Autism Spectrum Disorder and Personality Disorders
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- Опубліковано 2 жов 2024
- This video answers the questions: Can I analyze the relationship between Autism Spectrum Disorder and personality disorders? Support Dr. Grande on Patreon: / drgrande
Autism Spectrum Disorder (ASD) is a disorder characterized by deficits in social communication and social interaction as well as repetitive behavior and restricted interests.
The 10 Personality Disorders:
Cluster A (odd, eccentric)
Paranoid Personality Disorder: pervasive pattern of distrust and hostility
Schizoid Personality Disorder: a tendency to be unresponsive to social dimensions, a loner
Schizotypal Personality Disorder: odd thinking, magical beliefs
Cluster B (erratic, dramatic)
Antisocial Personality Disorder: criminality, irresponsibility, and impulsivity
Borderline Personality Disorder: fear of abandonment, relationship difficulties
Narcissistic Personality Disorder: grandiose sense of self-importance, arrogance, sense of entitlement
Histrionic Personality Disorder: attention seeking and provocative
Cluster C (anxious, fearful)
Avoidant Personality Disorder: not engaging in social situations out of fear of humiliation and rejection
Dependent Personality Disorder: over relying on somebody for support
Obsessive-Compulsive Personality Disorder: perfectionism, rigid adherence to rules
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Lugnegård, T., Hallerbäck, M. U., & Gillberg, C. (2012). Personality disorders and autism spectrum disorders: what are the connections? Comprehensive Psychiatry, 53(4), 333-340. doi:10.1016/j.comppsych.2011.05.014
Strunz, S., Westphal, L., Ritter, K., Heuser, I., Dziobek, I., & Roepke, S. (2015). Personality Pathology of Adults with Autism Spectrum Disorder without Accompanying Intellectual Impairment in Comparison to Adults with Personality Disorders. Journal of Autism and Developmental Disorders, 45(12), 4026-4038.
Empathy in Autism Spectrum Disorder
Irene E. Harmsen
Journal of Autism and Developmental Disorders
doi.org/10.100...
Does Theory of Mind Training Enhance Empathy in Autism?
Annaleena Holopainen, Daniëlle M. J. de Veld, Elske Hoddenbach1, Sander Begeer
Journal of Autism and Developmental Disorders (2019) 49:3965-3972
doi.org/10.100...
Murphy, B. A., & Lilienfeld, S. O. (2019). Are self-report cognitive empathy ratings valid proxies for cognitive empathy ability? Negligible meta-analytic relations with behavioral task performance. Psychological Assessment, 31(8), 1062-1072. doi-org.mylibr... (Supplemental)
Dudas, R. B., Lovejoy, C., Cassidy, S., Allison, C., Smith, P., & Baron-Cohen, S. (2017). The overlap between autistic spectrum conditions and borderline personality disorder. PLoS ONE, 12(9), 1-13.
Strunz, S., Westphal, L., Ritter, K., Heuser, I., Dziobek, I., & Roepke, S. (2015). Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders. Journal of Autism and Developmental Disorders, 45(12), 4026-4038.
Do you ever notice how some disorders are described almost entirely as an outsider looking in, while the descriptions for other disorders are far more focused on how the patient might experience the world?
This was a really fucking interesting observation, gonna be thinking about that for a while
Yup, mental health diagnoses are tricky in general. Depends on who coined the term, and who then researched it. Some did a better job, some not so much.
The more stigmatized the disorder, the more likely it's got the outside-in perspective.
@Lotte Well, saying something "as an autistic person" is also not so great. Autistic people are not an singular entity, but a lot of different people. Your experience of autism might not be the same as other autistic person's and so you shouldn't speak for them as if you were some kind of a chosen representative. I understand where you're coming from, but it's still very annoying when I see people do that. Neurotypical person speaking for autistic people is as annoying for me as seeing an autistic person trying to speak for all autistic people.
@@bravenew1934 💯
Dr. Grande,it might be a good idea to make a video about the most common misconceptions of ASD
I would absolutely love that. Autism is such a misunderstood condition because of NTs spreading misinformation. Someone standing up and setting the record straight means a lot.
I agree. Needs better understanding.
Yas!!!
Oh, yes, please!
Yes, I would love a video like this. Having autism myself, while also being female, I find that many people don't really understand me as I dont fit a lot of the more common male stereotypes.
