The Diagnosis Dilemma

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So for the last year or so, I have been trying to understand who I am as a person and why I do the things I do. I talked about in a previous post here. So some time has passed and I have been able to move a little forward in looking at my behavior and what it means.

First, my therapist has not been able to full diagnose me as “autistic.” She no doubt knows I identify as such, but due to the fact I cannot remember some childhood elements, lack the parental verification and appear to be “too social”, she can only diagnose me as unspecified nuerological developemental disorder. We walked through personality quirks, sensitivities I have, mental processing I struggle to move out of the way to interact on a daily basis. I fit probably 80% of the diagnostic definition of Autism. And that’s okay. I am still accepted into the community because 1) i still related to almost everything adult autistic women are going thru and 2) a lot of people get this when therapist don’t see the whole picture. Luckily, my therapist understands my identity and doesn’t see it as unhealthy. I am also coming to terms with it–I fully admit that there are elements of my history that are just complete blanks because of the trauma I experienced when my mom got sick/dad died at age 12-14, so it makes it difficult to give me a diagnosis that requires knowing some of these facts.

However, one week I brought up how much I talk and my thoughts run when we having our meetings. We talked about other things I can remember as a child and i suddenly realized it wasn’t just autism playing around in my brain. My therapist asked if I had ever considered I may have ADHD as well.

I was honest-I had not. I am pretty good at multitasking. Also I was in honors classes from GATE In elementary to high school. However–as I walked thru the problems I ran into as an adult, the memories of me in class as a child getting bored or having trouble focusing to the teacher taking about some boring topic–I realized my therapist was dead accurate with thinking this. Luckily for this development issue-there are several tests–which I took (one I got so completely bored I couldn’t control anything) and my therapist graded one and pointed out I am just above the normal range for focus and attention for a women of my age. Ironically–it also makes sense of why CBD oil worked for my temporarily (it really helped shutting off the constant trail of thoughts in my brain) and why I constantly talk like a long run-on sentence.

above is images of baby autistic and ADHD brains

Now-I’m going to talk about why for so many-finding these diagnosis can be extremely difficult. Why some spending years getting these answers why others do not. Our society is really good at only pointing out the extremes and if its not serious enough, people don’t put enough interest or invest enough support. When I first got my diagnosis’s for (pseudo) autism and ADHD, I was so happy I could talk freely with someone without trying to mask or hide my identity completely (don’t worry I don’t do it intentionally half the time and i eventually share with others because I have learned I do not need excuses anymore.) But with this my therapist could see a benefit for me to consider medication. At home I was having breakdown, struggling to free my mind and my executive functioning is so poor right now–I will spare you the details (for those of you who can relate to it-yes, things haven’t gotten done in a while.)

So i took my therapist advice and went to Kaiser to attempt to get medication. I set up a appointment with a Ph.D. psychiatrist and waited several weeks (something I had to fight for because I was seeing an outside vendor approved by Kaiser instead of an inside doctor.) I walked into the clinic, filed out this survey asking several mental health questions–questions I could easily roll my eyes at but some serious– and a gentleman called me back into his “office.” Let me tell you-that was a nightmare. You would think if someone tells you “i believe I am autistic and need ADHD medication after meeting with a therapist for a year” the doctor would go “okay, let’s talk meds and what they do.” But no-I mentioned my dad was bipolar, so I spent half the appointment defending that I wasn’t. An argument that 1) I didn’t feel like having and 2) had settled several years ago. The other half I basically shut down and shut the guy out because he had made me so upset. I walked out, upset, tried to keep myself together until I got to the car to spend a day in my happy place (Disneyland) but had to cry it out for a good 30 minutes before doing so.

Now, you’re probably thinking “wow Sara-this is ridiculous!” And you would be right! But let me tell you–this is not something unique. Not only are staff members on strike because of Kaiser’s lack of mental health care, but also autistic and ADHD women are typically pushed to the sides because we do not resemble the standard narrow image of what people THINK autism and ADHD should look like.

We need to stop this. We need to see people, listen to the stories, their pain, their near types and behaviors and not approach people as mutated aliens with no intelligence or understanding. We need to listen to people’s struggles, walk along side them and if we can see light where they can’t, point them in the right direction.

So while this diagnosis dilemma is still ongoing– anyone else had the same experience? Feel free to vent, to tell your story. Keep in mind if you feel you need medical or mental health assistance, reach out to the professionals.

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