LATE DIAGNOSIS

Abwehr1944

New member
Hi all.
At age 74 I have been positively triaged and put on a waiting list for formal diagnosis of Level 1 high functioning autism.
I would be interested to know, for those already diagnosed, how long you had to wait.
All the best.
 
BTW you are having an Autism assessment - there's just one assessment : many in the UK dont get a diagnosis with a level (mainly America uses them). Also "High Functioning" is not preferred language , better to say high or low support needs, and your assessment won't diagnose you as "high functioning" either.

Most Autistics need support which can vary, over time and in different situations, - but if you wish to declare yourself as "high-functioning" then why bother with an assessment?
 
BTW you are having an Autism assessment - there's just one assessment : many in the UK dont get a diagnosis with a level (mainly America uses them). Also "High Functioning" is not preferred language , better to say high or low support needs, and your assessment won't diagnose you as "high functioning" either.

Most Autistics need support which can vary, over time and in different situations, - but if you wish to declare yourself as "high-functioning" then why bother with an assessment?
I'm in the UK and my diagnosis was (and this is a direct quote) : Autism Spectrum Disorder (ASD) DSM-5 without a learning disability and without language delay/disorder [formerly Asperger's Syndrome] which is pretty much what most would consider 'level 1' and 'high functioning' - I agree with you about that use of language but Rome wasn't built in a day and I think pedantry over language is not helpful especially when people are new to the community - it comes across as hostile even if that wasn't intended.

Prior to understanding that high functioning wasn't great language I would probably have used it about myself albeit in a somewhat self-deprecatory manner.

Respectfully, I think if someone wants an autism assessment then they should have one. I didn't get diagnosed until I was 62. I still found it validating and helpful and my mental health has improved as a result of understanding that I'm not faulty, just differently wired.

To answer the OP - absolutely ask about Right to Choose - my wait was 5 years from initiating the request to assessment and diagnosis, I wasn't aware of Right to Choose at the time.
 
I'm in the UK and my diagnosis was (and this is a direct quote) : Autism Spectrum Disorder (ASD) DSM-5 without a learning disability and without language delay/disorder [formerly Asperger's Syndrome] which is pretty much what most would consider 'level 1' and 'high functioning' - I agree with you about that use of language but Rome wasn't built in a day and I think pedantry over language is not helpful especially when people are new to the community - it comes across as hostile even if that wasn't intended.

Prior to understanding that high functioning wasn't great language I would probably have used it about myself albeit in a somewhat self-deprecatory manner.

Respectfully, I think if someone wants an autism assessment then they should have one. I didn't get diagnosed until I was 62. I still found it validating and helpful and my mental health has improved as a result of understanding that I'm not faulty, just differently wired.

To answer the OP - absolutely ask about Right to Choose - my wait was 5 years from initiating the request to assessment and diagnosis, I wasn't aware of Right to Choose at the time.
I agree to disagree - about the language/level thing

But you are 100% right about the RTC - it's badly sign-posted by NHS or GP services - and getting an assessment/diagnosis is the key to improving your life whatever age, and yet it seems harder and harder to get via the NHS.

I was very fortunate to have mine covered by insurance but am going for another ND diagnosis now and having to pay for that one, as the NHS has no adult pathway. But I'm aware many in the community don't have funds to cover costs of assessments and/or therapy - so know I'm lucky in that way.

Even dyslexia assessments are not covered in some NHS areas and I understand some schools not far from me don't even acknowledge it, in their primary schools. Sadly schools are still not good for NDs, regardless of what the say they are doing.
 
I'm in the UK and my diagnosis was (and this is a direct quote) : Autism Spectrum Disorder (ASD) DSM-5 without a learning disability and without language delay/disorder [formerly Asperger's Syndrome] which is pretty much what most would consider 'level 1' and 'high functioning' - I agree with you about that use of language but Rome wasn't built in a day and I think pedantry over language is not helpful especially when people are new to the community - it comes across as hostile even if that wasn't intended.

Prior to understanding that high functioning wasn't great language I would probably have used it about myself albeit in a somewhat self-deprecatory manner.

Respectfully, I think if someone wants an autism assessment then they should have one. I didn't get diagnosed until I was 62. I still found it validating and helpful and my mental health has improved as a result of understanding that I'm not faulty, just differently wired.

To answer the OP - absolutely ask about Right to Choose - my wait was 5 years from initiating the request to assessment and diagnosis, I wasn't aware of Right to Choose at the time.
Thank you for this information and being so supportive to a newcomer Mandy H👍
 
Hi all.
At age 74 I have been positively triaged and put on a waiting list for formal diagnosis of Level 1 high functioning autism.
I would be interested to know, for those already diagnosed, how long you had to wait.
All the best.
Hi,
I was diagnosed aged 65, five years ago. It took me almost four years from the GP to diagnosis. Part of this was during COVID. I found out later that it had taken twelve months for the GP to refer me to the Sheffield 'diagnosis' team and another almost three years for them to see me got a diagnosis.
Best wishes
Gary
 
Hiya!

