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Ptsd criteria dsm 5 pearsons4/5/2024 ![]() NHS autism diagnostic services are scarce, and few professionals feel they are trained to recognise ASD, which seems to be considered some kind of ridiculously complex process. Services automatically file all of the above under “personality disorder” without a second thought. They do not think adult women or AFAB people who struggle with relationships, have a history of trauma, and who self-harm or attempt suicide. ![]() Traditionally, when people think “autism”, they think young white cis boys playing with trains, reciting all the number plates of cars parked in their street. This bias is also present within mental health services. Autistic girls need to display far greater traits of ASD than boys to be considered for assessment, including higher rates of learning disabilities and behavioural problems. Studies show that teachers are more likely to underreport autistic traits in their female students. Bias within the diagnostic framework itself, and in the perception of assessors, actively excludes women and girls. However, while women and girls may be socialised to mask more heavily and force ourselves to appear more neurotypical, this is not the only reason for lower diagnostic rates. It’s recognised that autistic women and girls can sometimes “present” differently in emotion/behaviour/social interaction to autistic men and boys. (I have tried to include trans and non-binary people as much as possible, but given that much of what is discussed is under researched, in many areas of the blog I can only refer to cis men and women, as there is no research looking at trans/non-binary peoples experiences.)Īutism is under diagnosed in women and AFAB people for many years it was thought to be the exclusive territory of cis boys and men, and this misconception has continued to roll over through health, education, and social care services even to this day. While I have previously written my views on BPD, misogyny, and trauma here, this blog post specifically discusses the apparent similarities between autism and BPD, with particular focus on “misdiagnosis” of autistic women and AFAB people. PD labels, (particularly BPD/EUPD) are unscientific, moralistic, pejorative value judgements which serve to silence, stigmatise, dismiss, and degrade women LGBT+ people gender non-conforming people victims of sexual abuse, violence, and other forms of trauma neurodivergent people and people mental health services perceive as “difficult”, “complex”, or expensive. I stand in opposition to the entire concept of “personality disorder” and do not believe anyone can legitimately be “diagnosed” as having a disordered personality. For clarity - I do not actually believe anyone can be “misdiagnosed” with BPD, because such a statement gives validity to the BPD construct. I have used this term to simplify my language. Throughout this blog post I sometimes use the term “misdiagnosis” to describe autistic people being wrongly diagnosed with BPD.
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