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dancerxoxo123

Well-Known Member
I was diagnosed with mild Intellectual disability with IQ of 76 and autism spectrum disorder. Could I be bipolar 2 as well? My phycyatrist refused to diagnose me with it because my depression doesnt last more then 2 weeks. My depression lasts 5 days then I think I am hypomanic again when I am hypomanic I have increase sex drive talk quickly and walk quickly and spend a lot of money. I have an impulsive control problem while most autistic people don’t have this problem. The results of my ADOS was this by a phycologist.
The Autism Diagnostic Observation Schedule (ADOS-2) is a semi-structured assessment of communication, social behavior, and play; essential for diagnosing autism and related disorders.


It has four modules designed for children and adults, communication observations over cognitive and


emphasizing social behavior


academic skill assessment. Christina


administered Module 4: Adolescent/Adult Fluent Speech. Module (4) was selected for this evaluation because it is designed for use with adults. Ratings of behavior are organized into three groupings: Communication, Reciprocal Social Interaction, and Restricted and Repetitive Behavior.


Observations are scored on a 0-3 continuum, ranging from no evidence of deficit to significant atypicality. Scores are assigned to specific qualities of behavior in each category. Totals are calculated for Social Affect (SA) and Restricted and Repetitive Behavior (RRB). Cut-off scores for autism and autism spectrum are identified.


Language & Communication: Throughout this administration, Christina used some relatively complex speech but multiple grammatical errors were noted. She also spoke unusually jerky and she occasionally echoed the speech of others. Christina was not observed to insert inappropriate words or phrases during interactions. She occasionally shared her thoughts and feelings with the examiner. Additionally, Christina responded appropriately to the examiner's comments about their feelings but did not ask any follow up questions. She was able to describe an event that took place in her life to the examiner with appropriate detail and context. Christina did not participate in back-and-forth conversation with the examiner. Instead, she spoke mostly about her own thoughts with little regard to reciprocal interactions or exchange. During this administration Christina frequently used instrumental (such as head nodding) gestures.


However, she did not use descriptive gestures when prompted to do so and she rarely used conventional (such as clapping for 'well done) gestures. Descriptive gestures are those that represent an object or event, such as acting out rinsing a toothbrush. And the results of my adaptive behavior score was this
Communication: Communication involves how well Christina exchanges information with others. Her overall communication skills received a standard score of 57 and also fell within the Low range (PR=<1). According to Mrs. DiNorcia's rating, Christina demonstrates a relative strength in her communication abilities. Christina's rating indicates that she has some difficulty maintaining her attention for longer than 15-30 minutes, understanding sarcasm, telling about experiences in detail, telling the basic parts of a familiar story or plot, and remembering something several hours later.


Daily Living Skills: Daily Living Skills include how independent one can perform practical, everyday tasks within their environments. Mrs. DiNorcia's ratings yielded a score of 72, which was classified in the Moderately Low range (PR=3). This domain was also considered a relative strength for Christina. According to her mother Mrs. DiNorcia, Christina demonstrates ability to independently complete daily living skills such as hygiene related activities. She demonstrates below age-level domestic skills. She has difficulty performing household tasks independently.


Christina also does not demonstrate safety awareness or know how to appropriately access resources within their community.


Socialization: Social skills are behaviors needed to engage in interpersonal interactions, act with social responsibility, and leisure time. Christina's Socialization was rated with a standard score of 29 and considered Low (PR=<1). This score was considered a relative weakness compared to her other scores. Christina's score indicates that she sometimes struggles with emotional self-control.


Christina sometimes lacks age-appropriate interpersonal skills although she is very interested in establishing social relationships with others.


Maladaptive Behavior: The maladaptive behavior domains measures an individual's problem behaviors including internalizing behaviors and externalizing behaviors. Internalizing behaviors are negative behaviors that are focused inward such as emotional reactions to situations like fearfulness, social withdrawal, and concentration problems. Externalizing behaviors are negative behaviors focused towards others and the environment such as bullying, physical aggression, and disobeying rules. Christina's scores were clinically significant regarding Internalizing problems.


She demonstrated elevated scores regarding Externalizing problems. She received higher scores regarding Internalizing problems, indicating she demonstrates more difficulty with emotional reactions and social engagement, than she does with negative behaviors. The following critical items were reported: Christina... 1. Gets fixated on objects or parts of objects (Sometimes) 3.


Harms herself (Sometimes) 4. Uses strange or repetitive speech (Sometimes) 9. Engages in compulsive behavior (Often) 20. Engages in unwanted sexual behavior (Sometimes). Could this be accurate or inaccurate and you think I was misdiagnosed with bipolar 2? I got diagnosed with bipolar 2 by a psychiatrist on zoom but the psychiatrist I see In person says I’m not bipolar because I’m not depressed for over 2 weeks and my depression is triggered by something. Could she be right or wrong? What are your thoughts of my autism assessment and what does it mean of my functioning? And I also don’t have anger issues. Is it true you can be Bipolar 2 and not have anger issues? And also can my adaptive behavior score show I could be mild intellectual disability also? I want advice on this on people that are also on the spectrum that can relate.
 
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Have you read articles comparing both conditions apart from the possibility that bipolar disorder can be comorbid to autism?

https://www.verywellmind.com/autism...-relationship-symptoms-and-treatments-6740494

Keep in mind you're under the care of a medical professional- an MD/psychiatrist. I wouldn't expect anyone here prepared to directly challenge their opinion. I certainly can't...
Really? So I could be both bipolar and autistic and the Psycyatrist that didn’t say I was bipolar was wrong?
 
