DD is actually very social and whilst she's been called direct, doesn't seem to struggle with friendships or public speaking and that kind of stuff.
Look up "masking". Females with autism are generally very good at "fitting in" in public and copying other people's behaviours. Unfortunately, masking full-time is exhausting and can have a huge strain on your MH, leaving you with no energy for anything else.
I mentioned her house because she told me she has meltdowns about chores and hygiene and will not shower etc. Thing is she says she does that when she not struggling mentally too, so I don't quite get how she could get help with that.
Again, this is all very normal for people with both MH problems and autism, and sadly autism very, very frequently goes hand-in-hand with mental health issues. Depression kills your motivation and zaps your energy levels, and autism brings with it it's own problems, including sensory overload and issues with different textures, feelings, smells and sounds, all of which can be triggered by showering (water, soaps) and getting dressed (clothes labels, seams, materials).
I am not thinking she doesn't have problems, but if it's always like this and medication and therapy isn't helping, what else is there realistically? Is she just going to be like this for the rest of her life?
Yes, sadly, that's often the reality for people who have severe MH issues or conditions like autism unless they have a huge amount of support around them and the ability to work part-time or in a job where their "quirks" don't set you back.
Like I said in my previous post, I have autism, depression and anxiety and daily life can be really, really hard at times. I find even the most simple things very overwhelming - someone talking to me while I'm watching TV can trigger sensory overload. Announcements in supermarkets do the same. I can't wear clothes that feel a certain way or I itch and feel uncomfortable and stressed.
Luckily I'm in a very good place at the moment but only because I have the support of my parents and my husband, the ability to work part-time and the ability to have lots of down-time to myself to recover from the overload that comes with daily life.
Working full-time is impossible. I just can't do it. That's just what the reality is for me and I'm glad people around me have accepted it and don't feel sorry for me or push me to change.