Asperger's Syndrome and Anxiety: A Personal Journey - Psychiatry

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Asperger's syndrome and anxiety disorder?


I would like to ask the doctor...
My family is all normal and cheerful, but I am not very good at communication.
My family members have been asking if I might have autism.
When I entered the workforce, I faced repeated challenges during interviews and tend to get nervous around people.
Colleagues I have met have suggested that I consider getting assessed for a mental or developmental disability.
Recently, during an interview, the interviewer also asked if I might have any issues related to mental or developmental disabilities.
I don't know what to do, so I came here to inquire.

A Jie, 20~29 year old female. Ask Date: 2022/12/04

Dr. Yu Quanxun reply Psychiatry


Hello: It sounds like the situation you are experiencing is affecting your life, and it may also be causing feelings of disappointment, frustration, or self-doubt.
In such a predicament, it is commendable that you are trying to gain a clearer understanding of your condition.
It is important to remind you that during the journey of exploring your own state, many users of psychosomatic medical services also observe that when interacting and discussing with their team, they gradually explore both their internal and external resources and strengths, in addition to addressing their psychological distress or mental diagnoses.
They have also noted that this multifaceted and ongoing self-understanding is a crucial foundation for personal growth and navigating the ups and downs of life.
Given that there can be many reasons for interpersonal interactions not meeting expectations, it is indeed advisable to visit a clinic and explore these issues with a physician, as you may discover aspects that can be addressed through a collaborative doctor-patient relationship.
Our hospital also has relevant outpatient resources that may offer some assistance.
Yuli Hospital cares about you.

Reply Date: 2022/12/04

More Info


Understanding Asperger's Syndrome and Anxiety: A Personal Journey
It sounds like you are navigating a complex and challenging situation regarding your social interactions and emotional well-being. Your concerns about possibly having Asperger's Syndrome or another form of autism spectrum disorder (ASD) are valid, especially given your experiences with anxiety during social situations and the feedback you've received from others.
Asperger's Syndrome, which is now classified under the broader category of Autism Spectrum Disorder (ASD), is characterized by difficulties in social interaction, communication challenges, and restricted or repetitive patterns of behavior or interests. Individuals with Asperger's often have average or above-average intelligence and may not exhibit significant delays in language development, which can make the diagnosis less straightforward.
Your description of feeling nervous in social situations, struggling with communication, and receiving comments from interviewers about potential disabilities aligns with some common experiences of individuals on the autism spectrum. It's important to note that while your family may be outgoing and socially adept, autism can manifest in individuals regardless of their family background. This condition is not a reflection of your family's social abilities but rather a unique aspect of your neurological makeup.

Regarding your experiences in job interviews, it's not uncommon for individuals with Asperger's or social anxiety to feel overwhelmed or anxious in these situations. The pressure to perform socially can exacerbate feelings of inadequacy and anxiety, leading to a cycle of avoidance and frustration. The suggestion from colleagues to seek a formal evaluation for a disability is a proactive step that could provide you with clarity and access to resources that may help you navigate your social and professional life more effectively.

If you are considering an evaluation, it would be beneficial to consult with a mental health professional who specializes in autism spectrum disorders. They can conduct a comprehensive assessment, which may include interviews, questionnaires, and observations to determine whether you meet the criteria for Asperger's or another related condition. This process can also help identify any co-occurring issues, such as anxiety disorders, which are common among individuals with ASD.

In terms of managing anxiety, there are several strategies that may help you cope with social situations. Cognitive-behavioral therapy (CBT) is an evidence-based approach that can assist in addressing negative thought patterns and developing coping mechanisms for anxiety. Additionally, mindfulness practices, such as meditation or deep-breathing exercises, can help ground you in the moment and reduce feelings of panic during stressful interactions.

It's also essential to focus on building social skills gradually. Engaging in social skills training or support groups can provide a safe space to practice interactions and receive feedback in a non-judgmental environment. Over time, these experiences can help increase your confidence and comfort in social settings.

Lastly, remember that seeking help is a sign of strength, not weakness. Many individuals face similar challenges, and there are resources available to support you on your journey. Whether it's through therapy, support groups, or educational resources, you don't have to navigate this path alone. Embracing your unique qualities and seeking understanding can lead to personal growth and improved social interactions over time.

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