I am autistic and was misdiagnosed as schizophrenic. The medications and hospitalizations just made things much worse. Finally after years of psychiatric abuse I got a psychiatrist who finally admitted I was misdiagnosed and took me off the meds ...but not before experiencing permanent dystonic reaction to the meds I was forced to take. I am still wondering how I lived through it.
"(...) misdiagnosed as schizophrenic. The medications and hospitalizations (...)"
I am sorry for You to have lived through that.
I'm very sorry for your suffering, glad you're recovering, and thank you for sharing.
I have a female family member who was misdiagnosed with different personality disorders/mental illnesses by every mental health "professional" she ever met, and eventually, the same diagnosis you received. She was drugged into oblivion with long-term "treatment" via two of the most dangerous drugs on the market - daily benzodiazepines and Clozapine, the so-called "last resort" anti-psychotic.
Then she was diagnosed with asd in a single day-long visit at a place that specializes in diagnosing children on the spectrum - at age 50! The lead psychologist said they don't usually see adults there and they don't diagnose in one day, but in this case it was so clear-cut she felt completely confident in giving the diagnosis.
Prior to specifically seeking the opinion of a specialist, not one mental health "professional" ever imagined she had asd or AD/HD. And really, it's so obvious. Anyone with any real knowledge of developmental disabilities could see it a mile away. It's unforgivable.
She will likely never recover the ability to function anywhere near to what she previously had. Her body, mind, and important personal relationships have been profoundly and likely permanentlycompromised by years of misdiagnosis and reckless mistreatment.
@@JENTHINKSO
"Her body, mind, and important personal relationships have been profoundly and likely permanentlycompromised by years of misdiagnosis and reckless mistreatment."
It's another testament that the categorization of personality disorder and ASD (granted, ASD research had only advanced in this century) is too generic and should be replaced by mapping actual behaviour, empirically - which can then be treated.
In the end it doesn't matter if 'mental health' is an _industry_ , seeking profit from pharmeutic production - herding sheep may be the better therapy for most.
@@christophmahler Umm, no.
@@JENTHINKSO
"Umm, no."
Umm, yes.
Mostly because I present an _argument_ , instead of an opinion.
Regarding paranoia, one General Practitioner, who did not know I am autistic, suggested that I might be paranoid. I told her I have every right to be paranoid, because I grew up being beaten, brutalized, stalked and battered, persecuted, and humiliated because I was weak, always sick, and defenseless. I have every right to be paranoid: hundreds of people went out of their way to harm me, and almost all were complete strangers to me.
That is really rough. You do have every right. Me, I am especially paranoid of physicians because they never listen to me, but then want too much money for wasting my time.
Seems to me, paranoid behavior doesnt include 'reasons' for its being.
I’m an autistic woman and I was diagnosed at 27 years old. Prior to that I was misdiagnosed as BPD, and this is common in autistic women. What were really autistic meltdowns were mis-identifier as emotional outbursts. My difficulty in managing relationships and low tolerance for stress was because of being autistic.
Same here!
Your experience is so super common I’m surprised that Dr Grande didn’t know. The obvious is self harm. Meltdowns. Etc there’s so much overlap it’s stunning.
What I suspect is the study group of autistic people may have been male dominated or somehow tainted.
I can absolutely relate. I was misdiagnosed with depression for 10 years and was also screened for BPD (which I luckily didn't get misdiagnosed with). I had a lot of trouble with emotional regulation and frequently burned out, so I get where those evaluations came from.
I'm sad for having lost years of my life because I just didn't understand why I kept struggling so much, but I'm also glad that at least ASD is way more understood now and if I ever have children, they will hopefully have all the resources that I never did if they also have ASD
Were you also diagnosed ADHD
I have both
I’m glad you made a video about this. I have ASD and was diagnosed at age 20 but prior to that, I was misdiagnosed (like many females are with ASD.) one therapist thought my lack of eye contact meant I was hallucinating. Another was ready to diagnose me as Borderline due almost entirely to my eating habits and lack of friends. I was happy to find out I don’t actually have a personality disorder, but one of my earliest videos was comparing schizoid and ASD’s overlap. Anyway, awesome video!
