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The question if diagnostic criteria for Autism Spectrum Disorder should change a little to be more accurate

I was diagnosed with high-functioning Asperger's and I was perfectly happy with that. I do not like the new ASD1 label and the people who hung that on me are welcome to take it back and cram it sideways into the most uncomfortable place possible.
I concur. With the old DSM my diagnosis its also high function aspergers. I have lived a relatively "normal" life thus far. But with the new DSM I fall in ASD2 because of certain ticks, stims, anxieties and so forth. Though most people have the misconception that someone who has ASD2 has a limiting functions. (My CAT-Q score is also well above average especially for a female making it nearly impossible to tell I am autistic at first "take" in person)
With the new DSMs terminologies there is a different stigma.
 
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Seems to me that testing kids these days must be quite different and more complex, as so much exists that allows all of them to be anti-social, linked to online, individualism aspects and so forth.
 
I concur. With the old DSM my diagnosis its also high function aspergers. I have lived a relatively "normal" life thus far. But with the new DSM I fall in ASD2 because of certain ticks, stims, anxieties and so forth. Though most people have the misconception that someone who has ASD2 has a limiting functions. (My CAT-Q score is also well above average especially for a female making it nearly impossible to tell I am autistic at first "take" in person)
With the new DSMs terminologies there is a different stigma.
Just for clarity here:

AI Overview


ASD Levels 1, 2, and 3 are primarily categorized
by the level of support needed rather than just the severity of symptoms. Defined by the DSM-5, these levels—requiring support, substantial support, or very substantial support—help determine necessary interventions across social communication and restricted, repetitive behaviors, rather than acting as strict labels for ability.

  • Level 1 (Requiring Support): Generally deemed "high-functioning" or mild. Individuals need some support for social communication challenges and organization/planning, but can often navigate daily life with minimal assistance.
  • Level 2 (Requiring Substantial Support): Involves moderate, more obvious challenges in verbal/nonverbal communication and behavioral inflexibility that interfere with daily functioning, requiring more structured intervention.
  • Level 3 (Requiring Very Substantial Support): Represents severe, high-level needs. These individuals have significant deficits in verbal and nonverbal social communication, with severe behavioral inflexibility that profoundly impacts daily life.
These levels can change over time based on development, therapy, and support availability

Having said that... this is why most people have the "misconception" that an ASD2 has some degree of disability... because it is primarily categorized by the level of support needed... not severity of symptoms. In other words,... by the above definition, it's not a misconception.;) Which begs the questions, "Who needs more support around activities of daily living and why?" Now, these levels can change... they can even be misdiagnosed... which from your description above... at least from an autism perspective... leans towards a misdiagnosis. If combined with a traumatic brain injury (TBI)... it may be the TBI more than the autism component that "pushed" you into the ASD2 category. Speculating.

On the other hand, I wasn't aware of my disabilities until I had gone through a comprehensive testing session in the cognitive performance lab at the mental health hospital. There were specific things that my brain literally locked up... like some cruel Jedi mind trick. There were others where my reaction times were so slow I couldn't even participate in the exercises. Now... I had gone 50 years... very "high functioning"... above average IQ... self-taught myself all sorts of skills... I work in an intense environment... there's nothing I can't do. So, imagine the humiliation and confusion I had when I literally couldn't do something... in 3 different tests! I scored very high on other tests, but the point remains that it is possible to go through life leaning on our strengths... and that may be enough to overcome the weaknesses. We might go through life simply avoiding... or adapting and overcoming certain things seemingly without conscious effort.

As far as "stigma"... this is quite literally in your own mind. That's your ego talking to you. Most people outside the autism community have zero idea of what autism is let alone how it may be categorized. Frankly, most people don't care or give any thought to it... unless you bring attention to it.
 
Just for clarity here:

AI Overview
Not super fond of AI but I will let that slide 🤣
Having said that... this is why most people have the "misconception" that an ASD2 has some degree of disability... because it is primarily categorized by the level of support needed... not severity of symptoms. In other words,... by the above definition, it's not a misconception.;) Which begs the questions, "Who needs more support around activities of daily living and why?" Now, these levels can change... they can even be misdiagnosed... which from your description above... at least from an autism perspective... leans towards a misdiagnosis. If combined with a traumatic brain injury (TBI)... it may be the TBI more than the autism component that "pushed" you into the ASD2 category. Speculating.
At the time when I was diagnosed. The psychiatrist had said I was ASD2 on the cusp of level 3. Maybe because of my severe behavior inflexibility, challenges with communication and emotions. I did not have a current TBI but had had past TBIs. Had no verbal issues. Needed no assistance in daily life (omo since 14). Had a career and l was a manager of a large business.

Her reasoning behind my score was because of my masking score. It was abnormally high. Without the mask she saw a completely different person.
On the other hand, I wasn't aware of my disabilities until I had gone through a comprehensive testing session in the cognitive performance lab at the mental health hospital. There were specific things that my brain literally locked up... like some cruel Jedi mind trick. There were others where my reaction times were so slow I couldn't even participate in the exercises. Now... I had gone 50 years... very "high functioning"... above average IQ... self-taught myself all sorts of skills... I work in an intense environment... there's nothing I can't do. So, imagine the humiliation and confusion I had when I literally couldn't do something... in 3 different tests! I scored very high on other tests, but the point remains that it is possible to go through life leaning on our strengths... and that may be enough to overcome the weaknesses. We might go through life simply avoiding... or adapting and overcoming certain things seemingly without conscious effort.
What do you refer to when you say "disabilities"? As I to would probably be the same. Much like a frog in a pot of water.
As far as "stigma"... this is quite literally in your own mind. That's your ego talking to you. Most people outside the autism community have zero idea of what autism is let alone how it may be categorized. Frankly, most people don't care or give any thought to it... unless you bring attention to it.
You may think it is my "ego" talking. But it is not. It us just facts. I enjoy being autistic, take pride in being unique. When it is somehow brought into conversation, (ie my lack of eye contact one day) I dont typically mention this information the response has often been "oh you don't look Rxxxxded". When I use the term aspergers it is a response of "sweet like Elon Musk, that makes sense". In the area that I live it is very hick "small" town or uneducated. The hard R word is dropped often.
 
What do you refer to when you say "disabilities"?
In one test, I was given a computer and mouse... "When you see the color black, click the mouse." Easy enough... but the colors were flipping faster than I could react with the mouse click... got every single one wrong. Reaction times too slow.

In another test, I was given 5-6 random objects, a toy car, a feather, a dice, etc... "Now, make up a story using each object as a character." My brain totally locked up... I just looked at the objects... then at the psychologist... red faced and frustrated. That didn't happen. I didn't have any idea where to start.

In another test, I had to read a children's book... a strange story with flying frogs. At any rate, "Describe to me how the characters were feeling on each page." Again... my brain locked up. Couldn't even begin.

As I am writing this out, I still would have no idea where to start with this... even if I had some time to prepare. So, my disabilities are more in that classic autism pre-frontal cortex area where cognitive empathy lie... but also in my ability to process and respond to information quickly. At some level, I've always known this... but never tested. Quick-paced card games with a group... nope... not me. Give me a game where it requires a thought process and strategy... planning... then I'll kick your behind. I don't read fiction... or anything with "characters"... because there's symbolism and feelings that aren't always described in the text... and I miss a lot of the undercurrents of the story. "How would you feel if..." scenarios that, frankly, I would have no clue. A movie... with a musical soundtrack that sets the mood and emotion... then I can follow along.
 
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