05-09-2007, 01:52 PM
Google Answers had this question http://answers.google.com/answers/threadview?id=180490
This is a post by someone who has been having these doubts for many years and is still seeking diagnosis after 9 doctors said "No": http://www.mnip-net.org/asperger/discuss...enDocument
This is a post by someone who has been having these doubts for many years and is still seeking diagnosis after 9 doctors said "No": http://www.mnip-net.org/asperger/discuss...enDocument
Quote:
Is there something I could read somewhere that would tell the differences between Asperger's Syndrome and social anxiety disorder/avoidant personality disorder **without** AS? I realize that many Aspies can have these disorders as well as having AS, but how can somone tell that they have SAD/AvPD without AS?
I first learned about AS a couple years ago and some of the social things seemed to fit me. Also, I"ve always been very clumsy---unable to play sports with other kids, not very good balance, and have always been afraid of falling.
I've been to 5 doctors about AS so far, two of them experts on AS and autism, and none of the doctors feel I have AS, after asking numerous questions about my childhood. They feel things that happened to me as I was growing up combined to make me feel socially inept and to develop SAD & AvPD. They also said I have General Anxiety Disorder, which they say caused some of my extreme fears, such as of falling & swimming.
But many Aspies have a lot of anxieties as well. In fact, anxiety seems to be one of the diagnostic traits of AS, or at least a basis for many Aspies' self-diagnoses. Many Aspies that I talk to in forums on the Internet seem to have a lot of the same social anxiety characteristics I have. And most seem to be clumsy & bad at sports.
I can also relate totally to social anxiety and AvPD sufferers, and do feel I meet all the criteria for these 2 disorders. I can see where things in my childhood contributed and snowballed to where I got to be the way I am now. But there seems to be a different focus on therapy for SAD for a neurotypical than there is with social skills training for someone with AS.
Someone who is neurologically typical but has longstanding SAD is supposed to have the ability to pick up social cues and skills and understand social situations, but their understanding was clouded over the years by their anxiety so that they feel like many social situations have a negative meaning for them, i.e. they screwed up socially and will be rejected. Also SAD sufferers focus inwards on their anxiety, and while doing that they really aren't noticing what is going on around them so they really aren't learning how to accurately understand social situations. The idea in therapy seems to be, get rid of the anxiety, get the person's thoughts back on track so they don't see everything as negative and they will be able to handle social situations and perceive them accurately.
But in AS, the person usually really doesn't understand social situations well, even if they don't have SAD, and they don't pick up on many social cues and misunderstand some social situations. It seems like, if they develop SAD, it was based on some true perceptions that maybe their social skills weren't as good.
How can I tell which one I am???? I feel like I'm going to go through therapy for SAD/AvPD, only to find out I really don't understand social cues even though I might stop focusing on myself and start focusing outward and learn what's really going on. I'm afraid that I won't really learn what's going on, because I don't really have the capacity to udnerstand social cues, and will then hvae to go through the extensive social skills training for Aspies.
I have already been told by one therapist in my area that I really should go to the social anxiety groups rather than his social skills groups for Aspies, because I'm not an Aspie and hearing the word Asperger's will keep me thinking I am when I'm really not.
Could I have got so scared of being diagnosed with AS (and believe me, it still frightens me that someone, somewhere will tell me I must have AS--it's one of my social fears as a matter of fact), that I made myself seem more normal for the doctors? I'm female too, and I"ve heard it's harder for female Aspies to get diagnosed.
I really want to find out once and for all if I'm AS. I'm thinking of going to a third AS doctor, but don't know what will happen there and fear it might be a waste of money.
If I could read something on my own that would show the difference between an Aspie suffering from SAD and a neurologically typical person suffering from SAD, it might help me to decide which side I'm on. Does anyone know of anything like that? I know Dr. Thomas Richards mentions it on his Social Anxiety Institute homepage, but he mostly points to the fact that AS is not caused by anxiety, and that anxiety is not mentioned in the DSM-IV for AS, while it is in the DSM-IV for social anxiety.
Maybe it's not in the DSM-IV for AS, but it does seem to be a huge byproduct of AS, probably due to misunderstandings that happen in the Aspie's life. And many Aspies report ruminating and doing postmortems on their social experiences just like SAD/AvPD people do--in fact, some of them feel that social postmortems are unique to Asperger's! Some Aspies seem also to feel that neurotypical people do not experience much anxiety, and if they do have anxiety perhaps they are on the autistic spectrum somewhere.
