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To scream from the rooftops that getting an autism diagnosis is not a label

212 replies

Harrysutton · 13/09/2024 21:18

I keep hearing and reading people spout the ridiculously naive and damaging line that getting a diagnosis of neurodivergence is giving a person a label.

AIBU to say that it's absolutely nothing about giving someone a label. It's actually giving a diagnosis. Funnily enough, with or without the diagnosis the person is still autistic/ nd and diagnosis can be hugely helpful in the person understanding themselves and their family understanding them too.

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Tistheseason17 · 22/09/2024 20:26

mitogoshigg · 16/09/2024 16:44

If you are already an adult, the diagnosis is not really about understanding as they already know you. I'm not sure about this spate of adult diagnosis as they seem to be counterproductive in my personal experience

I've chosen to not bother getting an ADHD assessment but I'm OK with that. However, my DH is likely autistic and he really needs an assessment to help him process his entire life and understand how he can communicate with his autistic child. A lot of adults do benefit from the formal assessment.

mitogoshigg · 16/09/2024 16:44

If you are already an adult, the diagnosis is not really about understanding as they already know you. I'm not sure about this spate of adult diagnosis as they seem to be counterproductive in my personal experience

P1nklady5 · 16/09/2024 16:36

CMHT have done too. My children have been under both and very ill. If they’d have been refused treatment or not had treatment adjusted they would no longer be with us. Many patients struggling with MH are ND so it’s not as if they aren’t used to it.

CallMeBettyBoop · 16/09/2024 16:35

Kentuckycriedfrickin · 13/09/2024 21:45

It was literally posted on a thread here earlier this evening and various other versions of it by subsequent posters.

Can we also include:

  • it's possible to be neurodivergent and happy and healthy. It's a developmental condition, not a sickness
  • the two neurotypes are neurotypical (NT) and neurodivergent (ND), both are normal. The world is not divided into 'normal' people and 'not normal' people, neurodivergent people are not aliens or a different species
  • we are not "all a little bit on the spectrum". No. Just fucking no. This goes back to the idea of normalcy. It is normal to not like loud noises or to enjoy routine or to hate socialising or whatever other BS random traits you attribute to neurodivergence. It does not make you neurodivergent, it makes you human. I have a bit of an achy lower back, my boobs are slightly tender and I'm bloated. These are common traits of pregnancy but I'm not pregnant, I wouldn't be able to claim to be a little bit pregnant would I, simply because I share some traits of pregnancy? No, I would because to be classified as pregnant you need to meet a certain diagnostic threshold, much like you do with neurodivergence
  • on the subject of traits, no two people are the same and that is true of neurodivergent people too. We may share some common factors because we've all had to meet the diagnostic threshold in order to actually be diagnosed but how those factors present and our own personal profile will be wildly varied
  • we're not doing it for the benefits of the carers allowance
  • neurodivergence has been around as long as humans have, they just didn't know what it was until it was named. "We didn't have any of that in my day!", I can guarantee they did considering that one of the largest groups currently being diagnosed is middle aged women who were in their childhood super-sensible expected to achieve highly but never quite delivered types

This 100%

TigerRag · 16/09/2024 16:31

P1nklady5 · 16/09/2024 16:22

CAMHS in our area

Who don't help adults

P1nklady5 · 16/09/2024 16:22

Areolaborealis · 16/09/2024 14:57

"Tailored to your needs".

Where?

I'd like to know.

CAMHS in our area

Areolaborealis · 16/09/2024 14:57

P1nklady5 · 16/09/2024 12:34

You absolutely aren’t made ineligible for treatment for anything with an autism diagnosis. That would be classed as discrimination.

If anything you get better treatment with a diagnosis as treatment is better tailored to your needs.

"Tailored to your needs".

Where?

I'd like to know.

PurpleJammyDodgers · 16/09/2024 12:49

Doesn't mean that they can't be put on a pathway where there is strong suspicion that the child is SEN.

Fallonslearning · 16/09/2024 12:44

If anything you get better treatment with a diagnosis as treatment is better tailored to your needs.

In theory!!!!
Or maybe if you can pay well for it and there's a multi-qualified specialist in your area.

In practice what happens ime - to children at least with autism and MH issues - is that you fall between autism services and CAMHS. There are endless meetings but no actual help available. Autism services say the MH problems are CAMHS remit, CAMHS say they don't have the expertise because of the autism diagnosis. And so on, for year after heartbreaking year. Or they'll offer speech and language or OT because that's what they have available, but not the service the child actually desperately needs.