I agree. I was diagnosed as BPD when I was in my 30’s, and I just didn’t feel that many of the criteria were present in my behavior. I think it was the “garbage can” diagnosis because I have always had difficulty with personal relationships and would get very upset about things like change in my routine or environment. At that time, I don’t think anyone was considering autism as a spectrum, it was only a disorder of little boys who didn’t look at or talk to anyone and who banged their heads against the wall. In the last few years, I’ve become more aware of ASD in women, and it really resonates with me and would explain a lot of the issues I’ve had in my life better than anything else. I’m still searching for a diagnosis, but have no insurance and financial issues.
'She won't look at me, she must be seeing BS-' what??? How does that even make sense??? I could be looking at the definitely real pencil holder on the desk, but nooooo, it's gotta be fairies or smth? Unless someone says 'I'm looking at a fairy', how does 'no eye contact' come even close to hallucinations? Wwwwelp, I guess people with ADHD must have mad hallucinations, since almost anything will pull their eye contact away. smh...
Getting diagnosed can be sooo expensive. I was hoping my official diagnosis would help with college so I got one but it’s so much “easier” to walk into a clinic and be immediately labeled borderline if you’re a woman. I started a Facebook called The Classy Aspie and so many women have told me the exact same thing there that you’ve just said. Much strength 🌸🌸🌸
LOL. I told her “no, I don’t see someone, I’m just looking at anything other than you!” She was a young therapist and was really itching to have a patient with a schiz-spectrum issue. I can’t look directly at a person’s eyes and then talk about my emotions and if I TRY, I just look like a serial killer 🤷🏼♀️😂
(Also, I have comorbid ADHD. Maybe she shouldn’t have decorated her therapy room with so many Santa statues, it was very distracting, and I can only imagine how disturbing it would be to hallucinate in a room full of Santa’s)
Autism is so misunderstood. We don’t “think” that things are affecting us. We are highly sensitive to the environment
One phenomenon that I've noticed lately is a folk use of the word autistic to basically mean narcissistic or NPD. People are simplistically putting "lack of empathy" and "high functioning" together to come up with this very damaging misnomer. I've noticed that when I was young, selfish people were called "egotists", then socio or psychopathic (and regularly confused with psychotic), and now it's narcissistic and autistic. This video makes it clear that they are not, so thank you Dr Grande!
@@emmaisalone I agree with much of ur post. I was reading a billboard one day with symptoms for autism. I could relate to a few but, not all. I thought, huh! Maybe i am Autistic. I find the most efficient way of doing things and go with it....
Being empathetic doesn't mean being kind though.
One can be empathetic and aggressive and sadistic.
Empathy is a capacity for mirroring actions and feelings, emotions.
I'm diagnosed with Asperger and dysthymia. Had my life played out a bit differently, I might have been diagnosed with schizoid instead. It's difficult even for me to get to grips with the differences.
On one hand, I feel like schizoid describes my problems better, since my main handicap is lack of motivation and 'emotional content'. On the other, Asperger and depression are less alienating concepts to most people nowadays.
I don't envy the doctors who have to make these decisions. Sometimes it comes down to what sort of resources the diagnosis gives access to. Asperger tends to open more doors.
My opinion is the diagnoses is not supposed to be a label, it’s for a proper treatment plan. Don’t worry about the label, if treatment is not working seek a new plan or a new doctor.
@@donnasven4433 Indeed, I can't relate to those who find closure in getting a diagnosis. For me it has more of a practical value.
@jay Rather the opposite, although I sort of would. She's a people pleaser.
ASDs very often have high levels of anxiety and depression and that is very understandable and expected.
Your mother's pregnancy and your birth, has there been any extra stress through either of them? Did she have diabetes, did she have to use medicine for anything? Autism is when the baby, born or unborn, sees that s/he is alone on this world and seeks ways to survive, deletes emotions and social interactions from the list of necessities in life. Too much neuron connections in the brain since the body needs to help itself because there is no one else to do it, and you become extra talented especially in topics involving numerical thinking.
When you describe ASD, you are describing my grandson to the letter, although he is a very loving sweetheart. He does not participate with his cousins in meaningful play, unless they are all at the table colouring/drawing, but he loves being in the presence of his peers . He gets quite excited when other children come over, but does not participate in their active play. He has recently been accepted into a pilot program that has one teacher, two aides, and one speech pathologist for four children. He is very advanced in his reading and math skills and is a very good drawer, but has only been speaking in sentences within the past year and more markedly lately more so, saying things like,"Grandma you're back!"💘
Wanda Klotz I am so happy to hear this for your grandson. Are you in the US I wonder. My grandson is almost four and nonverbal and diagnosed as ASD. The only option seems to be to put him in a Headstart program with 12 other children, though that isnt happening now because with Covid they expect him to stay on line for an entire morning and interact. He has speech therapy (on line) but isn’t remotely interested in interacting then, either. But he is a loving bright little guy and will listen to stories without pictures, and seems to understand everything. I’m so afraid he is going to fall through the cracks. As nice as his preschool teachers are, I think they see him as Rain Man. It is so frustrating.
