Friend diagnosed with autism but has no traits?

This might be a little long but I need help for my friend. I'm aware many of the people on here have or know someone who has autism so I thought I'd ask here. Over the years he's been to maybe 6-7 psychologists and literally half said he has autism for sure and the other half said he absolutely does not have autism because he has "no traits of autism" which is what I always say.

Anyway he went to get a thorough test to see if he has it. They had him fill out a gigantic questionnaire and conducted a series of one on one tests. Their conclusion was that he has high functioning autism but their conclusion/report was this:

1. Doesn't maintain eye contact much. (BUT He maintains a normal amount of eye contact with me and I've known him 9 years)

2. Isn't good at imaginative play. We asked him to choose objects out of a box and create a story with them, he chose unusual objects to represent the characters in his story and he did not change voices or tones for the different characters. (MEANWHILE with my nephew he reads books to him and does different voices for each character and is really great at playing with kids using stuffed animals, dolls, etc. He said he was really nervous when they told him to make up a story on the spot so he just grabbed the first two objects he saw and he froze)

3. He talks choppy and slightly monotone.
(Yes he does but he only talks choppy and more monotone when he's nervous, he doesn't ever talk choppy or monotone to me, his voice is like any neurotypicals)

4. He only has two friends. (I'm not sure how this is criteria)

5. He says he has to arrange things until they feel "right" or he gets severe anxiety. They said this is common in autism (Uhm hello OCD?? I have diagnosed OCD and this is a common symptom! He also has other symptoms of OCD like excessive hand washing, afraid to touch door knobs, counting to an even number before doing things (I do this and in my OCD group 7 out of 9 people do this)..

6. Says he's unsure how to make friends (then how am I and his other friend friends with him? Also his other friend doesn't think he has autism either and his friend is a doctor lol)

7. Made a joke and he didn't pick it up and didn't laugh. (When I make a joke even if it's so subtle he immediately gets it and laughs..)

Does any of this sound like autism? He doesn't act or talk any different than any of my neurotypical friends, he has OCD tendencies, severe anxiety, depression and also he was raised by an abusive single mother who has some kind of mental illness. She talks to herself often and ever since he was a baby she never talked to him much and never fed him. His neighbor would bring him sandwiches from her restaurant up until he was 12. He was hospitalized when he was 8 for being emaciated and almost died and his Mom was never arrested. She also only ever called him worthless and never wanted him to come out of his room. Even now she only shouts at him never talks to him and he is her CARETAKER now she's only 48! He makes her breakfast, lunch and dinner and he pays all her bills because she doesn't know what year she's in.

I honestly think he is just anxious and has depression and OCD as well as PTSD from his Mother. What do you think?

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Comments ( 10 )
  • 1WeirdGuy

    I use to try to go to paychiatrists when I was younger and they would always give me a different diagnosis just depended which doctor I saw. One thing they all agreed on was I needed pills. They got me addicted to things.

    I eventually came to the conclusion that whether your autistic or bi polar or adhd doesnt really matter because those are disorders not diseases. Meaning they explain a set of symptoms. But when you read the symptoms for many mental disorders they are very similar. You waste time worrying about which label you are just focus on treatment. He could start with cognitive behavioral therapy for social issues it has the highest success rate.

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    • Yeah true. I just wish they weren't so all over the place. Psychologists should all be on the same page not split on diagnosis. Yeah cognitive therapy seems like a good idea

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  • Tinybird

    I have autism and uh, I am the most imaginative person I know.

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  • SkullsNRoses

    It’s important to remember that just because someone’s disability isn’t obvious doesn’t mean it isn’t there. Your friend may well be “masking” his autistic traits to appear normal which can actually be exhausting for autistic people to do.

    You seem bitter about your friend’s diagnosis and I think you should ask yourself why that is. This may sound odd, but could you possibly be jealous of it? Do you suspect you have undiagnosed autism? You also mention having OCD and noticing some similar traits in him, perhaps you wish he had the same diagnosis as you instead? Or maybe you see his autism diagnosis as doctors side-stepping the issue of his mother’s abuse of him and “making him the problem”?

