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anomy
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11 Aug 2012, 5:29 pm

TowerCrane wrote:
After going to a psychiatrist and talking to him about my problems, he told me that based on what I've told me, he thinks that I have a "developmental disorder", and that most people with this "developmental disorder" don't even learn how to talk, and that I was able to learn how because my "high intelligence" (lol) allowed me to.

Do you think the "developmental disorder" in question is autism?


And on top of that, I was prescribed an anti-psychotic to "get me more engaged in the real world", as I was told. I asked my mother (since he would be more likely to disclose all the diagnoses to her, not to hurt me emotionally) to call the psychiatrist and ask him whether I have schizophrenia or bipolar disorder (which are the two main psychotic disorders), to which he responded with a no.

I asked him why he prescribed it once again, to which he responded that I'm not delusional, but he thinks that there's a persecutive element in the fact that when I spotted my old teacher on another sidewalk, and she smiled, I crossed the road and walked to another street.

I told him that I did that because I didn't know how to react in that situation - what to say and how to behave.

He replied with "Of course you know. You know when to say hello, how are you, and so on... come on"

To which I replied with a no.

He didn't say anything and told me that I should still take the medicine.


I'm temporary living in France (I'm from another European country), and I went to a French psychiatrist. I've heard that there are some problems with autism and autistic spectrum disorders in France, that they aren't treated properly, and such. Do you think there's such a problem with this psychiatrist as well? And to restate the first question: Do you think the "developmental disorder" in question is autism?


Before you take any medication, it sounds like you need to do a lot of personal research and THEN go get a second, third, opinion. In my opinion, medication should be avoided if at all possible.



TowerCrane
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11 Aug 2012, 6:27 pm

InThisTogether wrote:
TowerCrane wrote:
the doctor said that he thinks that I have a "developmental disorder", most people with which don't even learn how to talk, and that I learned how to talk because of my "high intelligence".


The problem with this is that I am not sure there is such a disorder as he is describing. I do not think there is any evidence to support the notion that "most" people with autism or pdd-nos do not learn to talk. Some do not learn to talk, but I think most do. And not all the verbal auties I have come across necessarily have "high intelligence."

That, coupled with the fact that he has you on antipsychotics for his wrongly concluded belief that you have persecutory thoughts makes me question his overall fitness to be diagnosing you at all.


I completely agree with you. As I mentioned, it's a French psychologist, and there's some lag in the French psychiatry in the relation to the rest of the developed world.

I guess their backward theory on autism is as follows:
"There are mentally disabled and mentally functioning autistic people. Those who learn how to speak are mentally functioning (as in, not mentally ret*d)"


The fact that he said "developmental disorder", without specifying which one, leads me to believe that it was PDD - Not Otherwise Specified which was diagnosed.



InThisTogether
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11 Aug 2012, 7:15 pm

Are you OK with that? I mean, in reality, the label is just a label. It doesn't change the reality of who you are. My personal opinion is that unless someone will be eligible for some kind of support or services based on a particular label, the label is really meaningless. You are who you are. Whether someone calls you pdd-nos, or AS does not change your day-to-day experiences.

I didn't realize the French were so far behind in the scheme of things regarding autism. Sad.


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nominalist
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11 Aug 2012, 7:22 pm

Most psychiatrists know very little about Autism Spectrum Disorders. Before seeing one, it is a good idea, I think, to make sure that she or he specializes in neurodevelopmental disorders or in Autism.

There have been studies which have found that the diagnosis one receives is often a result of the specialization of the therapist.


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TowerCrane
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11 Aug 2012, 9:59 pm

InThisTogether wrote:
Are you OK with that? I mean, in reality, the label is just a label. It doesn't change the reality of who you are. My personal opinion is that unless someone will be eligible for some kind of support or services based on a particular label, the label is really meaningless. You are who you are. Whether someone calls you pdd-nos, or AS does not change your day-to-day experiences.

I didn't realize the French were so far behind in the scheme of things regarding autism. Sad.


Labels do help, though. They allow you to see which course of action to take to improve the situation, based on what helps the most for people with these 'labels'. There are many other benefits that knowing your diagnosis might help with.



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12 Aug 2012, 7:25 am

TowerCrane wrote:
InThisTogether wrote:
Are you OK with that? I mean, in reality, the label is just a label. It doesn't change the reality of who you are. My personal opinion is that unless someone will be eligible for some kind of support or services based on a particular label, the label is really meaningless. You are who you are. Whether someone calls you pdd-nos, or AS does not change your day-to-day experiences.

I didn't realize the French were so far behind in the scheme of things regarding autism. Sad.


Labels do help, though. They allow you to see which course of action to take to improve the situation, based on what helps the most for people with these 'labels'. There are many other benefits that knowing your diagnosis might help with.


Agreed. But the course of action will be similar whether you are diagnosed with AS or PDD-NOS. I think the most important thing for you to determine is whether or not you believe you belong somewhere on the spectrum. And even if you decide you don't, you might still be able to learn valuable things from learning about ASD. I know I have.


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13 Aug 2012, 12:52 am

What is annoying to me is that you essentially don't have access to a competent psychiatrist at all. Somebody who immediately prescribes antipsychotics based on a misinterpretation of a totally normal autistic trait shouldn't be trusted to prescribe anything--therapy or medication. Whether he's a decent psychiatrist otherwise, I have no idea, but he obviously doesn't have much of a clue about autism.

That's not to say that medication might not help. I benefit from a lower dose of the same medication they give ADHD kids--it helps me switch tasks more easily and stay better organized. Antidepressants can help with anxiety. Some autistics take medication to help them sleep, and yes, a few are on antipsychotics to help with poorly controlled meltdowns that put them at risk of injury. But this particular psychiatrist isn't qualified to tell you that you need medication, any more than I am. Heck, I'd probably be marginally more qualified, and that's pretty darn scary because I'm an undergraduate and I can't even administer a questionnaire legally, much less prescribe mind-altering medication. You need to find yourself somebody who actually knows something about autism, somebody whose PhD or MD degree actually includes a reasonable amount of training relevant to the autism spectrum.


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