@@SophieBird07 don't give up..maybe ask momma if helping in advocating for supports, and being a semi regular part of his life.
My boy was 5 before talking more than 1-2 words. He began therapy at 2years old, and all the supports helped him get to where he is today..talking, interacting( even when akward) and finally going to school every day now( didnt 6th-10th grade. Despite obvious delays that's caused, he is brilliant in what he knows( I think he's strategizing world domination 🙄😆)
Signs that I knew he understands much more than he could say we're things like watching jeopardy at 5 (YES😆), would draw architecture, loves facts, statistic books and shows. Winning a huge hardcover book of American states in 3rd grade for knowing all the states....now at 18, he can tell you the nooks and crannies of other countries, and in outer space as well.
They can be so frustrating, trying to help them breakthrough and communicate, learn certain skills, rigid structure needs..but this mom knows, that because of a lot of help from his grandma( she's a blessing and a curse😏) and supports, even placement at 13. Despite crying for years, for help and rest..and being "neurotic mom" He has broke his barriers, and is growing more happily from his HARD work...and you can't shut him up😳❤️lol
@@claudinesteenberge4920 yes this Covid mess takes its toll on everyone. He doesn’t get to socialize much, but he does keep himself busy. Still loves books and every day a few more words appear so we know the info is in there. It’s sort of funny that these beings somehow just missed the message they should be dependent on others. His parents are really great with him, but I guess he never felt the need to learn “Mom” or “Dad” to request something, though he knows that’s their names! He’d just try to figure it out himself…climbing on the fridge for cereal or crackers, etc, for example! He Knows exactly what he will try as food or drink… he’s very healthy but I swear he lives on cereal and air, and occasional bananas! I’m sure he is going to be fine. It’s that pesky rest of the world that can get in the way, lol. I think our kids are part of a “new order” of sorts. Free thinkers.
why would he not be loving?
Thank you for this! I'm autistic and it is so misunderstood. ♥️
We all feel misunderstood by normies.
@@t5396 Maybe you don't understand "normies" also.
@@bluemamba5317 Idon't except my mom and few friends.
@@bluemamba5317 We don't. We really don't.
I like your user name!
My son has Aspergers. ASDs have very high levels of anxiety , frustrations and can get very depressed. This is very understandable living in a world where they don’t understand others, the way things are done in a different way to theirs and also vice versa. The root of all their actions and behaviours and clashes with the world is their lack of communication and social skills. Their brains are wired differently from the neurotypicals. What comes naturally to the neurotypicals does not for the ASDs . It is like they speak a different language hence they need to learn another language and also the world needs to learn the basics of their language. It goes both ways. Hence thanks doc for this video increasing the awareness and how it is related to personality disorders.
I vote your content be included for consideration, in on some sort of required Official University Study Material, and/or referenced for future DSM publications.
We regularly watch Dr. Grande’s Videos in my Masters in counseling program. He’s very well respected in counseling education.
I am literally going to go out there and get myself a copy of the DSM.
Yes!! Excellent idea!
I think a lot more research needs to be done on the link between ASD and schizoid PD, and the ways clinicians can differentiate between them. In fact, more research needs to be done on schizoid PD in general. I have suspected for a long time that I may be schizoid, but the lack of literature around the subject has made clinicians extremely reluctant to assess me for it.
I like the power points or whatever they are called that you just added. That makes it easier for me to follow.
I loved those too. It makes it easier to visualize everything and keeping ideas organized as I'm hearing you talk.
Agree
I am child psychiatrist, I am very familiar with ASD, especially High Functioning Autism. I see patient from childhood thru to adulthood. In my opinion, a significant % of Schizoid and Schiztypal adults are actually High Functioning Autism. I do appreciate your insights.
Is Schizo Affective the same as Schizo typical?
Are u saying'also', or misdiagnosed?