It is actually disgraceful what is happening.

P1nklady5 · 16/09/2024 12:39

PurpleJammyDodgers · 16/09/2024 12:10

Also, my godmother works in nurseries. She said that in her preschool room of 12, 6 are on a ADHD or autism pathway so I can see why people feel there has been a huge increase.

Children under the age of 6 can’t be diagnosed with adhd in the uk.

P1nklady5 · 16/09/2024 12:34

Areolaborealis · 16/09/2024 11:52

This is not what we are saying at all.

We are discussing the fact that there are very few services for adults with autism. Many services are only accessible for people with learning disability. Many people with autism also have other disorders such as OCD that they would like treatment for but can't access because the autism diagnosis makes them ineligible for that service.

You absolutely aren’t made ineligible for treatment for anything with an autism diagnosis. That would be classed as discrimination.

If anything you get better treatment with a diagnosis as treatment is better tailored to your needs.

PurpleJammyDodgers · 16/09/2024 12:10

Also, my godmother works in nurseries. She said that in her preschool room of 12, 6 are on a ADHD or autism pathway so I can see why people feel there has been a huge increase.

PurpleJammyDodgers · 16/09/2024 11:59

To be honest I don't agree. People with autism can be labelled unfairly.
I actually think I am autistic but as a nearly middle aged woman who is single with no kids, I don't want the added stigma.
I personally think it is in my family but none are formally diagnosed. I suspect my grandad, aunt, mum and sister as well as myself are all ND.
I can understand why many don't seek a diagnosis. There are reasons for and against in my opinion.

Areolaborealis · 16/09/2024 11:53

quoted wrong person

Areolaborealis · 16/09/2024 11:52

TigerRag · 16/09/2024 11:28

You and the poster you quoted think people get diagnosed for shits and giggles?

This is not what we are saying at all.

We are discussing the fact that there are very few services for adults with autism. Many services are only accessible for people with learning disability. Many people with autism also have other disorders such as OCD that they would like treatment for but can't access because the autism diagnosis makes them ineligible for that service.

Noras · 16/09/2024 11:38

Jewel1968 · 15/09/2024 09:16

I know several people who suspect they themselves are autistic or one of their children but each and every one will say something like - yeah, but I am not going for a diagnosis. I don't see the point etc ...

Couple of posters here have said similar.

Why would they not seek a diagnosis? I think because of the negative association with such a diagnosis. One of the people I know told me a story very similar to the one @Postapocalypticcowgirl told about the pupil struggling at school end and then tells me they are likely 'on the spectrum ' but they are not seeking a diagnosis. It was said in a way as if it should be obvious to me. I then said I was seeking a diagnosis for ds and was met with a change of subject. Now I know there are long waiting lists but that's not cited as the reason for not seeking diagnosis. It's something else.

To the poster here to said they suspect they are on spectrum but don't see the point of diagnosis I would say - what's the harm? And you will probably learn something about yourself.

I’m one of those and the answer is that I see the state my son is in, how high his needs are and feel that I can manage. What is the point of detracting from people like him and their high needs?

Here’s my situation. I’m left handed, struggle to write in a clear and tidy way, interrupt people’s conversations and finish off their sentences, was chosen last at school for sports, made silly mistakes etc. I dreaded night clubs and busy pubs and felt that I had to ‘play act’ and go along with it. I have disorder and pull out my hair when things are muddled or disorganised. If I have to do something midday I fret before the appointment about being there on time. I speak to fast and often a tangents etc.

If I was to guess I would say I have the dyspraxia overlap with ASD traits. Highly likely the consultant took one look at my dad and determined some ASD there. My son is diagnosed.

If I were 20 it would have helped to have extra time on exams and a laptop plus a bit of extra tuition. As it was my exam was a series of ink splots and scrawls. I should have had distinctions for my law finals exams and as per usual just passed ( which was great in those days - pass rate 68% but still). It serves no purpose now.

TigerRag · 16/09/2024 11:28

FairyMeriy · 15/09/2024 18:49

I agree.

You and the poster you quoted think people get diagnosed for shits and giggles?

Fallonslearning · 16/09/2024 11:12

Yes, I am heartbroken from it @Areolaborealis.

Areolaborealis · 16/09/2024 08:10

@Fallonslearning "Being 'labelled' with the ASD diagnosis has a negative effect for treatment by these professionals".

Agree. I wish more people understood this.