I think I had to wait a couple of years, maybe 2.5 - this was around 2020.

Look into Right to Choose if you haven't already as it can shorten waiting times (I can only imagine how long it would have been if I hadn't done this). The NDSA website also has a lot of useful reading in relation to diagnoses.
How would I get involved with autism campaigns to try to change the currently scandalous setup here in the U.K. and to get the relevant laws changed, as later in life diagnosed myself in 2019, outsourced by the NHS to private provider and diagnosis carried out online over Zoom in 2021 with zero follow up nor other support, including via the NHS here in Manchester, which only pays lip service to the limited support supposedly provided, tied to catchment areas, not available online - the fact is there are no real supports for autistic adults here in the U.K. and without an (utterly vital) post diagnostic assessment, one has no idea what supports one actually needs in any area of life - I’ve tried to explain this elsewhere to family in Ireland but they just don’t get it, they keep banging on about children’s autism ad infinitim - inter alia, given the growing number of adults in the U.K. with some sort of formally diagnosed mental health issue or hidden disability where the NHS is no longer fit for purpose, given the decades-long documented mismanagement and wastage in the NHS, where autistic people are simply fobbed off and are not taken seriously, all mental health and hidden disability needs its own separate body, properly managed and run, away from the NHS entirely - all existing autism related legislation simply does not give enough protection for the rights of autistic people and its long past time that our political leaders were robustly challenged on their abject failures to date - carrying out assessments (for whatever purpose), using third party companies and other providers (which is generating huge profits for private providers) is hugely wasteful of taxpayers money and it’s the same with the DWP, who should not be tasked with providing financial support to autistic people and people with diagnosed mental health conditions - when I did a search on chat GPT to search for relevant support, it made me think about the history of the NHS and of how many of the Irish nurses in the early days of the NHS gained their nursing qualifications in Irish hospitals were trained by Irish Catholic Nuns who ran the Irish hospitals properly and for those nursing religious sisters, it was far more than just a 9-5 job, the commitment they had was their whole life’s work, it was a vocation - and they passed those values onto the Irish nurses that they trained - it’s hugely ironic that when those elderly Irish ex-nurses retired and needed care in the present-day NHS it became very clear that standards had slipped significantly in the modern day NHS and many of the families of those ex-nurses who passed recount horrifying examples of poor standards of care, which at age 55 myself, I can relate to - to me, above all else, this is a moral and ethical issue, in a supposedly caring and compassionate, civilised society, underpinned by Christian ethical and moral principles and values and it is utterly unacceptable and scandalous that we as autistic people are forced to fight to self-advocate for the support that we need daily - following on from events with the Maid programme in Canada, the bill on the “Liverpool care pathway” was (narrowly) defeated in the Commons, but the margin was (terrifyingly) close - in short, the post-diagnosis assessment, properly carried out, must become a basic legal entitlement of autistic people and a basic legal responsibility of all public and private healthcare providers and the report generated from this post-diagnosis assessment must become a basic legally binding document, with copies of same circulated to all relevant providers as well as to the person diagnosed, setting out in precise terms healthcare and other providers legal responsibilities to that person - in terms of enforcement, any failures to do so, however minor, must trigger a full police investigation and possible criminal charges once a file has been sent to the CPS - many autism campaign groups and the legal teams acting on behalf of autistic people are locked in legal battles with the state and the NHS lasting several years and even these Solictors and barristers have called on the government to do more, because when challenged on thier failures in the courts, senior management in the NHS has citied “lack of funding” as a legal “defence” - that’s corruption 101 and those senior managers should be facing criminal prosecution and jail time, given the terrible situations that other autistic people are trapped in - added to this, based on prejudice, misinformation, stereotypes and point-blank refusal to understand nor be educated on autism and mental health/hidden disability issues, we see articles appearing online suggesting that “all mental health, hidden disabilities and autism are fake (even in the case of those formally diagnosed with autism and other hidden disabilities/mental health issues) and that those looking for support are “attention-seeking” where “we can’t be bothered” to “hand hold” people with these conditions”
 
I agree to disagree - about the language/level thing

But you are 100% right about the RTC - it's badly sign-posted by NHS or GP services - and getting an assessment/diagnosis is the key to improving your life whatever age, and yet it seems harder and harder to get via the NHS.

