Well, I think it does impact your life to some extent if you are feeling weird and people have pointed it out to you, so you could argue that!
I had given up on a dx really, I'd managed to get a referral through the GP a few years back - I'd prepared notes to take with me as I knew I'd struggle to put my point across verbally. I basically wrote a list of all my issues, and I used the NAS website's description to put them into categories so it was in line with the way the diagnostic criteria are laid out.
I was referred to the local mental health trust but they were useless. I saw a CPN first, who didn't even know what Asperger's was
and she referred me on to a psychiatrist. I saw him but he was horrible. He just sat there for the hour reading my hospital notes (I had been in a psychiatric unit as a teen, because I self harmed a lot after revealing abuse in childhood. He wouldn't accept it when I said the issues predated the abuse (not that I'm denying the abuse had an impact, of course it did) and I broke down at the end of the session. He eventually said maybe I had OCD and he'd refer me to a psychologist for proper assessment because he wasn't able to do that
. That never happened, and it was around the same time that I was diagnosed with CFS/ME and was in a massive relapse of that, so I just didn't have the strength to follow it up.
Unfortunately I have heard that there is still a lot of ignorance in mental health trusts about ASD. Not just in adult services but children's too. Because of course ASD is not a mental health issue. But it's really worrying, not least because people with AS are more likely than average to suffer from mental health problems like anxiety and depression - and if they get seen by people who don't understand where their struggles stem from (eg having a brain that works differently from most people, and the impact that has on self esteem etc) it will get missed, and they will just medicate and use traditional therapy*, which even if it helps a bit, doesn't actually change the way your brain works, and then you feel like a failure because the treatment isn't working, so you feel even worse about yourself... and so it goes on.
Sorry, can you tell this is something I feel very strongly about..? :o
*I am, in fact, trying to find someone who will do CBT or psychotherapy with me - but somebody who has an interest/specialism in ASD. I feel this will be more successful - I'm a veteran of therapy, but while it has helped deal with the abuse and self harm, it has never dealt with the effects of how my brain actually differs from a neurotypical one. So again, I felt a failure for not responding to it in a normal way.
Anyway. I had basically given up on getting assessed, and I just quietly thought of myself as an Aspie but didn't feel able to tell people so. But then I visited an open day for a local wellbeing college and there was a course about autism. I spoke to the peer trainer about it, and he told me how he was diagnosed as an adult by this particular person in the NHS who now ran the course with him. She is a specialist in adult ASD - assessing adults for it is the main part of her job I think. He gave me her email address and I felt really nervous but he assured me it was ok. So I emailed her and she sent me the specific form to get the GP to fill out, and once I'd shown the GP the email thread where we were discussing it, she was happy to fill it out. I then went to see the specialist (ironically at the same place I'd seen the twat psychiatrist - the specialist works county-wide and travels to different places for appts), and took my parents because she'd told me she would need to talk to them about what I was like as a child (I dreaded that bit - my parents were not exactly on the ball - but I was allowed to stay in while she interviewed them, and afterwards said she agreed with just how 'off' the ball they were...). So that was it really. It was sheer coincidence that put me in contact with her. Which isn't very helpful for you, sorry :(
(unless you happen to be in West Sussex?! You could always PM me if so!)
Sorry for that ridiculously long waffle. 