Feelings about being diagnosed with autism

‘I’d rather be aspie than something unknown’

The age at which people are diagnosed with autism varies. Some people we spoke with were diagnosed as children, others as adults. Feelings about diagnosis also varied considerably; some were very happy and reassured to receive a diagnosis while others were upset, shocked or surprised.

People diagnosed in childhood often remembered little about the diagnosis.

the diagnosis didn’t get Alex sweets, drinks or toys so didn’t interest her.

Age at interview 28

Gender Female

Age at diagnosis 3

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Richard didn’t know what autism meant until later in his life.

Age at interview 22

Gender Male

Age at diagnosis 2

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James felt very bad about himself when he was diagnosed during secondary school. He said it was…

Age at interview 22

Gender Male

Age at diagnosis 12

Most of the people we talked with felt relieved to get the diagnosis of autism or Asperger syndrome. Mary said it was reassuring to have ‘validation’ from health professionals, Oliver said the diagnosis gave him ‘more definition’ while Tim said it gave him ‘peace of mind’. Some people thought that not getting a diagnosis would leave them worrying about what was wrong with them. Russell found that people with autism share a lot of intellectual topics of interest.

Daniel likes having Asperger syndrome and describes it as being ‘like a terminator with feelings.

Age at interview 32

Gender Male

Age at diagnosis 23

As one person described; ‘I am like different, but in a good way’ while Debbie said that day she got the diagnosis as the best day of her and her mother’s lives.

Laurie said that if she hadn’t had the diagnosis of Asperger syndrome she would have continued to…

Age at interview 49

Mary worried about having a personality disorder and was relieved to be diagnosed with Asperger…

Age at interview 22

Gender Female

Age at diagnosis 21

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Mark worried about not being diagnosed and felt that he needed the diagnosis for his own…

Age at interview 27

Gender Male

Age at diagnosis 26

For many people diagnosed with Asperger syndrome, this was not a negative label.

John was pleased that the psychologist understood him and how ‘it just fitted into place.

Age at interview 65

Gender Male

Age at diagnosis 62

Miranda was pleased to get answers even though she was over 40 when she was diagnosed.

Age at interview 49

A few people found the diagnosis difficult to accept or understand initially and a few were not relieved to be diagnosed. Russell said that getting the diagnosis, didn’t help him to know where he came on the spectrum.

Being autistic has ruined Sam’s life and he can think of little positive about it.

Age at interview 26

Gender Male

Age at diagnosis 24

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Peter knew nothing about Asperger syndrome when he was diagnosed so his first concern was ‘was I…

Age at interview 33

Gender Male

Age at diagnosis 30

John L found having to rethink his past difficult after diagnosis and he went through a period of grief and understanding.

Age at interview 39

Gender Male

Harriet felt both happy and sad to get the diagnosis;

“Sad that I would never be part of a world I spent so long being on the outside of. I used to think if I tried just a bit harder I could belong and be accepted, it does look good sometimes your world. To be able to laugh with different people, find things to talk about. Happy that I could stop trying so hard because I would never get there. That I could now say, please stop punishing me I am trying as hard as I can, there is a reason I cannot be what you want. But in saying that, there is a great pain and loneliness and black hole.”

Vicky wished she had not been diagnosed because it made it difficult for her to get a job, but she felt it allowed her to access support. John L, after a period of rethinking his past, found he was less angry as a person and has accepted himself a bit more. He’s been able to break the ‘pattern of behaviour or anger, action, reaction, depression’. Paul I said he felt (understandable) anger and some bitterness about wasted opportunities after being diagnosed aged 24 but got over it in a year and a half.

Damian was upset when he was first diagnosed because of the labels he’d been given in the past.

Age at interview 37

Gender Male

Age at diagnosis 36

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Catherine was worried before getting the diagnosis but mostly she felt relief at no longer having…

Gender Male

‘I understand now why I do those things’

Getting the diagnosis encouraged some people to read about autism and, in turn, this helped them to make more sense of their lives and the difficulties they had experienced. Michael read books about body language and learned to make eye contact with people. While another man described getting the diagnosis as life changing;

Just generally knowing what I have got, has made all the difference to me because there is just an excuse, a reason why, you know, if I feel bad in a situation now, I know how to deal with it better. I know why I feel like that, it’s not that I am just randomly panicking for no reason.

Steven viewed the diagnosis as a starting point for him to say ‘Well, yes, that is me, I…

Gender Male

Duncan felt pleased to get the diagnosis because ‘it put a lot of things into place and answered…

Age at interview 17

Gender Male

Age at diagnosis 13

Sue finds it easier to interpret some of Richard’s behaviour as an aspect of his Asperger…

Age at interview 58

Gender Male

Age at diagnosis 51

Julie found it ‘useful to know that her husband was autistic so she could change her…

Age at interview 39

Gender Male

Age at diagnosis 39

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Getting the diagnosis led some people to have expectations about support and understanding although this was not always forthcoming.

John was pleased to be diagnosed but was left with the same underlying problems in his life.

Age at interview 47

Gender Male

Age at diagnosis 45

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Peter finds telling people about Asperger syndrome hard to deal with because he is never sure…

Age at interview 33

Gender Male

Age at diagnosis 30

Debbie said that she had expected friends to understand but they thought she would be able to change now she knew what the problem was. A few people were verbally given the diagnosis but had nothing written down which was a problem when they wanted to access support.

For Mark the diagnosis means a ‘little magic piece of paper that says can you treat this person a…

Age at interview 27

Gender Male

Age at diagnosis 26

If Mary hadn’t been diagnosed, she wouldn’t be seeing a support worker who understood her.

Age at interview 22

Gender Female

Age at diagnosis 21

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Gail wanted a diagnosis so that she could access support at college, but she’d known she had Asperger syndrome for years and didn’t feel she needed a diagnosis. Once she had the diagnosis, she was glad because before this, when she said she thought she had Aspergers, other people were likely to think her weird for claiming it.

Looking back

Although Leo Kanner and Hans Asperger both identified what became known as the autism spectrum in the 1940’s, it was not until several decades later that understandings of autism and the diagnosis of autism spectrum conditions became more common. Some people who were diagnosed in their middle age or older, talked about how much easier their lives would have been if they had been diagnosed much earlier. They felt that they could have been offered support at school and developed better self-esteem.

Had Harriet been diagnosed as a child, she wouldn’t have felt that she was ‘a bad and horrid and…

Age at interview 49

John feels a childhood diagnosis would have changed his life.

Age at interview 65

Gender Male

Age at diagnosis 62

Others had mixed feelings about the timing of their diagnosis. Gail, for example, thinks that she would have limited her opportunities if she had been diagnosed earlier in her life.

Russell thinks the diagnosis has ‘created a block on his normal behaviour’ but also explains some…

Age at interview 21

Gender Male

Age at diagnosis 12

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