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I'm getting reevaluated for my schizophrenia diagnosis (finally *breathes*) to get something more concrete than a hospital dx. Its finally come, I havent been evaluated since I was 16 (things change mannnn).

ANYWAY...my point on this board is...

My doc wants to also reevalute everything, including my Autistic Disorder dx. And he mentioned Its been so long and I'm so high functioning that I could get an "upgarde" to Aspergers or PDD NOS.

Has anyone heard of an upgrade? I'm not too sure I like this idea. They gave me that dx for a reason. I like having classic kanners, I'm used to it and it fits me (I still fit the diagnosis criteria except Ive learned to adapt to many things like eye contact and touching and of coarse...talking.)

Maybe I'm making a big deal out of nothing? I dont mean to offend anyone with AS or NOS. I hope I'm not doing that. Its just...I dont like change (lmao who woulda guessed).

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The diagnosis takes into account your symptoms from birth, so as long as they are still effecting your life, I see no reason to change the diagnosis. Besides, one of the differences between Asperger's and HFA is when you started talking, which I find amazing that a lot of diagnosticians [i'm sorry, is that even an appropriate word to use?] don't take into account. Which is wrong and pisses me off.

Sorry that's just one thing to nit pick at.

But I guess my point is, a lot of the diagnosing is based on how things happen from birth, and you CAN'T CHANGE THE PAST. NER.

So I think changing your diagnosis based on the fact that you have obtain better coping skills is dumb.

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  • 1 month later...

The doctor may be basing your upgrade on how many DSM-IV criteria for autism you meet now.

I got diagnosed at 27 with HFA not Asperger's, yet I spoke "on time". It was because I met a load more diagnostic criteria than a person with Asperger's would need to meet for that diagnosis. So I guess with some doctors, it doesn't matter when you start speaking. I did ask my psychologist whether I could just say I have Asperger's to those who wouldn't accept HFA as being valid. She said that I should say I have autism not Asperger's because I am definitely not Asperger's. That has made me more sure of my diagnosis which makes me happy as I like to be sure of things.

Twitch, unless your doctor specialises in ASDs, he should leave your diagnosis well alone.

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The doctor may be basing your upgrade on how many DSM-IV criteria for autism you meet now.

I got diagnosed at 27 with HFA not Asperger's, yet I spoke "on time". It was because I met a load more diagnostic criteria than a person with Asperger's would need to meet for that diagnosis. So I guess with some doctors, it doesn't matter when you start speaking. I did ask my psychologist whether I could just say I have Asperger's to those who wouldn't accept HFA as being valid. She said that I should say I have autism not Asperger's because I am definitely not Asperger's. That has made me more sure of my diagnosis which makes me happy as I like to be sure of things.

Twitch, unless your doctor specialises in ASDs, he should leave your diagnosis well alone.

When it comes to AS one doesn't need to have all symptoms be present for an accurate dx.I was labeled as having an LD of some sort for a good majority of my life but it wasn't until I first began treatment for my depression that I'd heard of AS & had been able to make the connections between some of my own symptoms/characteristics & the disorder.

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I guess my point is that they are just as good at diagnosing autism as they are at mental illness because there are so many different ways of being autistic-- more than 2 definitely.
Yes there are many ways. "If you have met one autistic, you have met one autistic."

I have difficulties preparing food for myself (my husband helps me), yet I can drive. I could never do "pretend play" with other kids and I still can't do it now. It is a foreign concept to me.

I have always thought that all my abilities are on a spectrum themselves, some are high functioning and some are low functioning.

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My skills also range from high functioning to low functioning. My self help skills are moderate (not normal for a 21 year old), my verbal communication is low, Im im on the "low" side of the "average" intelligence scale (drain bamage). But my eye contact is high (with medication, therapy and pressure, pressure, pressure of coarse it would). I digress. I understand what youre saying. Although a person with Autistic Disorder will grow just like any other human being. Does that mean a diagnosis change? Do people grow OUT of autism? I guess it depends on the case.

I decided to see a ASD specialist BTW. My doctor doesnt believe you can have Schz and Autism. WTF? Helloooo. Get a clue MANNN. I have Childhood Onset Schz its NORMAL to have developmental problems!!!!!

I babble. Thanks guys for your responses.

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My skills also range from high functioning to low functioning. My self help skills are moderate (not normal for a 21 year old), my verbal communication is low, Im im on the "low" side of the "average" intelligence scale (drain bamage). But my eye contact is high (with medication, therapy and pressure, pressure, pressure of coarse it would). I digress. I understand what youre saying. Although a person with Autistic Disorder will grow just like any other human being. Does that mean a diagnosis change? Do people grow OUT of autism? I guess it depends on the case.

I decided to see a ASD specialist BTW. My doctor doesnt believe you can have Schz and Autism. WTF? Helloooo. Get a clue MANNN. I have Childhood Onset Schz its NORMAL to have developmental problems!!!!!

I babble. Thanks guys for your responses.

For me maintaining eye contact is a challenge even though I'm trying to work at it.I'm also trying to work more on my social communication skills but it's not easy.

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I decided to see a ASD specialist BTW. My doctor doesnt believe you can have Schz and Autism. WTF? Helloooo. Get a clue MANNN. I have Childhood Onset Schz its NORMAL to have developmental problems!!!!!
That is odd but not surprising. I have been interviewed by a psychologist in hospital who believed that my depression was a direct result of being autistic. That I couldn't be autistic and not be depressed. As a result, I was sent home without help. It is becoming difficult now to seek help for mental illness without it all being blamed on autism.

I wish you luck with the ASD specialist, Twitch.

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My doctor doesnt believe you can have Schz and Autism. WTF?

It's not like he's pulling that out of his ass or anything. The DSM does kind of say that they're mutually exclusive diagnoses. Regardless of whether that's right or not, that's what one of the biggest authorities on that sort of thing says.

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I'm not saying hes pulling it out of his ass. Well completely. Its just hes not knowledgeable with Childhood-Onsiet Schz and Developmental dissabilities. Plus the co-ocurrance of Schizophrenia and Autism. Theres a lot (cases and studies) out there on having both disorders.

Actually the DSM says something on the lines of the symptoms cant be caused by the other disorder. Such as flat affect for a disagnosis of Scz counted as an Autistic Symptom, or vice versa. HOWEVER you can seperate the symptoms. As well, in the DSM it says in the Schizophrenia diagnosis that "Relationship to a Pervasive Developmental Disorder: If there is a history of Autistic Disorder or another Pervasive Developmental Disorder, the additional diagnosis of Schizophrenia is made only if prominent delusions or hallucinations are also present for at least a month (or less if successfully treated)."

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