"High functioning" autism doesn't exist. The only different between "high" and "low" is that you can tell a "low functioning" autistic is struggling, whereas a "high functioning" autistic is better at masking and so they have their breakdowns in a closet as opposed to in public etc. Autistic meltdowns are easily prevented, as they're caused by sensory overload the majority of the time, so unless an autistic is in an environment where they can't control sensory input, they rarely have any issues.
@@lyrablack8621 That's not the only difference.
@madd medic I keep going back and forth between am I ASD or SPD? How do I go about getting a dx?
Hi Dr. Todd Grande as a subscriber of yours with ASD I appreciate your Professionalism and comprehensive videos.
I think personality disorders are diagnosed as autism in children way too often. Children can have some personality disorders and labelling it as autism does no help.
My son is 9yo and has autism. He's non verbal, still in diapers, has zero sense of danger, very special to me and everyone he meets. He's not interested in other kids, but I'm his best friend. He follows me everywhere and it breaks my heart to think of what will happen when I'm not here for him anymore 😢 one day 🙄 love your channel and your professionalism.
"Schizoid and stpd cannot be diagnosed symptoms occur exclusively...asd"
Dr Grande do u mean that if someone meets s.c. for either of the aforementioned but ALSO meets s.c. for A.S.D then the schizoid and S.T.P.D diagnosis cannot be made? I have S.T.P.D. and sometimes need things phrased differently.
Thanks for ALL YOU DO
Also would LOVE ATO SEE YOUR TAKE ON
False consensus bias
Oedipal mother
My son has autism and is an adult now. I remember him having no sense of danger . I’d urge you to maintain high expectations of him and treat him as he understands everything. I think these folks are much more intelligent than we’d ever realize. I’ll never forget the fears of what we’d face as he grew older and entered teen years. He’s my inspiration and hero. He’s a wonderful young man now and works at Chick fil a !
I have heard doing low or no processed, or no dairy, foods helps symptoms of ASD quite a bit in case you want to try that. You sound like a great mom ❤️
Lesli Web and Media Svcs on UA-cam I’m sure those changes are helpful.....it’s just really difficult to change their diets due to their food preferences. Maybe very gradually over time.
awesome! could you do more disorders that can be comorbid more often, such as eating disorder and personality disorders, etc.? just thought I'd mention it. keep it up!
an yt I’d also like to see this! I had anorexia for years and I definitely think it was influenced by my personality disorders (NPD and OCPD).
I would like to see a video on this, my aunt has BPD and she struggles with eating disorders for decades already, almost died in some times from her EDs
I was diagnosed with BPD and ASD (along with depression, social anxiety, anorexia nervosa b/p, self harm and alcohol misuse) between 18 and 19 yr old with my first year of uni resulting in a mental health crisis. I think the BPD symptoms was a result of trauma from bullying as a (undiagnosed) autistic girl who was a teachers pet but hated by my peers.
For many girls with ASD we cope by looking at our peers and masking ASD traits which means constantly denying any natural identity to fit in in addition to avoiding overwhelming emotions with harmful coping mechanisms that you see with BPD. There is also a large potential for experiencing trauma as a child from bullying or distress with a need for approval feeding into the instability of relationships and self worth.
Regardless of a diagnosis of bpd I do think that dialectical behavioural therapy could be beneficial for some with ASD as it helps increase awareness and ability to cope with overwhelming emotions, the ability to communicate needs through an assertive way, to reduce vulnerability to stimuli that can trigger meltdowns and challenge black and white thinking.
Do you think that an adult woman would deliberately conceal an A SD diagnosis from a friend? (actually former friend) There is something really wrong with behavior and communication, but she won't allow any discussion.
I was misdiagnosed with BPD and have Autism. I also have PTSD. I thought DBT was very helpful. I think DBT could help almost anyone. I wish they would teach it in the schools.
Why does this happen so often if no one in the ASD sample met the criteria for BPD? I wonder..maybe it wasn't the best study. I hear this all the time about womens BPD misdiagnosis .
@@sanya3398 perhaps the study was testing men. It’s strange as the BPD misdiagnoses in females is so common 😅
Described me…
Hello Dr. Grande, perhaps this would be a somewhat controversial video, but I think it would be very interesting to get your take on transgender and transsexual people, not sure if you read anything on that or not, but it seems like an interesting mental health topic.
I agree, especially the link between depression and transgenderism.
