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New here and to my diagnosis

DrTweedy

New Member
Hello, I'm new here. I was formally diagnosed with ASD last year and ADHD a few months ago. As a man in his 50s, married, and with a long-standing career in healthcare, I've become quite adept at masking, though it’s both exhausting and confusing. I struggle with many aspects of life, from managing large groups and intimate relationships to coping with loud noises. I often find it impossible not to overreact, sometimes leading to temper outbursts that are frightening for everyone, including myself.

Over the years, I’ve learned to pick up on visual cues, interact with various groups at work, and even build a family—I’m married with three children. Despite these accomplishments, I often feel like an outsider, burdened by feelings of inadequacy and embarrassment. I've always struggled with maintaining close friendships and spend most of my time alone. I’ve learned to be interesting and charming, and I pay close attention to my appearance—I’m tall, fit, and generally good-looking—which has helped me mask effectively. However, after a short time, my social inadequacies tend to show, and either people drift away, or I do.

I've tried numerous therapists and antidepressants, and I attend AA, having used alcohol to self-medicate without realising it at the time. I’ve been sober for 26 years, aside from a six-month relapse after 14 years.

Now that I have a diagnosis, I feel a bit lost. Initially, it was grounding and reassuring, but now I’m just a middle-aged, outwardly successful man who is incredibly lonely and still struggling to fully accept and identify with my diagnosis. I suppose there’s a bit of shame attached to it, though I’m slowly coming to terms with it.
 
Sorry about the loneliness part. I am late diagnosed at 64. 66 now. So many of my "why am I like this" questions were answered. I have met some interesting people here, and it's interesting to see our similarities even though we're clearly individuals as well.
 
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Sorry about the loneliness part. I am late diagnosed at 64. 66 now. So many of my "why am I like this" questions were answered. I have met some interesting people here, and it's interesting to see our similarities even though we're clearly individuals as well.
Thank you for coming back to me. Yes, it's always reassuring to find identification through shared experiences. I've spent a lifetime searching for answers through various mediums like self-help books, therapy, and AA meetings, which have been very helpful. However, I've always felt that these never fully explained why I am the way I am. Being diagnosed later in life is quite challenging, as I've developed so many masking techniques that I'm not entirely sure who I am underneath it all.
 
Hello, I'm new here. I was formally diagnosed with ASD last year and ADHD a few months ago. As a man in his 50s, married, and with a long-standing career in healthcare, I've become quite adept at masking, though it’s both exhausting and confusing. I struggle with many aspects of life, from managing large groups and intimate relationships to coping with loud noises. I often find it impossible not to overreact, sometimes leading to temper outbursts that are frightening for everyone, including myself.

Over the years, I’ve learned to pick up on visual cues, interact with various groups at work, and even build a family—I’m married with three children. Despite these accomplishments, I often feel like an outsider, burdened by feelings of inadequacy and embarrassment. I've always struggled with maintaining close friendships and spend most of my time alone. I’ve learned to be interesting and charming, and I pay close attention to my appearance—I’m tall, fit, and generally good-looking—which has helped me mask effectively. However, after a short time, my social inadequacies tend to show, and either people drift away, or I do.

I've tried numerous therapists and antidepressants, and I attend AA, having used alcohol to self-medicate without realising it at the time. I’ve been sober for 26 years, aside from a six-month relapse after 14 years.

Now that I have a diagnosis, I feel a bit lost. Initially, it was grounding and reassuring, but now I’m just a middle-aged, outwardly successful man who is incredibly lonely and still struggling to fully accept and identify with my diagnosis. I suppose there’s a bit of shame attached to it, though I’m slowly coming to terms with it.
I am also married, have two children, and have been in healthcare for nearly 40 years. Statistically, there are probably more folks with an ASD in healthcare than in any other of the STEM fields. Who knew? I think if you pay attention, you may recognize "a brother from a different mother" as you interact with your colleagues. I do, for sure, but from what I can tell, most of these same people have no clue that they have an ASD, sometimes because there is this mental bias where we associate autism with the children, and two, because we don't recognize the ASD-1/Asperger's variants, and three because of denial or it's not even on "their radar". When you step back and realize, these children do grow up and become adults, and you may be working side-by-side with them.

Do read the literature on "oxytocin and autism" and the hypothalamus signaling to the posterior pituitary. You may then understand the biological reasons why we have difficulties with social bonding.

Do read the literature on "dopamine and autism" and the genetics of dopamine turnover in autism. Most of us will have at least one of the three known genetic markers for altered dopamine levels that can translate into varying degrees of depression.

Do read the literature on the neuroanatomical development of the autistic brain, both in terms of the neuronal anatomy, the structural anatomy, as well as the studies on conductivity and connectivity. Basically, we are "wired up" quite differently, accounting for a long list of differences.

