Adult Asperger Syndrome: Diagnosis, Challenges, and Support

Q: Adult Asperger Syndrome: Diagnosis, Challenges, and Support

Hello： Q1： Asperger's syndrome is also classified as high-functioning autism, and there is currently a tendency not to differentiate it further, as the intervention methods are similar and it is not possible to confirm the diagnosis based on the aforementioned descriptions. <br>Q

Adult Asperger syndrome

I am actually quite confused about whether I have Asperger syndrome or simply high-functioning autism, and whether I also have ADHD.
Or could it be that I have Asperger syndrome, high-functioning autism, and ADHD as comorbid conditions in different proportions? I have taken ADHD tests at two medical facilities, both of which indicated that I scored low and did not meet the criteria.
Personally, while I enjoy solitude, I still yearn for acceptance and love from others, but I tend to think negatively.
Regarding my fixation, I might focus on how to improve transportation in rural areas, researching it for two full days.
Sometimes, at inappropriate times or places, I engage in catastrophic thinking or obsessive thinking about certain issues, but my coping mechanism is to write down the details I worry about—questions that most people wouldn’t consider—in a notebook to stop that thought pattern and focus on the present.
I was previously diagnosed with OCD.
In my childhood, besides undergoing early intervention, I was prescribed Ritalin, but my mother was afraid of growth delays, so I never took it.
Then, I was diagnosed with PTSD and Asperger syndrome at age 805, which exempted me from military service.
I’ve mentioned a lot, but I’ve left out some details; after all, in-depth exploration is the job of a counselor, while diagnosis is the responsibility of a physician.
Q1: Do I have Asperger syndrome or high-functioning autism?
Q2: Should adults with Asperger syndrome definitely see pediatric and adolescent outpatient specialists? I have a disability certificate (mild) that will expire at the end of the year.

Q3: I have poor memory; what methods can improve it? I’ve only found that Ritalin helps me feel more confident.
Some doctors say taking Ritalin along with anti-anxiety medication can help with both relaxation and focus; is this true?
Q4: I feel less mature compared to my peers, as if I lack knowledge about certain social skills and attitudes that I should know, feeling outpaced by those from the 90s.

Q5: My work has not been going well; performance reviews always mention: poor learning attitude, lack of initiative, irresponsibility, argumentative behavior, and sarcastic comments.
It seems that most of these issues are related to interpersonal interactions, as each senior has a different way of handling specific situations.
Overall, my performance rating is a C, leading to the termination of my contract.

These are the questions I have for now...
I can't think of anything else to ask, and I feel there’s no need to elaborate further.
Now I have to move, change workplaces, and find a new primary care provider.
I am a public health student from a rural area, and I think I’ve moved hospitals about ten times already.
Sigh...

Meng Meng, 20~29 year old female. Ask Date: 2024/07/02

Dr. Liang Sunyuan reply Psychiatry

Hello: Q1: Asperger's syndrome is also classified as high-functioning autism, and there is currently a tendency not to differentiate it further, as the intervention methods are similar and it is not possible to confirm the diagnosis based on the aforementioned descriptions.
Q2: For adults with Asperger's syndrome, it is indeed better to have an evaluation by a psychiatrist specializing in children and adolescents.
Q3: Adequate sleep, motivation to learn, and positive, stable emotions contribute to improved memory.
Q4: Social skills can still be learned continuously; it is never too late.
Q5: Learning and growing from past work experiences, it is advisable to humbly accept constructive feedback that is beneficial to your work, gradually learning and changing, allowing your work abilities and attitudes to develop progressively.

Reply Date: 2024/07/02

More Info

Understanding Adult Asperger Syndrome (AS) can be quite complex, especially when considering the overlap with other conditions such as High-Functioning Autism (HFA) and Attention Deficit Hyperactivity Disorder (ADHD). It’s important to clarify that Asperger Syndrome is often considered part of the Autism Spectrum Disorder (ASD) and is characterized by challenges in social interaction, communication difficulties, and restricted or repetitive behaviors. The distinction between Asperger Syndrome and High-Functioning Autism has become less emphasized in recent years, as both conditions share similar traits and interventions.

Q1: Am I diagnosed with Asperger Syndrome or High-Functioning Autism?
The distinction between Asperger Syndrome and High-Functioning Autism is often nuanced. Both conditions fall under the umbrella of Autism Spectrum Disorder, and many professionals now prefer to use the term ASD to encompass the range of symptoms and severity. The diagnosis is typically based on behavioral assessments rather than specific tests. If you have been diagnosed with Asperger Syndrome, it is likely that you exhibit traits associated with both conditions. The presence of ADHD can complicate the diagnosis, as individuals with ASD may also show symptoms of ADHD, such as inattention or hyperactivity. It’s essential to consult with a mental health professional who specializes in ASD to get a comprehensive evaluation.

Q2: Should adults with Asperger Syndrome see a child and adolescent psychiatrist?
While it may seem logical to seek help from a child and adolescent psychiatrist, adults with Asperger Syndrome can benefit from seeing specialists who focus on adult mental health. However, child and adolescent psychiatrists may have more experience with developmental disorders, which can be beneficial in understanding the nuances of your condition. It’s crucial to find a mental health professional who is knowledgeable about adult ASD, as they can provide tailored support and interventions.

Q3: How can I improve my memory?
Improving memory can be approached through various strategies. Regular physical exercise, adequate sleep, and a balanced diet are foundational to cognitive health. Additionally, techniques such as mindfulness and cognitive-behavioral strategies can help manage anxiety and improve focus. Medications like stimulants (e.g., Adderall) and certain anxiolytics may assist in enhancing concentration and reducing anxiety, but it’s essential to discuss these options thoroughly with your healthcare provider to ensure they are appropriate for your specific situation.

Q4: Feeling less mature than peers?
It is not uncommon for individuals with Asperger Syndrome to feel less mature than their peers, particularly in social situations. Social skills can be learned and improved over time, regardless of age. Engaging in social skills training or therapy can help you develop these skills in a supportive environment. Remember, maturity is not solely defined by social skills but also by self-awareness and emotional regulation, which can be cultivated through practice and experience.

Q5: Challenges in the workplace?
Workplace difficulties are common for individuals with ASD. Feedback regarding your work performance can be challenging to process, especially if it relates to interpersonal skills. It may be beneficial to seek feedback from trusted colleagues or supervisors to gain a clearer understanding of how you can improve. Consider discussing your challenges with a career counselor or therapist who specializes in workplace issues for individuals with ASD. They can help you develop strategies to enhance your work performance and interpersonal interactions.

Conclusion
Navigating life with Asperger Syndrome or High-Functioning Autism can present unique challenges, but understanding your condition is the first step toward managing it effectively. Seeking professional help, whether from a psychiatrist, therapist, or counselor, can provide you with the tools and support necessary to thrive. Remember, you are not alone in this journey, and many resources are available to help you understand and embrace your identity while working towards personal growth and fulfillment.

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