Am I Autistic? Would It Matter?

Since the beginning of the new year I have realized that I might have high-functioning autism.[1] I am currently unclear about two things: how I would find out if I do and whether it would matter if I do.

This isn’t the first time I considered the possibility that I might be on the autism spectrum. When I was in undergrad I realized that certain of my traits–discomfort with eye contact, inability to interpret physical touch, minor social awkwardness, occasional bluntness and tone deafness, intellectual obsessions–were typical of autism or resembled symptoms of autism. But whenever I researched it I found that I didn’t have certain traits you would expect of someone who was autistic: not only did I pretend play a lot as a child, it was neither repetitive nor focused on a consistent topic; I am more than capable of interpreting tone of voice and reading implied content in speech; I am about average at interpreting body language; my verbal communication skills are better than usual. By my best understanding of autism at the time, I did not qualify, so I stopped looking into it and stopped thinking about it.

However, I’ve learned a bit more since then. One of the things I’ve learned is that autism is still poorly understood and that what traits are required for a diagnosis is up for (some) debate. Moreover, I’ve learned that adults have often found ways of compensating for symptoms of autism; if they learned these techniques unconsciously, they might not be aware that they are using work-arounds. This discrepancy between an ideal case of autism and what autism might actually look like prompted a particular Twitter user to create a list of traits common to people with autism that don’t appear in most diagnostic lists. It was her opinion that a person who exhibited half or more of those traits was autistic; indeed, there was one trait that she considered properly diagnostic, such that anyone who exhibits it is autistic regardless of how they answer the other items on her list.

I won’t be coy. I answered yes to the diagnostic question. When I first saw it I was very skeptical that the question was really diagnostic–indeed, I’m still skeptical[2]–but I took it seriously enough that I worked through her list. I answered for how I act right now and got exactly 50/50; if I answered for childhood, I would probably have had just over 50/50, but distributed differently. That was high enough that I started to take it seriously. Continue reading