What I really wish is that when someone presents to their doctor with apparent MH problems that they first look for physical causes, then neurological and then MH conditions.
Yes. Yes yes yes.
These are, to take one of the items on my list, some criteria for anxious avoidant personality disorder:
Four of seven specific symptoms should be present, which are the following:
Avoids occupational activities that involve significant interpersonal contact, because of fears of criticism, disapproval, or rejection
Is unwilling to get involved with people unless certain of being liked
Shows restraint within intimate relationships because of the fear of being shamed or ridiculed
Is preoccupied with being criticized or rejected in social situations
Is inhibited in new interpersonal situations because of feelings of inadequacy
Views self as socially inept, personally unappealing, or inferior to others
Is unusually reluctant to take personal risk or to engage in any new activities because they may prove embarrassing
For a person with ASD, especially undiagnosed ASD, a lot of these things are entirely understandable - I viewed myself as socially inept not because of some mental health problem, but because I am socially inept
The category didn't fit me very well - I don't come across as your standard AvPD sufferer. But put 16yo, undxd autistic me in an adult mental health ward, and something about me is gonna look funny. If you approach the situation thinking "mental health", you're going to cast around for answers as to why this patient is fucked up, and you're not going to find anything that's a good fit. But you have to pick something, and it seems like they picked a different thing each time. Because they're not looking for underlying neurodevelopmental issues in mental patients. Which is ridiculous.