    I really recommend trying to work out why this bothers you so much, but putting labels aside for the moment what’s important is you understanding your friend’s specific nueroatypical quirks and how you can support him.

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  • idolomantis

    He sounds just like me pretty much. I’m neurotypical, but I’ve still had lots of people tell me that I’m probably on the spectrum. I actually just have OCD, PTSD and a bunch of other anxiety disorders myself lol.

    His background also sounds VERY similar to mine, only his sounds much worse. I was basically a caregiver to my mom too, basically my whole life, I was never starved or put in too much risk of getting physically hurt though. I’m fortunate in that, definitely. I still experienced trauma from it though, so I imagine that he has as well.

    He sounds like a very good person to still be taking care of his mom like that, I don’t think that I would take care of someone like that personally. Not after reaching adulthood anyway…but to reiterate what I was trying to get at, I’m neurotypical but I still relate a lot to most of the symptoms you’ve described him as having. No one can diagnose someone online so I won’t attempt that, but I think he might benefit from seeking more professional opinions.

    This might sound weird, but have you considered maybe going to a therapy session with him? I’ve had people do this with me a few times and it can be very helpful. Sometimes having someone else there to chime in can help the therapist or psychiatrist get you better. Just an idea

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  • GuvnorsOtherWoman

    Autism traits vary from person to person and not everyone will have the same ones. It is a very broad thing hence the term 'spectrum'.

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    • But he's not got any lol that's the thing. He's more normal than any of my neurotypical friends though

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  • Those are definitely traits. He might be more relaxed around you because you've been friends for so long and if it's high functioning autism which I myself have, then it's often not easy to spot as you learn quite young how to mask your issues in public and around your friends. You suffer the consequences alone instead. And you don't need to have every single criteria to get the diagnosis. It's like saying a person with depression can't be depressed because they smile sometimes or are capable of acting fine when out and about.
    As for friendships, yeah autistic people often have a hard time making friends especially if you have other conditions like anxiety along with it. But I do have 1 friend with autism who is very social and has plenty of friends. Often we are better at making online friends as it's easier to communicate via text. There is also the diagnosis Atypical Autism which means you don't quite reach the criteria but you're very close to doing so but if he got high functioning then there's probably a good reason. What's most important is he feels the diagnosis explains things for him and that it can help him get the right support. He's the one who knows himself best after all. If he's doubtful he can always ask to get a new evaluation. The thing about high functioning autism though is that it's easy to learn how to appear neurotypical. We study peoples behaviour closely and mimick it. Eventually it leads to burnout because we're surpressing things like the need for stimming and the need for retreat and we're actively playing a role the whole time until we're alone. I do that with my friends, though I don't have any friends i've known for 9+ years nor do I spend so many days with them that it gets unbearable to put on a show.

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    • Thanks for your input but what traits? He doesn't have any. He was really nervous when they did the review so his talking was anxiety and his lack of make believe play was also anxiety. He also struggles to make eye contact with new people only.. So he's left with zero traits..that's why we're all confused. Plus if you watch videos of him as a kid (only his grandparents have those videos because his mom neglected him) he makes eye contact with the camera, laughs, makes jokes and even plays with his friends is like any normal kid. There's no single trait we can think of.

      Yeah that's another thing though I've known him 9 years and not once did he seem any different than any neurotypical in fact he's more neurotypical than the average neurotypical. He's just really shy still because he didn't go out much when he was younger and he's kind of afraid of people because he thinks they'll be rude to him. Totally blame his mother for that though.

      Anyway thanks but again he doesn't have any traits that I can see.

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      • Well if so it's really odd he could get diagnosed.
        If he feels the need to himself he can get re-evaluated.
        Anxiety can definietely seem similar to autism, but there's differences and professionals should be able to tell the difference. The tests are typically more than just seeing if the person can make eye contact etc, there's also memory tests and such things which help them determine how your brain works.
        But of course professionals make mistakes too, it wouldn't be the first time.

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