I ended up at a therapist a little over a year ago because I went to the GP cause I wasn't feel ok mentally. I felt a bit depressed. That ended him sending me to a theraptist. I went through a few in just over half a year (which by then already was september 2011). In between I had to file unemployment cause I officially dropped-out of college, I needed money and I was messed up short of harming myself to get commited to a ward. So "just looking for a job" didn't fly for me. But that in the past never worked for me.
Then, in between cause I filed unemployment I was being asked if I could start a job right away, to where I told them "well... I think I can, but I'm seeing a therapist". Told them the story so they told me "well, take it easy, you can file for disability, but we'll send you through to one of our specialists to see if he can assess your situation. For the time being you can collect unemployment but you don't have to apply for a job until that is sorted out". So 2 months after filing it, I had an appointment with this guy (in between seeing my own therapist(s)). I had a 2 hour talk with him primarily regarding what keeps me busy, he did some tests about how I handle everyday situations, had a test to see how my mood was at the moment. Had an evaluation of that after about 2 months. That document was pretty much "you're not depressed" (and the mood-testing wasn't showing that off either). However with the talk I had he asked me "have you even been tested on autism?" because a lot of stuff I told him in regards to interests, the way I handle things, the things I cannot deal with, as well as some test results made him think that. That however was never written down in the document. But he told me this just face to face.
With that knowledge I went to my other therapist and at some point told him a bit about this employment center chaps findings. So he looked into that where at some point he was like "well, this is the end of the road for us" I cannot deal with people who might be on the spectrum. It's not my specialility, and to be honest, I didn't expect it in the sense that you came in for a chat cause of a depression. However, his diagnosis to get me send through to specialist was; Personality disorder with comorbid autism and he thought I had an internetaddiction (which I wrote about in a blog a while ago; to me he pulled it out of a hat cause we never spoke about it). In the end he did a similar mood test (if only I could recall that test; it was the same one as the chap from the job center gave me), but that came in as only slight depressed. But yeah, his diagnosis got me sent through a specialist. A little advice this last therapist before I went to the specialist gave me was; In your case it would be smart to get a diagnosis. I don't think you're a lazy person, but apparently you have a hard time keeping a job. Or obtaining one for that matter. A lot might be contributed to your mental state. Even if you'd have therapy that can fix it" halfway, so make sure you get a diagnosis and file for disability cause that will get you in the least rough spots in the future.
Sent them an email, usually there was 6 week period to wait, but because they just hired a new therapist (a former intern of theirs) they had new spots so I could go there within a week.
So went there had my intake with a very nice therapist. We sorted out what I was coming in for and she decided to conduct tests based on that. However; the funny thing on my part is... I just told her "I've went to the therapist and a few have hinted that I might be on the spectrum somewhere". I never gave her the note about a diagnosis by former therapists. In a way; yes that might be harsh to let her sort it out, but in the end she even told me "I didn't care for a diagnosis from other professionals in the sense that I dont want to start my research being biased towards disorder X already".
But I went there, had about 8 sessions, some of them were 2 hour blocks (I recall 2 of them even 3 hour blocks with lots of tests). Had two visits with my mom there to talk about my childhood; because AD(H)D (which she thought I might have as well, based on my behaviour I had in sessions, coming across as hyper, moving my arms around a bit and not sitting still, making weird jumps in conversations, things like that) as well as Autism can be traced back to behaviour as a kid. As for tests... I remember doing a sessions where I had to fill in over 600 questions and grade how much I like things. I had a test with word asociation, at some point we had a test with facial expressions. At first I just saw the faces and had to name emotions, then... she gave me 4 choices with 4 faces and I had to mix n match them. I failed that big time. She showed me a drawing of sorts and asked me what I could tell about it to see how I can relate events to each other. And then there's a few other tests that I did that inquired about social behaviour and how I act there, how much of a routine person I am, how well I can function on my own, how much I crave social interaction. But in general with all tests combined, it's easily over 2000 questions I did there.
Then the results came in and she kinda diagnosed me on the new proposed DSM 5 thing already. Well, she did on the DSM IV as well, but to her it was apparent. I had near perfect scores on everything (in general; between 85% to 95%) except for the speech thing because I did that way before I should be able to speak as a child. So that kind concluded her. Due to me rather high functioning level she told me "it overlaps a lot with Aspergers... and pretty severe too"... but if we can't use that, it's safe to say you suffer from rather severe autism while you have pretty good verbal skills in general (based on the informal Autism quotient scale; I could put myself at the 46 mark, where 50 is the most severe you can have) That made it easier for her as well, cause I could express myself really good in sessions.
So in the end I asked her about the depressions and all. That was quite logical. If I end up not being in my comfortzone, I can end up being depressed up to really dangerous levels. She didn't believe in setting me up with antidepressants because we both knew what can be causes of it, and it would be way easier to try and just not let those situations happen that easily. The depression I had earlier (when I first reported in) had to do with a few things; sheer overload of the school-thing, not having a clue what I want with my life, being in a stressful "relationship kinda thing", being with a friend a lot who supposedly suffered from psychotic episodes and being bored a lot (which is something that's NOT good if you're also "suffering" from AD(H)D cause not being busy will make you mind grind to really weird places). But as time passed; I quit school, got my unemployment checks, I started working on a project, that relationship thing eroded away a bit, I didn't see that friend anymore... and thus I wasn't bored and did my own things... no wonder I didn't score good on any tests to see if I was depressed.