this post was submitted on 22 Aug 2023
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I've been wondering for quite a while if I have autism or not as I seem to hit a lot of the commonly reported symptoms and experiences. I recently tried some of the self-tests out there, including the ones on Embrace Autism, and yeah, I hit every single one I tried for mild to even moderate autism. Scored 49 on the rbq-2a for example.

Now, I know that none of those tests are conclusive and I could easily be a false positive, so I'm not directly claiming I have autism. But I'm thinking the next step is probably to talk to my primary care doctor, but to be honest I'm really hesitant to/don't completely trust the mental health system in Canada. Genuinely asking because I don't really have anyone in my personal life who has similar experiences or I think would understand: what do people here think about getting a formal diagnosis? Is it always something one should pursue if they suspect they're on the spectrum? Are there any major drawbacks? I'm especially concerned about it affecting my career prospects (which already aren't great tbh, my fault for getting a science degree in an already niche field which I deeply regret but that's a different story) or my ability to take out loans or rent an apartment by myself. I don't personally see my autism (if I have it) as a disability, but unfortunately in Canada it is still very much seen as such. Who am I required to disclose an autism diagnosis if I am diagnosed?

I'm really sorry if any of this comes off as insensitive. I have never really participated in the autism online community and I am in no way trying to put down people with autism, I'm honestly just kind of scared about what this means for me. Anyone else in a similar situation, or were in a similar situation? Care to share your experiences or have any advice?

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[–] [email protected] 12 points 1 year ago* (last edited 1 year ago) (1 children)

It's not because employers find out and fire you, it's because they place nerotypical expectations on you that might be unrealistic and lead you to "performance" issues that lead to your firing.

By getting a official diagnosis you become a protected class and they have to reasonably accommodate you. I don't know exactly how it works in Canada. In the US you'll be protected by the ADA.

It's the difference between getting written up for wearing headphones while you work, to being legally protected for doing so.

[–] [email protected] 8 points 1 year ago (1 children)

So the good news, if I got a diag, is that I am in the States(never thought I'd say that is good news lol). Really wish I would have known about this like a decade ago.

[–] [email protected] 6 points 1 year ago* (last edited 1 year ago) (1 children)

I feel you. I've been officially diagnosed with ADHD for maybe 10 years now, but only recently learned that having ADHD is explicitly covered under the ADA. It's one of the main reasons why it's still called ADHD even though Attention Deficit Hyperactivity isn't an accurate description of the actual underlying mechanics of the disorder (and disorder is also contested because often there as just as many positive traits as there are negative traits in people with ADHD). If anyone wants to read more opinions on the naming of ADHD, I found these two articles just now that are pretty informative:

[–] [email protected] 3 points 1 year ago (1 children)

It’s one of the main reasons why it’s still called ADHD even though Attention Deficit Hyperactivity isn’t an accurate description of the actual underlying mechanics of the disorder

I really feel you on this aspect. My wife is getting diagnosed with ADHD, and I would haven never pegged her for having it but she's super forgetful and loses her keys and phone all the time. After some TikTokking and talking with her therapist it's pretty much a sure thing that she has it. I have a friend that has pretty severe ADHD and he fidgets a lot and has other traits but wife and friend have virtually no shared traits. I think it's currently assumed that ADHD is also a spectrum, right?

[–] [email protected] 3 points 1 year ago (1 children)

It's not considered a spectrum and that's mostly because, when you get down to brass tacks, we all live within a spectrum of behavior. Instead, ADHD is a comingling of interoperating dysfunctions within specific systems of a person's brain that relate to how the brain rewards your behaviors (to my understanding anyway). Ultimately, while everyone can experience moments of forgetfulness, inattention, anxiety, or hyperfocus, what matters most is if those things happen at a frequency enough to become a detriment to your everyday life.

ADHD can be broken into 3 types from my understanding:

  • Inattentive ADHD (often most diagnosed in girls):
    • Trouble paying close attention to details, such as making "careless mistakes" in schoolwork, including missing or inaccurate details in work
    • Has difficulty sustaining attention in tasks or play activities, such as staying focused during lectures, in conversations, or reading lengthy items
    • Seems not to be listening when spoken to directly and may seem to be daydreaming or not be "in the moment"
    • Does not follow through on instructions; has trouble finishing tasks such as schoolwork, chores, or other duties; and may start tasks but lose focus and get sidetracked
    • Often has difficulty with organization, such as managing tasks and keeping work or home spaces neat, as well as problems with time management and missing deadlines
    • Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort, such as schoolwork or homework, preparing reports, and filling out forms
    • Loses items they need for tasks or activities, such as pencils, books, tools, glasses, and keys
    • Easily distracted by things around them or by unrelated thoughts
    • Forgetful in daily activities and may forget to do chores and errands, return phone calls, pay bills, or keep appointments
  • Hyperactive/Impulsive ADHD (often most diagnosed in boys):
    • Experiencing extreme restlessness, difficulty sitting still for extended periods, and/or wearing others out with one’s activity
    • Fidgeting with or tapping hands or feet or squirming in the seat
    • Being unable to engage quietly in leisure activities
    • Talking excessively
    • Answering questions before they are asked completely
    • Having difficulty waiting for one’s turn, such as when waiting in line
    • Interrupting or intruding on others
  • Combination ADHD (skewed more to boys than girls): This is, as the name suggests, a combination of the two above, where no one of the trait groups is dominant but collectively is still impacting the patients day to day life.

I definitely suffer from a combination of both. I have intense moments of hyperactivity, and I can be easily wound up into an excited state (It's like an energy feedback loop), but I'm constantly misplacing things, and I'm awful at future sights and sensing the passage of time. I'm very fidgety and can talk excessively, I have to bite my tongue to not interrupt people if I think I know where their question is going. I have reminders for all kinds of daily and weekly tasks to ensure I never forget them. I have a whiteboard in a prominent place where we can place future events so I can mentally prepare for them. Finishing tasks is super hard, once I get through the "interesting" guts of a project, all the "finishing touches" that make it "done" are boring and a real grind to do. Reading is still a very hard task for me, if I'm not medicated it's almost impossible for me to get through several pages of a book at a time.

Maybe you know all this already, maybe not. For a long time, it was very rare for girls to get an ADHD diagnosis because of how it presents for girls. But this is the first step in understanding how the adhd mind works, which allows you to build around it so you can midgate the bad parts and harness the good parts.

[–] [email protected] 4 points 1 year ago (1 children)

I knew quite a few of the traits but wasn't aware of the categorizing of them like you did. The first almost describes my wife to a T but she also has a few from the second one as well.

Thanks for the time to write this up and please keep being awesome! Gonna share this with her.

[–] [email protected] 2 points 1 year ago

You're welcome comrade! My brain was putting off doing real work at the end of the day, so it was no effort at all 😉. I saw a few sources split those lists in that way so I figured I'd include it. It's not exhaustive or comprehensive, and I'm not a psychologist, just a guy with ADHD lol, so defer to your licensed practitioner for confirmation.