Hi,
Sorry I wasn't quite sure how to best phrase this, and very much hope it does not offend anyone.
DD is 7 and we have our first appointment with the paediatrician on Friday, having been referred by the GP. This was at my request and I understand they are looking at HFA.
The school have no issues with DD and consider her a model pupil who is well liked. She has lots of friends and is often invited to parties / play dates.
There are loads of other ways in which she fits the ASD criteria, including in her social interactions (e.g. struggles to join in with pretend play, often prefers the company of the teaching assistant, is obsessive about rule following).
I am concerned that everything I have read about HFA (which is a reasonable amount!) suggests that the child should be seen as 'quirky' by her peers, have difficulties with back and forth conversation and is likely to be bullied at school. Some of the issues with body language, literal interpretations, difficulties with conversational conventions etc. definitely apply to her, but never to an extent that I think would interfere with her interactions with friends. I find her a good conversationalist, when she's not doing the pestering / repetitive questioning thing. I do have concerns that her friends may overtake her socially and become less tolerant as she gets older, but I am not entirely convinced on this.
She is academically advanced (in some ways) for her age and I have no doubt that some of what she is able to do socially is learned behaviour. The literature I've read about 'masking' in girls seems to fit her very well. I also have no doubt that she finds all this extremely stressful and it feeds into her major problems with anxiety and tantrums.
My question is - if the paediatrician asks about this at the appointment, should it rule out a diagnosis? It would be really helpful to know whether anyone has a child with diagnosed HFA who copes quite well socially.
Many thanks for any help.