I was very fortunate to have mine covered by insurance but am going for another ND diagnosis now and having to pay for that one, as the NHS has no adult pathway. But I'm aware many in the community don't have funds to cover costs of assessments and/or therapy - so know I'm lucky in that way.

Even dyslexia assessments are not covered in some NHS areas and I understand some schools not far from me don't even acknowledge it, in their primary schools. Sadly schools are still not good for NDs, regardless of what the say they are doing.
In some cases also, some NHS trusts actively discourage people from “going private” even they can afford it, with or without that trusts formal written approval via a GP referral - some private providers in some NHS trusts still require a GP referral, even if the post diagnosis report is available, containing all of the relevant information to carry out a post-diagnosis assessment and will not provide funding for a private referral - the situation re GP referral and the current system is totally absurd, as many GP’s and health centres have no relevant training nor experience in dealing with mental health and/or hidden disability issues so are in no position to refer anyone, even to another NHS service anywhere in the U.K. - the only place that does seem to “get it right” is the Scottish government and NHS Scotland, but they too are restricted to catchment areas and cannot even offer any support online, especially for later in life diagnosed adult autism - many frontline NHS staff at my local health centre, as well as my GP have privately confided their frustration to me about the current system and have advised me to seek legal advice, the same advice was also given to me by job centre staff, who believe that only legal action can rectify the current situation
 
I'm in the UK and my diagnosis was (and this is a direct quote) : Autism Spectrum Disorder (ASD) DSM-5 without a learning disability and without language delay/disorder [formerly Asperger's Syndrome] which is pretty much what most would consider 'level 1' and 'high functioning' - I agree with you about that use of language but Rome wasn't built in a day and I think pedantry over language is not helpful especially when people are new to the community - it comes across as hostile even if that wasn't intended.

Prior to understanding that high functioning wasn't great language I would probably have used it about myself albeit in a somewhat self-deprecatory manner.

Respectfully, I think if someone wants an autism assessment then they should have one. I didn't get diagnosed until I was 62. I still found it validating and helpful and my mental health has improved as a result of understanding that I'm not faulty, just differently wired.

To answer the OP - absolutely ask about Right to Choose - my wait was 5 years from initiating the request to assessment and diagnosis, I wasn't aware of Right to Choose at the time.
I agree with language being used. For people who dont understand neurodivergent people its easier to make it simple like 'high functioning'. In this case you are talking about yourself and if that's how you choose to explain it I dont see a problem. I explain myself the same way with that language to other people. I guess its all about the tone also used. I struggle with understanding tone and body language and when reading it can come across as hostile. I also read it like that too, even if it wasn't intended. For new comers and newly diagnosed people who havnt been in the community or health care system I dont see an issue referring to yourself like that. I think the only time its a problem is when you are talking about others. Which in this case you aren't.

Anyway, hello! I hope to make some new friends and gain a lot more support and knowledge on Autism and other diagnoses as many people have a few whoch I think defo comes with the terrority of being neuro spicy (lols)
 
I agree with language being used. For people who dont understand neurodivergent people its easier to make it simple like 'high functioning'. In this case you are talking about yourself and if that's how you choose to explain it I dont see a problem. I explain myself the same way with that language to other people. I guess its all about the tone also used. I struggle with understanding tone and body language and when reading it can come across as hostile. I also read it like that too, even if it wasn't intended. For new comers and newly diagnosed people who havnt been in the community or health care system I dont see an issue referring to yourself like that. I think the only time its a problem is when you are talking about others. Which in this case you aren't.

Anyway, hello! I hope to make some new friends and gain a lot more support and knowledge on Autism and other diagnoses as many people have a few whoch I think defo comes with the terrority of being neuro spicy (lols)
This shows that for those of us diagnosed later in life, the post-diagnosis assessment is even more important, especially if our initial diagnosis was outsourced from the NHS to a private provider and carried out online over Zoom - one possible area of support that I’m looking into is reaching out to retired Irish NHS nurses within the Irish community here in Manchester and seeing if they can shed any light on things that I might not have previously considered since my diagnosis
 
Hiya!

I think I had to wait a couple of years, maybe 2.5 - this was around 2020.

Look into Right to Choose if you haven't already as it can shorten waiting times (I can only imagine how long it would have been if I hadn't done this). The NDSA website also has a lot of useful reading in relation to diagnoses.
I’ve looked at all of these websites a few days ago and it’s a complete mess for England and Wales - it seems that only NHS Scotland has the best model of best practice when it comes to autism, given the approach taken by the Scottish government - it just shows the urgent need for immediate legislative reforms to put this on a proper legal footing, as here in Manchester it still remains a minefield, despite relatively minor advances - even to focus on something so basic as the post-diagnostic assessment following initial diagnosis would be a huge step forward