Very interesting and helpful. As for the cluster B personality disorders, specifically NPD, narcissism is a spectrum, so someone with autism could have narcissistic traits but not be diagnosed with the disorder. Great advice to look at motivation for behaviors.
They may have narcissistic traits but the motivation behind having these traits would be completely different to someone who is narcissistic. A narcissist is arrogant cuz they see themselves as superior to everyone else but with ASDs may seem arrogant because they lack the ‘norm’ skills on social interactions or feel much more comfortable in their zone because of high levels of anxiety as they hate unpredictability.
Autistic people are not interested in extending their influence over others. The last thing we want is to be burdened with policing other people. Speaking abruptly or without efforts to mollify the ego of others is evidence of our lack of interest in managing other’s opinions of us. Therefore the motive is not offence, but may be defence. It is the person who is highly attuned to injuries to their ego who is most enraged by our awkwardness. Sadly, that is the person we are the least prepared to defend ourselves against.
I become very anxious when encountering a person who presents their motive for engagement as a discussion of a topic, an inquiry into a subject, or a solicitation for information, but is in fact hiding, perhaps even from themselves, a desire to dominate through conversation. This appears to me to be bait and switch.
It has taken me a long time to realise that for neurotypical people, it is even common to present themselves in those ways whilst in fact having the motive of ascertaining social ranking, or imposing social dominance. I find it frightening when a person will easily abandon the initial rules of engagement, presented in the beginning as a reasoned argument, for any combination of goal post moving, one-up-man-ship, or complete disregard for consistency. This is where motives diverge so completely that it genuinely is disorienting as it seems that reality itself is subject to the other person’s ego in their own mind, and that they are very willing to ignore even making sense in order to satisfy themselves. This is not an uncommon experience.
If I am fighting for reality with facts and figures, and a neurotypical person believes I should abandon those things to pay lip service to their imaginary social ranking system, then they may well perceive me to be arrogant. But I am fighting for a stable ground to stand upon, a reality I know and trust, rather than a miasma of ego desires coming from every direction and shifting anew with each social engagement. To me it seems like sanity to place information above ego. That’s why we are watching the video, isn’t it? We want information from a reliable source. Learning is good. It is better than social dominance which can only ever be temporary and always has to be defended, even in unscrupulous ways, apparently. The pursuit of knowledge is inherently humbling. It’s a lodestar in a chaotic world.
I'm mainly referencing vulnerable narcissism in my comment. It makes sense to me that ASD and grandiose narcissism would most likely be incompatible as a comorbid disorder. ASD is complex and is well-known to have multiple variety of symptoms and can present differently, especially for those who have Asperger's. It's plausible that high functioning autistics would be raised in an environment where neurotypical parents could contribute to vulnerable narcissism with constant criticism, lack of understanding, and misdiagnosed ASD. I believe that I've seen that in multiple people that I've known.
Pajama Mama Interesting. I have Asperger's myself and am aware of the complexity. We have lower nodal neuronal connectivity and higher localised connectivity making communication between the various regions of the brain slower and more difficult for us. Unfortunately, social communication requires rapid processing from multiple regions.
Your point regarding parental behaviour seems very plausible. It seems as though an autistic people would not show the possessiveness associated with the vulnerable narcissist to the same degree due to how exhausting policing other people would be. But I have no claim to expertise in psychology, and can only comment from my own experience.
What does seem very likely to me is that an autistic person could easily copy the behaviour of someone with a personality disorder if that person were in their family, or in regular proximity. I have learned that I copied some behaviours without having the same intentions behind them as the originator, as my motive was to pass as normal. How could I judge what was normal and what was not?
One example of this that is amusing and also a bit sad, is that I previously copied male and female behaviour indiscriminately. As I am female, when I copied more typically assertive male behaviour, I would receive negative responses without knowing why. People would behave as if I were trying to provoke them. As far as I knew I was replicating the behaviour correctly.
No doubt I am still making similar mistakes. Sometimes I am so mentally exhausted, that my behaviour is somewhat randomised. I can think of several things I,ve seen other people do in similar situations but have no way of knowing which one is the right one. I simply have to guess and file the result, good or bad, away for later. I could easily have behaviour I've seen a narcissist exhibit amongst those options without knowing it, especially as I will naturally try and remember the behaviour that appears to be effective. But my motive isn’t to establish control, it is to get through the social exchange without error, or without having someone take advantage. That’s not paranoia, people genuinely do take advantage of autistic people more often than they do neurotypical people.
