Adult Autism Dx for High IQ female
I am an older [47] female with a high IQ, someone who has been "masking" for decades. My psychiatrist & therapist suggested finding someone who specializes in this group of patients; as both thought I was autistic [already have a ADHD Dx], but the high IQ made diagnosis a little difficult.
I made an appointment for the Autism Assessment & saw Dr Faith Sproul. She was incredible. I was very concerned, as someone with degrees in Psych & Nursing that differentiating between them would be difficult. And, while Dr Sproul did indicate there is a challenge; that she does deal with that group of patients/clients a lot & is comfortable assessing that group. I had submitted some additional assessments that I had taken that weren't part of the pre-appointment packet.
During the actual assessment Dr Sproul asked me various questions about my life and experiences. She asked specific/pointed questions; which I found very useful [as I do that with patients myself]. These work much better than open ended questions where I am unclear what the assessment is.
This wasn't an exact question, but I'll give an example of what I mean.
Instead of asking, "How did the meeting go?" She'd ask, "Did the meeting make you anxious?" Having an open ended question often gets an, "Okay." or passive response. Direct questions work better, so I know what information you are looking for and can answer accordingly. I really appreciated this & wish more clinicians did this.
We went through my whole life and reviewed things at various intervals and then through various angles [scholastically, emotionally, peer/social group, etc.]. This helped establish a recurrent theme and helped create an image of me and my experiences for her.
I advised her that I had been masking for so long, that it was difficult to answer the questions as my authentic self vs my masked self. As, after 47 years some things seem intuitive and not learned. Dr Sproul assured me it would be ok and just to answer them honestly.
At the end she gave me some suggestions for support; making sure to highly recommend finding someone [a therapist] that specializes in high IQ/masking for AuADHD women with a late diagnosis. She did warn me that support groups may be difficult to find for my specific population, as the research is newer and there are more groups for people with higher needs. And, it could take time to find a group that was "the right fit." I really appreciate the environment Dr Sproul created and how supportive it was; while "feeding" my need for direct communication.
Incredible job & thank you.

Reply from Sachs Center | Autism & ADHD