There are also things like memory that I worry about--I have memories from before I was 3, and this seems to be an Asperger trait.
Another problem is "special interests"--I have always had hobbies and interests, especially since I've always been so shy and socially avoidant, I had to have something to fill the time and I had thought that hobbbies were a good thing. Where does a hobby leave off and an Aspie-like "special interest" start??
I first learned about AS a couple years ago and some of the social things seemed to fit me. Also, I"ve always been very clumsy---unable to play sports with other kids, not very good balance, and have always been afraid of falling.
I've been to 5 doctors about AS so far, two of them experts on AS and autism, and none of the doctors feel I have AS, after asking numerous questions about my childhood. They feel things that happened to me as I was growing up combined to make me feel socially inept and to develop SAD & AvPD. They also said I have General Anxiety Disorder, which they say caused some of my extreme fears, such as of falling & swimming.
But many Aspies have a lot of anxieties as well. In fact, anxiety seems to be one of the diagnostic traits of AS, or at least a basis for many Aspies' self-diagnoses. Many Aspies that I talk to in forums on the Internet seem to have a lot of the same social anxiety characteristics I have. And most seem to be clumsy & bad at sports.
I can also relate totally to social anxiety and AvPD sufferers, and do feel I meet all the criteria for these 2 disorders. I can see where things in my childhood contributed and snowballed to where I got to be the way I am now. But there seems to be a different focus on therapy for SAD for a neurotypical than there is with social skills training for someone with AS.
Someone who is neurologically typical but has longstanding SAD is supposed to have the ability to pick up social cues and skills and understand social situations, but their understanding was clouded over the years by their anxiety so that they feel like many social situations have a negative meaning for them, i.e. they screwed up socially and will be rejected. Also SAD sufferers focus inwards on their anxiety, and while doing that they really aren't noticing what is going on around them so they really aren't learning how to accurately understand social situations. The idea in therapy seems to be, get rid of the anxiety, get the person's thoughts back on track so they don't see everything as negative and they will be able to handle social situations and perceive them accurately.
But in AS, the person usually really doesn't understand social situations well, even if they don't have SAD, and they don't pick up on many social cues and misunderstand some social situations. It seems like, if they develop SAD, it was based on some true perceptions that maybe their social skills weren't as good.
How can I tell which one I am???? I feel like I'm going to go through therapy for SAD/AvPD, only to find out I really don't understand social cues even though I might stop focusing on myself and start focusing outward and learn what's really going on. I'm afraid that I won't really learn what's going on, because I don't really have the capacity to udnerstand social cues, and will then hvae to go through the extensive social skills training for Aspies.
I have already been told by one therapist in my area that I really should go to the social anxiety groups rather than his social skills groups for Aspies, because I'm not an Aspie and hearing the word Asperger's will keep me thinking I am when I'm really not.
Could I have got so scared of being diagnosed with AS (and believe me, it still frightens me that someone, somewhere will tell me I must have AS--it's one of my social fears as a matter of fact), that I made myself seem more normal for the doctors? I'm female too, and I"ve heard it's harder for female Aspies to get diagnosed.
I really want to find out once and for all if I'm AS. I'm thinking of going to a third AS doctor, but don't know what will happen there and fear it might be a waste of money.
If I could read something on my own that would show the difference between an Aspie suffering from SAD and a neurologically typical person suffering from SAD, it might help me to decide which side I'm on. Does anyone know of anything like that? I know Dr. Thomas Richards mentions it on his Social Anxiety Institute homepage, but he mostly points to the fact that AS is not caused by anxiety, and that anxiety is not mentioned in the DSM-IV for AS, while it is in the DSM-IV for social anxiety.
Maybe it's not in the DSM-IV for AS, but it does seem to be a huge byproduct of AS, probably due to misunderstandings that happen in the Aspie's life. And many Aspies report ruminating and doing postmortems on their social experiences just like SAD/AvPD people do--in fact, some of them feel that social postmortems are unique to Asperger's! Some Aspies seem also to feel that neurotypical people do not experience much anxiety, and if they do have anxiety perhaps they are on the autistic spectrum somewhere.
There are also things like memory that I worry about--I have memories from before I was 3, and this seems to be an Asperger trait.
Another problem is "special interests"--I have always had hobbies and interests, especially since I've always been so shy and socially avoidant, I had to have something to fill the time and I had thought that hobbbies were a good thing. Where does a hobby leave off and an Aspie-like "special interest" start??


You don't believe me!