I'm not a trained doctor or psychologist and, being honest here, my socks don't match on most days (usually by intent, but still...). You may want to direct this question to qualified medical practitioners rather than a forum of Internet strangers who may not necessarily have your best interests at heart.
 
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Yeah but I want people’s opinion that are also on the spectrum that can relate.
I'm not a trained doctor or psychologist and, being honest here, my socks don't match on most days (usually by intent, but still...). You may want to direct this question to a qualified medical practitioners rather than a forum of Internet strangers who may not necessarily have your best interests at heart.
 
Really? So I could be both bipolar and autistic and the psychiatrist that didn’t say I was bipolar was wrong?

Not necessarily wrong per se. Though having both or more conditions is definitely possible if you read the link I posted. With comorbid conditions it can get complicated. Issues of one overlapping the other, like ADHD or OCD. When one comorbid may seem even more prominent than autism itself.

I have chronic clinical (long-term) depression, OCD, social anxiety....and so on. All formally diagnosed except for autism itself.

I can only guess that perhaps your doctor was trying to explain that given your bouts of depression are in very short amounts of time, that you probably aren't bi-polar. A condition where you have repeated and extreme ups and downs on a perpetual basis.

But again, you need to consult your psychiatrist rather than have us speculate on such things. We can be helpful at times, but we are no substitute for anyone under the care of a psychiatrist or neurologist.
 
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Not necessarily wrong per se. Though having both or more conditions is definitely possible if you read the link I posted. With comorbid conditions it can get complicated. Issues of one overlapping the other, like ADHD or OCD. When one comorbid may seem even more prominent than autism itself.

I have chronic clinical (long-term) depression, OCD, social anxiety....and so on. All formally diagnosed except for autism itself.

I can only guess that perhaps your doctor was trying to explain that given your bouts of depression are in very short amounts of time, that you probably aren't bi-polar. A condition where you have repeated and extreme ups and downs on a perpetual basis.

But again, you need to consult your psychiatrist rather than have us speculate on such things. We can be helpful at times, but we are no substitute for anyone under the care of a psychiatrist or neurologist.
I am mostly hypomanic then depressed sometimes but the depression is triggered by something. What do you think of my autism evaluation?
 
What do you think of my autism evaluation?

I'd rather not speculate on that. IMO you're questioning terms and comments in an area where you should best be asking a medical professional. Particularly since you are under the care of a psychiatrist.

And frankly you haven't been here that long enough to even get a feel for you in terms of your autistic traits and behaviors. Though I think a number of us tend to agree that you are hampered by an IQ score that doesn't fairly address your intellect.
 
I'd rather not speculate on that. IMO you're questioning terms and comments in an area where you should best be asking a medical professional. Particularly since you are under the care of a psychiatrist.

And frankly you haven't been here that long enough to even get a feel for you in terms of your autistic traits and behaviors. Though I think a number of us tend to agree that you are hampered by an IQ score that doesn't fairly address your intellect.
Yeah I won’t go by my IQ score anymore.
 
Yeah I won’t go by my IQ score anymore.

I think it's a terribly unfair metric (measure of your intelligence). Especially in seeing you attempting to research your condition and be able to comment on it. But you are getting into very specific terms and conditions that are simply over our heads as non-medical professionals.

Ironically though, again this reflects your intellect well above your IQ score. I think I can at least speculate on that, with perhaps a few people backing me up. I have a good IQ score myself, but it doesn't entitle me to speculate on such very specific medical terms with any sense of authority. Essentially the same thing @velociraptor explained in an earlier post.

One thing that continues to confuse me is when we do have multiple comorbid conditions, when on occasion it may be difficult to see how one condition is manifested as opposed to another. Where it may be more difficult for even a medical professional to successfully diagnose.
 
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I think it's a terribly unfair metric (measure of your intelligence). Especially in seeing you attempting to research your condition and be able to comment on it. But you are getting into very specific terms and conditions that are simply over our heads as non-medical professionals.

Ironically though, again this reflects your intellect well above your IQ score. I think I can at least speculate on that, with perhaps a few people backing me up. I have a good IQ score myself, but it doesn't entitle me to speculate on such very specific medical terms with any sense of authority. Essentially the same thing @velociraptor explained in an earlier post.

One thing that continues to confuse me is when we do have multiple comorbid conditions, when on occasion it may be difficult to see how one condition is manifested as opposed to another. Where it may be more difficult for even a medical professional to successfully diagnose.
Yeah so bipolar 2 could be difficult to diagnose in me? How come?
 
Yeah so bipolar 2 could be difficult to diagnose in me? How come?

It depends entirely on what your psychiatrist concludes. Clinically speaking, he knows more about you than most anyone else. I'm just pointing out that some conditions can emulate similar or same symptoms, making it more difficult to diagnose. Especially if it is concluded that you might have multiple (comorbid) conditions apart from autism.
 
It depends entirely on what your psychiatrist concludes. Clinically speaking, he knows more about you than most anyone else. I'm just pointing out that some conditions can emulate similar or same symptoms, making it more difficult to diagnose. Especially if it is concluded that you might have multiple (comorbid) conditions apart from autism.
Yea but I don’t have ADHD.
 
I once pondered whether or not I had ADHD. Seemed things either came very easy for me to learn or excruciatingly difficult. Of course I was never examined, let alone diagnosed for it.
 

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