It was the end of March 2023 and I was on my way back to the clinic for a follow up assessment. I hadn’t prepared in any way for this one whereas for the first one I had copies of the forms I filled in and a few other statements etc in case I got distracted or overwhelmed and forgot stuff. I realised afterwards that I could’ve looked up what to expect in either of the assessments but I didn’t want to influence my own behaviour, as I said before, I was already a bit anxious about over/under compensating so wanted to go in with no preconceptions and see what happened.
I wasn’t desperate to be told I was or wasn’t autistic, I mainly wanted some answers and understanding as to why I did particular things and why I felt how I did about stuff. If it was autism, fine. If it wasn’t then I could rule that out and look at other options. The feedback from the first assessment did suggest to me that I had a bunch of traits but I knew that was just one part of the process so wasn’t going to get ahead of myself.
As it turned out, this 2nd assessment was all about communication and social interaction. I didn’t think I had major issues with communication until last year when I started to try work out why I was often misunderstood, both literally and my tone. It’s another of those daft situations that when I actually thought about it, it went all the way back to my childhood where I would get guidance from my mum when a situation was coming up “talk like this”, “say this”, “don’t do this”, “try to look interested”, “watch the tone of your voice” etc. That kind of direction stuck with me so I pretty much know what and how I should be speaking and what the expectation is in most situations but I didn’t really question why I needed that guidance. I still ask people what I should say or do to try help myself but I also often come across in a way that I absolutely don’t mean to. And then I struggle to understand how I came across that way.
During the assessment, it seemed to go ok generally. I didn’t like some of the tasks and didn’t see the purpose or relevance. I didn’t attempt one of them as it made me feel uncomfortable, the kind of feeling of having to go on a stage to do something, I guess some people don’t care but I just didn’t want to do it. I answered everything else as well as I could but some of questions were quite hard, I felt like I was exposed in the sense that my struggling to explain something that most people wouldn’t have an issue with made me feel quite sad. I suppose that’s the point of the assessment though – not to make someone sad – but to see how their brain works in certain situations but despite knowing that it didn’t feel great going through it.
Shortly afterwards whilst on holiday, I received a phone call confirming my diagnosis and saying that a letter would follow which it did. I opened it and read it and my wife asked what it was, I said it was the report on the assessment etc, she asked to read it. I said “maybe later” as she was about to go out and I thought it wouldn’t be the best time to do it but she asked again so I said “sure”.
When she got to the end of the letter she had tears in her eyes and I wasn’t really sure why. There were loads of lines and sections that could have caused it or it could’ve been something I said or did. It was a bit more confusion linked to social stuff for me. She did say later that it was hard seeing it written in black & white after we had more casually talked about those traits in me previously. She was sad as it made her think about how hard things must be for me at times – some parts of the report were pretty blunt about emotions, interaction, communication etc as all my ‘faults’ were laid out. If nothing else good comes out of it, she now knows if I’m saying to her that I didn’t mean something ‘that way’ it’s true and it’s just because I’m rubbish at communicating and also for me it’s a big reminder to run stuff through the translator in my brain to do my best to say things in a way that can’t be misunderstood. And not to assume I understood exactly what someone meant, it’s awkward asking for clarification but sometimes it’s for the best.
The assessor said that they would let me have some time to reflect on the news and arrange some further meetings to discuss how they could help and any next steps.