Asperger's vs. Autism: A Personal Journey to Self-Discovery

Asperger's syndrome or autism?

Since childhood, relatives have said that I have autism, and during college, friends suggested that I might have Asperger's syndrome.
However, I have never been diagnosed by a doctor.
I want to know if I really have these conditions and what I can do to take better care of myself.
I have always been very introverted, often hiding from relatives, and throughout my education, I mostly kept to myself because I felt more comfortable that way.
I don't enjoy chatting, and when I do, I often don't know what to talk about; I usually just listen.
I tend to fixate on things that I haven't achieved, which leads to frustration with myself or my family, but I eventually forget about it after a while.
I love observing details, have a high level of defensiveness, and often feel insecure.
My IQ is around 110, but I struggle with learning; for example, while others may understand something in 2 hours, it might take me a whole day and I still may not grasp it.
I don't enjoy activities that many girls like, such as shopping or watching movies; instead, I love dancing and often stop to admire unique houses.
I tend to talk more with people I've known for a longer time.

Wu Yizhu, 20~29 year old female. Ask Date: 2015/10/02

Dr. Ding Shuyan reply Psychiatry

Hello, online consultations are not suitable for diagnosing patients without a personal examination by a doctor, so we can only discuss some general medical knowledge related to your issues.
Regarding your situation, I cannot determine what the problem is, but I can assure you that you are likely not autistic.
Individuals with autism spectrum disorders typically do not exhibit the traits you mentioned, such as being overly observant, having high defensiveness, and lacking a sense of security.
As for your friends and family suggesting that you may have autism or Asperger's syndrome, they are using medical terminology to express their feelings about you.
They are not medically trained and, therefore, cannot make accurate diagnoses.
This is often influenced by media portrayals; for instance, the emergence of a mayor in Taipei who claimed to have Asperger's syndrome led to widespread casual references in everyday life, sometimes even as jokes.
In the past, sensational news reports about people threatening to jump from buildings often attributed such behavior to bipolar disorder.
Consequently, many people who experience mood swings or irritability are now casually labeled as having bipolar disorder, which highlights the significant gap between public perception and actual medical diagnoses.
I recommend that you schedule an appointment with a psychiatrist or psychologist; I believe that a single visit will help clarify your concerns.
Wishing you all the best, Dr.
Ding Shuo-Yan.

Reply Date: 2015/10/02

More Info

Understanding the nuances between Asperger's syndrome and high-functioning autism can be quite complex, especially when considering personal experiences and societal perceptions. It’s important to recognize that both conditions fall under the umbrella of Autism Spectrum Disorder (ASD), which has evolved in its classification and understanding over the years.
Asperger's syndrome, once considered a distinct diagnosis, is now classified as part of ASD in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition). This means that the characteristics associated with Asperger's are now viewed as part of a broader spectrum of autism. Individuals with Asperger's typically exhibit challenges in social interaction and may have restricted interests or repetitive behaviors, but they often possess average to above-average intelligence and do not have significant delays in language development.

Your experiences of being introverted, preferring solitude, and feeling overwhelmed in social situations resonate with many individuals on the autism spectrum. The tendency to become fixated on specific interests or details, along with a heightened sense of observation, is also common. These traits can lead to misunderstandings in social contexts, where the expectations of typical social interactions may not align with your natural tendencies.

Regarding your question about whether you truly have Asperger's or high-functioning autism, the best course of action is to seek a professional evaluation. A qualified mental health professional, particularly one specializing in autism spectrum disorders, can provide a comprehensive assessment. This evaluation typically includes interviews, standardized tests, and gathering information about your developmental history. It’s crucial to approach this process with an open mind, as the goal is to understand yourself better rather than to label yourself.

In terms of what you can do for yourself, self-acceptance is a vital step. Understanding that your brain processes information differently can help you embrace your unique qualities. Engaging in activities that you enjoy, such as dancing or exploring architecture, can provide a sense of fulfillment and joy. Additionally, consider seeking support from therapists or support groups that focus on autism spectrum disorders. These resources can offer strategies for navigating social situations, managing anxiety, and improving communication skills.

Improving your learning abilities may also be beneficial. Since you mentioned that you often take longer to understand concepts compared to others, exploring different learning styles could be advantageous. Visual aids, hands-on experiences, and breaking information into smaller, manageable chunks can enhance comprehension. Additionally, working with a tutor or mentor who understands your learning style can provide personalized support.

Lastly, it’s essential to cultivate a supportive network. Surround yourself with individuals who appreciate your unique perspective and can provide encouragement. This could include friends, family, or even online communities where you can share experiences and strategies with others who understand your journey.

In conclusion, while the journey of self-discovery regarding Asperger's syndrome or high-functioning autism can be challenging, it is also an opportunity for growth and understanding. By seeking professional guidance, embracing your individuality, and developing effective coping strategies, you can navigate your experiences with greater confidence and clarity. Remember, the goal is not to conform to societal expectations but to find a path that resonates with who you are.

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