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Written by Kevin Davy on 2025-01-13 at 01:07

@actuallyautistic

As those of us who have been on here for a while know, this place is highly supportive of self-diagnosis. Generally it's because many of us, although certainly not all, are older, self-diagnosed ourselves, or have gone through the process of doing so before being officially diagnosed. We also tend to be acutely aware, often the hard way, that being officially diagnosed later in life brings with it very few actual benefits. There are few to no resources available to those who come to this as adults, especially adults who aren't also learning disabled in some way. Work place accommodations are difficult, if not again impossible to achieve. Even in countries where they are legally required. Or simply aren't something we need. Either because of the way we work, or because other diagnoses have already given us them. Many of us are also retired, or self-employed, in which case it's all somewhat moot. Add to this that we also tend to be well versed in all the arguments in favour of self-diagnosis and the validity of it. As well as all the reasons why it is so often the only way to go and it's no wonder that we accept it so readily.

But, it doesn't mean that it doesn't have a problem. There is one aspect of self-diagnosis that, despite all of this, we are especially vulnerable to. It's also the main reason, I believe anyway, why some people have a problem with self-diagnosis and its validity in the first place. And it's not because of the danger of getting it wrong. That's always a possibility, slim though it might be, even for those being officially diagnosed. Live as long as most of us have and you'll have been misdiagnosed by a doctor for something or other and if you are female-presenting, probably more times than you've had hot dinners. No, it's the simple fact that it's referred to as a diagnosis at all.

It implies, whether it means to, or not, that this is something that can only be certified within the medical framework, in just the same way as any other condition. That ultimately the only sure way of knowing and being sure, is for our assessment to be confirmed by an actual assessment conducted by those properly trained and qualified to do so. That, just as a self-diagnosis for any other condition or illness may well be right, that only a proper expert can really tell whether it is, or not.

Now, before someone gets on their high horse, I'm not talking about the diagnosis of any aspect, or consequence of our autism, that does or could very well require intervention of some sort. That obviously requires a level of knowledge that most of us don't have and the experience, that most of us probably don't have either, of being able to work out what is the best intervention and help that could be required. No, I am talking purely about the awareness and recognition of ourselves that we achieve from self-diagnosing. The realisation that we have been autistic all our lives. The knowledge that we are no-longer alone, or, possibly, as broken, as we always thought we were. It is a level of knowledge and conclusion that can only be reached by us. Either through a self, or even an official diagnosis. It is a process of recognising ourselves, of seeing ourselves finally, within the correct framework and by the right light. And it's why I prefer the term self-realising, rather than self-diagnosing. Because, ultimately, to me anyway, it is far more reflective of what is actually going on and, of course, eliminates the baggage of using the word, diagnosis and all that it brings. 

Unfortunately, though, it is baggage that will still remain, to others anyway. Tell a family member, or friend, that you've realised that you are autistic and they'll still view it as a self-diagnosis, with all the reservations therein. Add in the pretty much medieval awareness that most people, especially over a certain age, have about autism and the natural tendency of wishing you the best and not wanting you to think of yourself as such a dark and terrible thing. Or the nastier tendency of not wanting to be associated with it in any way and then just watch the denials flow. It's one of the reasons why those of us who are older, have such a problem convincing, or even talking with our friends and family about this. And why so often it isn't believed until we do get an official diagnosis, if indeed even then. Most people don't want their loved ones to set themselves apart, especially in ways that they see in such a negative light. Feeling that they have to accept it, simply on that person's word, is simply too hard for many and comes, if it's self-diagnosis, with the handy defence that they can always use and believe, that it's not official and therefore not real. That it's not a proper diagnosis.

[#]Autism

[#]ActuallyAutistic

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