OCD
If you need work accommodations or need government assistance then an official diagnosis is important as otherwise you have nothing to support your claims and will likely get denied.
Outside of that sort of instance I think self-diagnosis can be more than sufficient. In my case I only came to the conclusion at 42 that I was autisitc. Long story short I was dealing with a therapist for another issue and they brought it up. Unfortunately they didn't have the resources or time to do a full assessment but figured beyond a doubt that i was. And in the several months since then the more I read and research the more there is no doubt in my mind it's true. Coming to that realization made so much of the previous 4 decades of my life suddenly just make perfect sense.
So while I did vote for the yes getting diagnosed matters, I honestly think it's situational.
Would I like to get an official diagnosis at this point even though I don't need one for work accommodations? The answer is yes. Sadly though it is near impossible to find a specialist that can do adult assessments, and those that are available are pretty cost prohibitive. I'm not going to spend 3-4000 out of pocket just to know, what I already know.
I'm just thankful my employer already has worked with me on accommodations even before I knew I was autistic. I just have a good employer. I can get a little stressed out and worked up to the point where I can no longer really focus on what I'm doing. Now when i hit that stage I clock out of the office for 30-40 minutes and go for a walk to clear my head.
This really hit hard because at my recent appointment, my psychiatrist told me that getting a diagnosis wouldn't change anything and questioned the point of it all. she pointed out that I should accept and love myself without needing any diagnosis, and she dismissed it as something that wouldn’t impact my life. But everything I’m learning suggests otherwise. Knowing you’re autistic can mean access to support, understanding, and even resources that can make life significantly better. So hearing her say this felt dismissive my worries, like she didn’t care about what I needed or what I was going through.
I went to her because she seemed a good psychiatrist, but now again I’m feeling let down and like I wasn’t really heard.
I’d love to hear what you all think. Does getting diagnosed matter to you? Did it make a difference in your life, or do you feel it's important for those who suspect they might be on the spectrum?
1. I voted it's not important, because a formal diagnosis with all the tests and the such might not really be helpful or might even be a detriment. My perspective: I'm hard of hearing and I have already had my share of ableism, as soon as some people notice a disability... problems arise and it'd be better if they didn't know, they build all kinds of misconceptions about you and think they need to baby you. I'm hesitant to share the autism diagnosis, I'd tell a few people IRL who are my friends who shared their diagnoses before and we can support each other and that's it.
2. However, I think you should consult with a professional and not rely too heavily on the Internet and your intuition. Professionals have more knowledge and experience. Don't get me wrong, the patient knows best their symptoms and experience, but not the exact diagnosis and often appropriate treament. There is a lot of nuance in medicine.
3. I wouldn't take the suoscide risk too serioisly if you don't have suiscidal thoughts and they aren't a problem for you. Same goes for increased risk of all other mental health conditions. The truth is they rarely exist in isolation from each other, but you won't ever have every single correlated one.
4. Diagnosis isn't a prerequisite to self-understanding, formal diagnosis isn't a prerequisite for appropriate treatment, however, if you suspect you're autistic or a professional told you, you should share it with mental health professionals whontreat you, because it's an important piece of information that impacts the treatment.
It has been a while, but I finally found time to write here. Thank you for your response!
During our last session, we decided to continue with SSRIs as their benefits outweigh the negative effects. She also asked me to consider how I felt before experiencing these hallucinations and pointed out other possible causes. Interestingly, I feel more regulated recently without significant side effects. They mostly disappeared; I guess my mind has adapted to SSRIs.
I think suicide risk is significant to consider. I read some studies pointed out that people who have autism are more likely to attempt suicide because of a sudden event, without having suicidal thoughts before. I see that risk in me, especially the time before I start using SSRIs and support.
And unfortunately, these professionals provide limited support because of the conditions. So, they only consider the fact I don't have extreme autism symptoms that influence my academic success, etc. If I can function "enough", they don't try to diagnose at all. They don't want to provide diagnoses. My intuition, psychology background and analysis of my childhood experiences that I heard from my mother, etc., indicate a significant autism level 1 (Asperger). But you are right that a formal diagnosis is not required.
Many medical folk mistakenly belive they are doing us a favour when they say: don't limit yourself, don't diminish your humanity, don't label yourself etc etc. However, whilst it should not take a Dx to take better care of ourselves, human nature being as it is, a formal Dx can really be a positive step in rebuilding our shattered lives of unrelenting swimming against the tide.
i absolutely agree with you!
Outside of that sort of instance I think self-diagnosis can be more than sufficient. In my case I only came to the conclusion at 42 that I was autisitc. Long story short I was dealing with a therapist for another issue and they brought it up. Unfortunately they didn't have the resources or time to do a full assessment but figured beyond a doubt that i was. And in the several months since then the more I read and research the more there is no doubt in my mind it's true. Coming to that realization made so much of the previous 4 decades of my life suddenly just make perfect sense.
So while I did vote for the yes getting diagnosed matters, I honestly think it's situational.
Would I like to get an official diagnosis at this point even though I don't need one for work accommodations? The answer is yes. Sadly though it is near impossible to find a specialist that can do adult assessments, and those that are available are pretty cost prohibitive. I'm not going to spend 3-4000 out of pocket just to know, what I already know.
I'm just thankful my employer already has worked with me on accommodations even before I knew I was autistic. I just have a good employer. I can get a little stressed out and worked up to the point where I can no longer really focus on what I'm doing. Now when i hit that stage I clock out of the office for 30-40 minutes and go for a walk to clear my head.
I was not seeking work accommodations or assistance but finding a certain answer to my suspicion. I finally concluded that they just deny the diagnosis if you can function "enough." It is really impossible to get a diagnosis as an adult who has Asperger's. So, you are right that self-diagnosis is sufficient. There is no doubt it's true. Similar to you, having that realisation brought perfect sense to my life.
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