Well hello and welcome. Congratulations on coming here and speaking - this definitely is a place where you can expect some recognition of the life that you find yourself living.
The life you describe sounds in many ways like mine, and I believe that I have AS. I'm awaiting a formal diagnosis. Rather than play the diagnosis game, I would like to just respond in a personal way to a couple of things that you wrote. I sense that basic question for you is perhaps, who should I turn to? What kind of help can I expect to find? Will an AS diagnosis help?
You wrote about
scaring other kids. Also, about
hallucinations and paranoia: "I have recurrent delusions that others hate me or are conspiring against me". My hunch is, that you may want to look for AS plus 'something else'? Most of what you wrote about seems to me to fit with what I understand AS to imply. But I don't think AS gives rise to these particular things about scaring others and being scared about what others might do to you: I think these are distinct from the routine anxiety of a person with AS will naturally experience. So maybe there's some other traumatic component in your makeup? For example, when i was a tiny baby i had an illness that almost killed me, and this has given me an ability to feel fear of total wipe-out on an everyday basis. this adds an extra depth and 'bite' to the anxiety that, as somebody with an AS mental makeup, i'm gonna feel anyway. but it's not AS and i need to find ways of living with this particular part of my makeup (it seems to be to do with my physical body and being physically expressive and secure - for example, by dancing in an accepting environment) within a broad framework of 'how to live a good life as somebody with AS'. You might find something analogous? So that you might need certain patterns of opportunity, certain relationships, certain treatment, certain medication - whatever - to enable you to live with the paranoia and scary stuff, and contain it, accommodate it, in some way. Rather than think of this as having multiple 'diseases', maybe you can treat this as having a way of experiencing the world which has various components; and in principle, these call for a repertoire of differing responses from you and differing opportunities available within your pattern of living?
I never really felt like my problems were just depression or just anxiety. I feel like there's more wrong with me.
Yep, stick with this. Medication may help with depression/anxiety, so get what you can from this? But for a person with AS it's reasonable to be depressed and anxious! If nobody else is like you (being a member of a 0.5% minority of the population!) or can easily 'see' you of course you're gonna be depressed; it's a hell of a place to be cast up in, somewhere out there beyond Pluto without so much as a rowboat to get you back to planet Earth, where the rest of the human species lives. If the shape of other people's lives makes no sense and you can't really tell what might swim out of the world of relationships in the very next minute, and look you in the face, of course a reasonable person is gonna be anxious. if you have 'weak central coherence' and it exhausts you to do all of the mental work that's needed to hold a flow from minute to minute and day to day, of course you're gonna be stressed and need time out that non-AS people don't need in order to swim around in the everyday world. just because we're intelligent - everybody here in this list is intelligent - and can do amazing tricks just to get by minute-by-minute, that doesn't mean that we don't get wrecked by the 24/7 labour we have to do, on a scale that non-AS people can barely imagine. of course we need support, and some slack.
You mention your boyfriend: "The only person I really talk to is my boyfriend, and sometimes our mututal friends or my family.". You also say that you can be "very talkative.. recurrent topics and speech patterns.. [relationships] start fading when our favorite things to do get old. " Yes, we can be truly obsessive with ourselves and our struggles to live with the experince of AS! This calls for us to show love and regard for others - otherwise we abuse them by acting out and 'over-share': dumping. Take real care over this; our lives won't get better through demanding things of others that they can't handle, overloading them, boring them, wearing them out.
You daydream a lot. Sure. With AS you need your own space, to retreat to, to recover from your systematic mental over-work, to digest all the traffic that your mind has been handling as you swim and survive in the flood of other people's lives. 'Daydreaming' is your mind catching up with the processing overload of other people's expectations, actions, energies. Night-dreaming isn't enough to handle this. I'm guessing that it's a long time since you woke up in the morning feeling fresh, right? Your brain's been at work all night. Make relationships with people who'll accept your dreaminess, and who don't demand that you 'make sense' all the time?
I can feel hopeless or lonely, and sometimes feel that nobody will ever truly know me
whoooo, yes, that feeling. Hopelessnness is a vile place to be. It's not just bad news though. Everything holds a gift, even the most vile experience - even if it's hard work to find the gift. The good news? Passionate hopelessness is perhaps a sign of how very much you want to be loved and recognised, how very alive you are, how much love you have in you, which you passionately want to mobilise in your life, let it move and flow, enrich yourself and the whole world? Myself, after 60 years of life, 10 years of really seeking to change my old depressive, destructive self (including therapy, yoga, whatever) and less than a year of self-diagnosed AS-existence, i'm just beginning to accept the possibility that nobody will ever truly understand me. i take this to mean that the understanding has to come from me. i can live with that. that's a positive finding. it means that i don't need to other expect impossible things from people, which is kinder to them and to me. i now feel that, if they care about me at all, i can realistically expect them to recognise me (as somebody who truly lives 'somewhere else' - asperger-land) and to accept that i'm a living loving skillful intelligent man who needs to organise emotional space in a certain way in order to participate happily and positively in getting and giving, in the world of the non-AS majority (99.5% of the population).
You mention suicidal thoughts - do you need medication to help you here? is it truly suicidal - might you really do it? - or is it 'just' deep misery and hopelessness?