In fact, it is because I have realised that I may have, for lack of a better analogy, corrupted data in my files that I am here trying to learn.
@@pencilfriendpaperscribbler6032 thank you for sharing. I Can Only Imagine how challenging it must be to be an aspie in a neurotypical world trying to figure things out socially
Dr Grande please address the medical model of disability vs the neurodiversity model, and the inherent bias of allistics defining autistics
I have to admit that I'm a bit annoyed sometimes with this empathy-thing. Be ready for my outburst, if you gonna read this. Empathy is like communication, you need two people for this, someone who empathizes with one other person and the one who is emphasized with, right? It's a RELATIONAL thing, not a characteristic/trait of one person. Now think of the possibility that there is a friendly, intelligent, positive person accidently thrown into a cave of antisocial, dumb, scruffy "human" snakes. Do you think this person will do exceptionelly well? I don't exactly think so. And this is good. Sometimes being unable to empathize with others simply means: you are a GOOD person!
And I'm a good person now, too, and will show my appreciation for this topic. Thanks, doctor, the clinical stuff in a narrow sense is so much my favorite!
However never forget this famous Nietzsche quote, I'll send it to you again: "When you gaze long into an abyss, the abyss gazes also into you." 🙂 Have a nice day with 🌞 instead.
Take care staring into abysses, he he.
Good point, as most complex behaviors are on a continuum and few are perfect. But even very flawed people have parts of themselves that are positive and one can connect with. Anyone who has worked with criminals, or drug addicts sees positive changes when these people are motivated to change, and allies themselves with the potential positive elements of their behaviors, which can be wonderful over time. I have seen people get degrees and certificates of rehabilitation from the Governor and lasting change in previously very predatory and problematic lifestyles.
@@t5396 Thank you! 🙂
Great comment Esther 👍
@@evelynwaugh4053 well, I suppose you are right, but I would have highly guarded empathy for a narc or psychopath, or some kind of scoundrel or dirtbag.
Thank you for this vid, I have a recent ASD diagnosis and that all makes sense to me and is helpful.
Is ASD not ever comorbid with BPD? I am diagnosed with BPD but have a strong belief that I am on the autism spectrum and I have met a lot of people with both.
It seems common for Autistic women to be misdiagnosed as having BPD. This is just what I have read, I am not a professional.
I think it'd be a good idea to collaborate with an autistic people the next time you bring up the subject. Autistic people are often misunderstood and the autistic community gets uncomfortable when allistic people talk over autistic people. Perhaps you'll even gain insight on things you never would have known otherwise!
Very good point and I can relate to why you posted it 💛xx
Thank you, Dr. Grande. I've heard that females with ASD are often misdiagnosed as, for instance, BPD. What might be the reasons for this?
How and why might ASD play out differently in females than males?
What are the challenges of diagnosing, for instance, ASD, personality or mental disorders?
What is the etiology of autism? By what standards is someone diagnosed with autism?
What practices might clinicians use to help someone with ASD cope?
Off topic: is there any research literature on the phenomenon of angry people wanting to remain bitter and angry, or misery loving company? Why would that be? Why would someone want to suffer if they don't have to? Why would someone enjoy suffering? Of course, this is now venturing into masochism...
Angry people wanting to remain bitter could be related to narcissism. They suffer as you say, but it's always someone else's fault, as they are unable to look inside and face their own self loathing. They project it outward in order to give themselves relief, and the sad thing is they are completely unconscious of this as the real motivation.
Because most doctors are too lazy to update their education. I was late life diagnosed in Dallas, moved later to 3rd largest city in Missouri. My primary's staff gave up on trying to find a psychiatrist for me. Primary doesn't like my high dosage of klonopin that immensely helps my anxiety/sensory overload-induced ADHD. Although I cannot possibly be my primary's only autistic patient, I have been involuntarily tasked with educating her in 2 minute segments during my appointments, about autism. God forbid the doctors take an hour to update their education.
I noticed you have two questions relating to autism in females. Something you might want to look into is the concept of "masking," a behavior that's apparently more common among females than males with ASD. In the context of autism, "masking" refers to the tendency to hide ("mask") behaviors associated with autism (such as stereotypy/"stimming," discomfort with certain sensations, etc) as a means of fitting in.
