Autism Questions? Ask an Autism Expert for Answers ASAP
Hi, I have had family members who have researched Asperger's syndrome on the Internet and thought I might have similar features. I have seen two psychiatrists, one who seemed to agree that I probably did have Asperger's. The other thought that I could be very mild on the autism spectrum. However, I don't quite understand how they could come to a diagnosis after a one-hour consultation based only on my history. Is it usual for psychiatrists to come to a diagnosis so quickly? I've attached reports from both psychiatrists and during the consultation, the psychiatrist who thought I had Asperger's/autism spectrum said that he based the diagnosis on the following history given. Hypochondriasis based on excessive worry on health and thinking it could always be something serious which is only relieved by adequate medical investigation but the feature suggesting Asperger's is my more detailed knowledge of medical issues, which exceeds most university graduates' level. When I was a child, I was interested in cars but because I also wanted to remember the prices, acceleration and lengths of many models it suggests an interest different to other normal interests of children and much more detailed-orientated. Also, I was able to remember many of the details. Excessive habits of uploading videos of aircraft and hotels on youtube. Not normally done by most people who are more interested in the destination not the aircraft cabins and interiors, eg. inflight entertainment, etc. Excessive habits of writing hotel reviews, reviewing every hotel I have stayed in since about 7 years ago and almost feeling incomplete without writing a review of hotel stayed. Avoidance or no need of much social contact. No desire for social interaction/marriage and not feeling it is a problem. Different from the diagnosis of pure social anxiety (although I have some of that as well) because it suggests that even without social anxiety, I still would not want to engage that much socially or have an urge to nest. This is what is suggestive of Asperger's. No real desire for more than limited social contact. When I was a child, I did not want to increase my circle of friends like most people, content with a group only of 4-5 friends, which is limited. I suggested possible excessive verbosity as a trait consistent with Asperger's. I would like to know if I should just accept the diagnosis because there was no testing and everything was just based on personal history. The psychiatrist was not a specialist in Asperger's or autism spectrum disorders. He did not recommend any medications but the other psychiatrist recommended Zoloft on a trial basis. I am just thinking that firstly a proper diagnosis is needed and there are two different opinions. Should I seek more detailed investigations? I have consulted another psychiatrist online who is of the view that the history describes anxiety but not autism. Thankyou.
Thanks for the advice. I am located in Australia so I'm not sure if there are any centres which deal with these issues here but I will try to find out.