01
Is it autism, or something else?
A seemingly autism-like presentation can often be better explained by another diagnosis:
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Various personality disorders, or traits thereof. For example, differentiation must be made with OCPD (Obsessive-Compulsive Personality Disorder) and schizoid personality types.
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ADHD and high IQ can strongly resemble an autism-like presentation, particularly in combination with a more anxiety-prone character/temperament.
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A low socio-emotional developmental age can also mimic nearly all autism characteristics. This is especially relevant in young adults and clients with severe chronic trauma.
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Additionally, anxiety, OCD, and depression should be ruled out, as these can have a significant impact on both social symptoms and the need for predictability and routine, especially when these issues have been present for a long time.
This list is not exhaustive but provides a clear indication of the range of other potential causes that should be ruled out.
02
Will a diagnosis actually help?
Advantages
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Access to care: A diagnosis is necessary to request certain forms of care.
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Clarity: Provides insight into the origin of the symptoms.
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Differential diagnosis: Helps determine whether the symptoms might be better explained by another diagnosis.
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Therapeutic impact: Can positively influence self-image and help make sense of the past.
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Certification: Offers an official statement that can be used in specific contexts to communicate needs and set boundaries.
Disadvantages
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Cost: Obtaining a diagnosis can be expensive, with prices often exceeding 1,000 euros.
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Lack of nuance in the diagnostic process: The process is not always entirely accurate or tailored to the individual.
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Follow-up care: After the diagnosis, care still needs to be fully designed and implemented.
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Potential drawbacks in certain environments: Sharing the diagnosis with others is not always advisable (e.g., in work settings), where a diagnosis such as autism may sometimes disadvantage the client.
If the advantages outweigh the disadvantages, a referral to a diagnostic center is likely warranted.
03
Formulation of Care and Treatment for Autism
There are many aspects to consider in building care for someone with autism. Everything must be tailored to the individual, as nearly everyone has slightly different care needs. Below are all the possible options; it is up to the patient, their context, and the supporting care providers to assess what could be of added value.