Do you have anything going for you on a physical/energetic 'body' level? i used to feel adrift in empty, lifeless, outer space; or trapped internally in no-space-at-all, overwhelmed by dimensions (of life) that i couldn't get access to. One of the most profound things that has enabled me to find 'emotional space' is 'bodywork' in a broad sense: breath work, energy work and hands-on body manipulation (yoga, pilates, meditation, rolfing), dancing (especially, wonderfully, '5rhythms'). Bodywork can bring you understanding of how to recognise feelings as a 'felt sense' in the body, allow them to move inside you (so that you and they don't feel trapped in zero dimensions), give them a home within your body space which doesn't occupy the whole of your being. your body is home, perhaps your only true home? your body is your oldest and longest lasting friend - be a true friend to it? your body knows and remembers everything you've ever experienced, and it knows things that you (in your head) don't know. So: do the work, the learning, that will allow your body to give you the gifts of knowledge, recognition and internal space that it's holding for you until you've learned to look for them?
You wrote that you "rarely ask for help when I need it... staying away from others". Yes, this is a bad trap to be in. Not really believing that others can see and help. Not wanting to risk finding that in fact, they didn't see and didn't help - so staying away. This is a hell of a bind to be in.
Who to turn to? rather than a medic, perhaps a therapist who will live - an hour at a time - with both your body and your feelings? a proper therapist will give themselves to understanding and accepting how you really are, what you really live with; supporting you in becoming a lovely, living person with whatever it is that you've been given as material to make your own, unique life with: AS, other traumatic and challenging stuff; daydreaming, intelligence, persistence, a desire to be truly alive. A medic will need to fit you into their medical frame - for example the DSM-IV diagnostic criteria for AS - and will probably not have the time to really develop understanding in themselves or in you. because of this, a therapist will cost you more. You wrote:
"I have a hard time explaining what I'm thinking or feeling at times. People will often tell me I'm emotionally cold or not responsive to their emotions. I have a hard time knowing how others feel about me or in general. It's hard to let them know what I'm really feeling as well. There's this strange block between me and others, which is more than just nervousness."
Maybe you could use help from a therapist, to recognise your own - often overwhelming and incommunicable - feelings, learn what they're called, learn to say hello to them as they come and go, learn that they do come and they do go and that you don't have to be trapped by a particular feeling that currently is succeeding in monopolising your being in the obsessive way that, as somebody with AS, you're so familiar with. I say this because I found enormous benefit from this kind of emotional 'literacy', acknowledging the richness of emotional life, and becoming able to have a dozen feelings per minute instead of one feeling per week (moods, depressions, obsessions). My own experience suggests that this is a very bodily thing, and so a therapist is needed who is willing to recognise and work with your body in the therapy space in some way: either through hands-on contact coupled with voicing of feelings (as in rolfing, postural integration, rebirthing); or through guided bodywork (yoga? pilates? meditation?); or by 'hearing' your body (and their own) as you talk, in some kind of dynamic talk-therapy. It may be a prejudice, but I'd say that anyone who isn't willing to respond with their own body in some way in the therapy space (manipulating yours, guiding yours, listening to what their own body tells them about your experience) isn't any use as a therapist in something as deep-seated and all-touching as the AS experience: which rules out the 'most successful' and widely available therapeutic approach: short-term cognitive-behavioural, 'mental management' work.
Do take care not to try to 'do therapy' with people in the real world - friends, partners, family. these relationships are not designed to carry the burden of deep sharing in the situation that you experience as somebody with AS. it may be just too weird for someone else to take on board, 24/7. it's possibly too much hard work to expect anybody expect a committed skilled paid professional to engage in it selflessly and with dedication, and for an hour at a time with spaces in between. i'll love my ex-therapist for ever because of the way i learned with her that love and recognition does exist; and that - as i get better at it and on a good day - i can find a way to it myself, without depending on others for the recognition and love that we all need, provided that i gift myself the gift of the space that this needs.
Maybe some medication will help? antidepressants? so talk to your doctor. but manage your expectations of what medical practitioners and the healthcare system are able to deliver? and develop support for yourself of other kinds too?
Will an AS diagnosis help? I don't think it will help your doctor to do much, though it might influence prescribing medication. The diagnosis may be a good thing to take into therapy with you, since it helps to frame your experience in a way that could be a good starting point for communication. (But given that the diagnosis process takes time, it would make sense to take yourself into therapy way before the diagnosis is done.) Most of all, a model of 'what goes on' in the mind and experience of someone with AS can help you to organise your own life patterns and emotional space in ways that make sense to you, and are sustainable instead of overwhelming. Equally they can enable you to ask others to appropriately organise their patterns and expectations too, taking the model on board, if they care about you. To find such models and practical guidance, the best books and discussions that i myself have come across are ones that deal with AS in long-term relationships. For example, there's the ASpires network <http://www.aspires-relationships.com/>; and there's Ashley Stanford's Asperger Syndrome and long term relationships.
Whew! I didn't mean to go on for so long. I hope that this connects in some way, provides some kind of recognition, offers some kind of insight into what you might do with your hunch that you're a person who lives as Asperger life? I wouldn't have responded at such length if i didn't feel that you and I share the experience of living with AS.
You're intelligent. You really want to live a good life. You believe there can be change. You're looking for the way. Travel well...
fellow-traveller love & best wishes
/michael