Fallonslearning · 16/09/2024 00:49

Harrysutton · 13/09/2024 21:30

I think the people who think autism presents in one way might be the same people who think it's a label.

I'm not so sure.

The professionals working with my DS were very, very slow to recognise and diagnose his OCD because he aleady had an autism diagnosis.
Whether they called his diagnosis a label or not was pretty much irrelevant - the very fact of it meant they seemed blinded to other problems he had. All repetitive behaviours were attributed to ASD, the motivations behind the behaviours didn't seem to matter. This, even though autistic people are known to have a higher incidence of OCD. They couldn't see it- even when it was suggested by the family time and again.

And it mattered because the treatment or strategies to deal with the conditions differ.

A lot of autistic people feel very let down by CAMHS so I don't think we're alone in this. Being 'labelled' with the ASD diagnosis has a negative effect for treatment by these professionals.

Maireadh · 16/09/2024 00:25

There is, as such, perhaps an argument given the state of the waiting list that you could just institute those strategies on the basis of your self diagnosis and that not much will change by that being confirmed by a professional.
The diagnosis carries legal power. You can’t ask for reasonable adjustments to support a disability you haven’t been diagnosed with. You can’t tick the disabled box on application forms that guarantees you an interview under the Disability Confident scheme. You can’t be counted as being “diverse” by companies or groups that are aiming to increase diversity. You can’t apply for things that are targeted at disabled people.

More importantly, if you don’t have a diagnosis you can’t take legal action when you’re discriminated against because of your disability. It still happens A LOT even nowadays.

FancyRedRobin · 15/09/2024 21:51

I'm not suggesting these services are available within the NHS, they should be but there's not even enough for kids right now. There aren't any of these services for adultswhere I am either. But the people I know are pursuing these services privately. The point I'm making is that a diagnosis without follow up isn't likely to do that as much. It does give more self awareness though.

ThePure · 15/09/2024 19:01

FancyRedRobin · 15/09/2024 14:50

Of course getting a diagnosis with no follow on work with psychologists, occupational therapists etc. is not helpful. A diagnosis helps those professionals frame therapies, choose the right methods.
I know adults seeking diagnoses but they are actively planning to use that assessment for further management by professionals and their own self management and education.

There are no commissioned services for adults with autism in my area unless they also have a learning disability. Definitely no psychologists, OT or anything like that. It does mean that getting a diagnosis as an adult in our area (and I think many others) is mainly for your own understanding. You would certainly have to do your own self management and education. There is, as such, perhaps an argument given the state of the waiting list that you could just institute those strategies on the basis of your self diagnosis and that not much will change by that being confirmed by a professional. I rather wish that diagnosis didn't have quite the power that it seems to have.

FairyMeriy · 15/09/2024 18:49

orangeleopard · 15/09/2024 11:01

Whats annoying me is a lot of people who are bulking up the waiting lists are people who are wanting to get tested just ‘so they know’ and not because their ‘symptoms’ are severely impacting their life that they need a diagnosis to get the help and support they need. My son is 5, he’s only able to do half days in primary school because of his additional needs. He’s awaiting both an appointment for a diagnosis of autism and adhd and for speech speech therapy - both of which he has been waiting 2+ years. It’s impacting his every day life, he doesn’t sleep until gone midnight each night, he lashes out and has extreme meltdowns multiple times a day (I cannot figure out why and it breaks my heart as I cannot help him before he has one). As stated, he isn’t able to manage full days in school, he cannot communicate properly. Every aspect of his life is a struggle and also mine as a parent, yet we cannot access the diagnosis and help he needs because people just want a ‘label’. I know someone who claims her daughter is autistic and tells her to ‘flap’ because to everyone she doesn’t appear autistic so she tells her to do that so people know - there’s people like this who want it for the benefit purpose or just to be ‘different’ or as an excuse for their children’s behaviour. I understand wanting to know, but if it doesn’t impact their lives on a day to day basis they should go to the back of the ‘queue’ and people like my son should be priority.

I agree.

Areolaborealis · 15/09/2024 18:46

FancyRedRobin · 15/09/2024 14:50

Of course getting a diagnosis with no follow on work with psychologists, occupational therapists etc. is not helpful. A diagnosis helps those professionals frame therapies, choose the right methods.
I know adults seeking diagnoses but they are actively planning to use that assessment for further management by professionals and their own self management and education.

That's quite an optimistic picture of the level of support available to adults after diagnosis. The reality is that many are just left to get on with it, presumably because its seen as an untreatable problem.