Serotonin levels also play a role in depression and socialization. Some have been prescribed SSRI's with varying results. Some will experiment with low, medium, and high doses of psilocybin with varying results. Personally, I respond the best to psilocybin. People really notice the improvements in my attitude towards everything.

The term "autism" comes from the root word "auto" or "self" and in aboriginal languages it can be translated into "one who walks by himself". Which aptly describes many of our social experiences. Being present, but on the periphery. Having a "glass box" around you. Never having long-term true friends, but more transient "friendly acquaintances". People simply come and go. I generally don't "miss people". In some respects, its more of an "out-of-site, out-of-mind" type of thing and as a result the mental work associated with maintaining a good friendship never occurs.

No shame. You are who you are. Be present and aware. Understand the condition. It is a prenatal, genetic/epigenetic, neurodevelopmental condition. The psychology and psychiatry associated with autism is SECONDARY to the underlying anatomy and physiology. The psychology and psychiatry associated with autism is as a result of how we experience our world, which can be quite different from a neurotypical person.

I am successful in my life BECAUSE of my autism, not despite it. I can do things that my colleagues simply don't have the intellect to do, because of my autism variant, and vice-versa. Learn to accept both things as true. Sometimes you are the resource or "go to" person, sometimes you need to find your own "go to" or resource person. Give and take. Understand your gifts and limitations.

I've rambled on enough here. Welcome @DrTweedy ;)
 
I am also married, have two children, and have been in healthcare for nearly 40 years. Statistically, there are probably more folks with an ASD in healthcare than in any other of the STEM fields. Who knew? I think if you pay attention, you may recognize "a brother from a different mother" as you interact with your colleagues. I do, for sure, but from what I can tell, most of these same people have no clue that they have an ASD, sometimes because there is this mental bias where we associate autism with the children, and two, because we don't recognize the ASD-1/Asperger's variants, and three because of denial or it's not even on "their radar". When you step back and realize, these children do grow up and become adults, and you may be working side-by-side with them.

Do read the literature on "oxytocin and autism" and the hypothalamus signaling to the posterior pituitary. You may then understand the biological reasons why we have difficulties with social bonding.

Do read the literature on "dopamine and autism" and the genetics of dopamine turnover in autism. Most of us will have at least one of the three known genetic markers for altered dopamine levels that can translate into varying degrees of depression.

Do read the literature on the neuroanatomical development of the autistic brain, both in terms of the neuronal anatomy, the structural anatomy, as well as the studies on conductivity and connectivity. Basically, we are "wired up" quite differently, accounting for a long list of differences.

Serotonin levels also play a role in depression and socialization. Some have been prescribed SSRI's with varying results. Some will experiment with low, medium, and high doses of psilocybin with varying results. Personally, I respond the best to psilocybin. People really notice the improvements in my attitude towards everything.

The term "autism" comes from the root word "auto" or "self" and in aboriginal languages it can be translated into "one who walks by himself". Which aptly describes many of our social experiences. Being present, but on the periphery. Having a "glass box" around you. Never having long-term true friends, but more transient "friendly acquaintances". People simply come and go. I generally don't "miss people". In some respects, its more of an "out-of-site, out-of-mind" type of thing and as a result the mental work associated with maintaining a good friendship never occurs.

No shame. You are who you are. Be present and aware. Understand the condition. It is a prenatal, genetic/epigenetic, neurodevelopmental condition. The psychology and psychiatry associated with autism is SECONDARY to the underlying anatomy and physiology. The psychology and psychiatry associated with autism is as a result of how we experience our world, which can be quite different from a neurotypical person.

I am successful in my life BECAUSE of my autism, not despite it. I can do things that my colleagues simply don't have the intellect to do, because of my autism variant, and vice-versa. Learn to accept both things as true. Sometimes you are the resource or "go to" person, sometimes you need to find your own "go to" or resource person. Give and take. Understand your gifts and limitations.

I've rambled on enough here. Welcome @DrTweedy ;)
Thank you, this was incredibly helpful—exactly what I needed to hear. I’ll definitely look into the neuroanatomy aspect further, so any useful links would be greatly appreciated. It would be nice to stay in touch. Have a great rest of your day!
 
Greetings, @DrTweedy

When you've spent all your life masking. It can be hard to convince yourself to not do it. While I maybe not where you are at, in a number of ways. I have learned the mask we lay out for ourselves starts to be more damaging, than helpful, as life goes on.

I'm in a battle with my masked self right now. Trying to find a semblance of myself. Which I am starting to find. And it's freeing, in a way, to know that I DO have something to offer to this world. I just have to fight for it.

Though it doesn't help my mask is reinforced by childhood trama. That is far harder, than the mask on it's own. As it also has apathy, immaturity, and psychosis. Beyond the typical fear.

In anycase. I hope being here will provide answers to what you seek with Autism. We have plenty of members here, like myself, that have all kinds of perspectives to consider. But we all see you and get you.

Our site resources can also help with anything you maybe unsure about with ASD and ADHD.
 
Welcome. I was just turning 64 when I read a couple papers on high functioning autists and realized I checked all the boxes. I just retired from a professional career in helping people with developmental disabilities. I joined a forum and discovered people and traits that were so famliar to me. It was comforting.
 
The term "autism" comes from the root word "auto" or "self" and in aboriginal languages it can be translated into "one who walks by himself". Which aptly describes many of our social experiences. Being present, but on the periphery. Having a "glass box" around you. Never having long-term true friends, but more transient "friendly acquaintances". People simply come and go. I generally don't "miss people". In some respects, its more of an "out-of-site, out-of-mind" type of thing and as a result the mental work associated with maintaining a good friendship never occurs.
The way you described not missing people and the "out-of-side, out-of-mind" thing is 100% the way I am. If folks aren't in situation where I interact with them at least weekly they quickly move to the forgotten part of my mind. I actually now review my contacts to see when the last time I've spoken with people is so I can try to better maintain things. But otherwise yeah, I forget about people completely in doing my own thing.
 
Now that I have a diagnosis, I feel a bit lost. Initially, it was grounding and reassuring, but now I’m just a middle-aged, outwardly successful man who is incredibly lonely and still struggling to fully accept and identify with my diagnosis. I suppose there’s a bit of shame attached to it, though I’m slowly coming to terms with it.
Well that Résumé is a close fit to my own. Including the late diagnosis. I can't say there's any shame, but maybe I'm a little dejected that the diagnosis was very anticlimatic. I can relate to how the information doesn't exactly lead to solutions, but I kind of expected that.

Welcome, and I hope you can find some comfort here.
 
You have come at the right time, doctor. I'm sick. 😋

Welcome to a new beginning.
 
Greetings, @DrTweedy

When you've spent all your life masking. It can be hard to convince yourself to not do it. While I maybe not where you are at, in a number of ways. I have learned the mask we lay out for ourselves starts to be more damaging, than helpful, as life goes on.

I'm in a battle with my masked self right now. Trying to find a semblance of myself. Which I am starting to find. And it's freeing, in a way, to know that I DO have something to offer to this world. I just have to fight for it.

Though it doesn't help my mask is reinforced by childhood trama. That is far harder, than the mask on it's own. As it also has apathy, immaturity, and psychosis. Beyond the typical fear.

In anycase. I hope being here will provide answers to what you seek with Autism. We have plenty of members here, like myself, that have all kinds of perspectives to consider. But we all see you and get you.

Our site resources can also help with anything you maybe unsure about with ASD and ADHD.
It’s nice to hear back from you. Yes, masking is indeed a complex issue, especially for those of us who received a diagnosis later in life. It's like peeling away layer after layer, and letting go of these masks is going to be a real challenge. Many of my masks, like yours, conceal deeper issues such as trauma. Some of them have been incredibly effective and even useful, particularly in my work environment and possibly in romantic relationships. But ultimately, experiencing life as close to one’s true self must be the goal, right? Living inauthentically is a difficult place to be.

Personally, I’m exhausted, having reached this point in my life only to discover that the realisation of ASD fits perfectly, without any compromise. So often, I’ve concluded my search—whether through therapy, medical diagnosis, or spiritual enlightenment—only to find that my struggles are only partially explained. The parts that don’t fit, I’ve kept quiet about, trying to ignore them just to blend in.

Childhood trauma is incredibly complex, and I sincerely hope you have access to the resources you need to work through it.
 
Well that Résumé is a close fit to my own. Including the late diagnosis. I can't say there's any shame, but maybe I'm a little dejected that the diagnosis was very anticlimatic. I can relate to how the information doesn't exactly lead to solutions, but I kind of expected that.

Welcome, and I hope you can find some comfort here.
Hi, actually, "shame" isn’t the right word—I don’t feel ashamed. The truth is, I haven’t quite figured out how I feel about being autistic at this point.
 
Hello and welcome DrTweedy. I hope you enjoy the forum. Sometimes it does take a long time to figure our feelings out and then, they are always changing, so maybe we never really fully figure it out. We just continue to adapt and grow and change over time.
 
HI and Welcome to the Forums @DrTweedy

Yes it is a long process learning about autism and how it affects you. Autism manifests in each of us in different ways. Do hang around for a while and you will learn how others live life and perhaps you might recognise yourself in some of the stories you read. I certainly have.

Welcome
 

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