Again, "masking" is apparently more common among females than males with ASD, and it's thought this is the reason for ASD being underdiagnosed in females. This could connect to the tendency for ASD to be misdiagnosed as BDP in females - autism is also characterized by "black and white thinking" and difficulties in mentalization (understanding the mental state that underlies a person's behavior), and this alongside "masking" can lead to autism looking more like BPD.
I feel persistent/recurrent anger with no immediate/proportional cause is a defense mechanism, an externalising behaviour and means by which negative emotion may be extirpated through projection while also allowing for the deeper, underlying issue causing it to be avoided.
@@Zorrent12 As an "on the whole" type of generalisation, women are biologically wired to be more people-oriented (i.e. more social) while men are more thing-oriented (whether object or abstract "thing"), and as a consequence - communication being integral to any/all things social - possess better verbal/language skills, so an ability to "mask" as you put it would make sense.
This is very male phenotype oriented description of ASD. Women frequently do not present with these stereotypical manifestations
Agree. Society needs to catch up.
As some who is diagnosed with autism and schizotypal. I think it was just the way to help me get the social support. I think the best way to characterize me would be just to say that I have a brain injury ( I'm medium extroversion, high openness, low conscientiousness medium agreeableness, low neuroticism) and therefore my perception is quite different from everyone else hence I can not connect to people react to stimuli and so on. I was highly philosophical and abstract child as long as I was able to speak and also had supernatural revelations that never took over my own control. I have capability in higher education like in sciences while I struggle at routine tasks as those do not motivate me and I'm clumsy.
so to just put it out there, most of us watch these vids and similar vid types to see if anything applies to them? i’m constantly watching vids hoping i’m not displaying toxic behavior etc.
(clearly those are two sep thoughts, being on the spectrum is not toxic-just making sure i clear that up real fast before attacks begin)
I for one, can relate to many of the characteristics of the different personality disorders. I have a fascination of psychology and body language and language overall. To be able to read people. Trying to learn more about myself and others.
This channel is a goldmine for those interested! 😊❤
@@KeKKi Yes! This is how / why I love this channel as well. Well said :)
My family pushed me to get tested for Asperger's, which is now considered part of ASD, in my early twenties in the early 00s. I was diagnosed with Schizoid PD instead. I saw a Venn diagram comparing ASD and SPD once and I definitely had all the criteria in the middle but didn't strongly have many of the criteria that were ASD or SPD specific. I was once told by someone who worked with people with ASD that I had most of the criteria except I read non-verbal language too well. Neither ASD or SPD seem like perfect fits for me but they both seem like good fits. I don't know which one I really have.
I have both. Only diagnosed with the first, but meet all criteria of the second too.
I have autism in my family too..two nephews have it..good morning Dr.
Good morn', and thank you 10,000 times for this video. In several of your videos in the past you mentioned a few behaviors that I consider to be autistic behaviors, and I was wondering if some autistic people might be confused in to thinking they might have a personality disorder. As for autism, I hate it with "a purple passion" (as my mother's mother said); I have found that the "gifts" I have because of autism (mechanistic thinking; keen focus on detail as well as on my "special interests;" slightly augmented intelligence; infinite kindness) do not counter the negatives. A *HUGE* part of why I hate living due to autism is how I have been abused by "normal" people who believe they have the right to force me to interact with them.
Thank you for sharing this. 🌻
Big thumbs up to your final sentence. That's been my plight as well.
@@t5396 ; "That's been my plight as well." Alas, it appears to be a common theme among autistic people: being forced to behave contrary to one's innate / genuine behavior (doing this tends to drive people crazy). When I worked in Information Technology I was required, upon pain of lost employment, to attend "team building exercises (SHUDDER!).
And we're pegged as low in agreeableness! If they only understood about masking! We basically have to od on agreeableness every time we interact with NTs!
13 years ago at the age of sixteen I read about Schizoid Personality Disorder and recognized myself quite well in it, and was fairly certain that I had it for about a year or two, until for some reason I changed my mind and moved more towards thinking I had ASD.
This month I started going to a psychologist to see if I could officially determine whether or not I have ASD, when she brought up Schizoid after I mentioned I was asexual, and not having any friends since I was 15, and though caring for my family not being emotionally reliant on them, etc.
In that sense I really do fit into the Schizoid Personality Disorder. However when it comes to the 5 personalities, I've got fairly high Agreeableness, which I'd say is moreso due more to logic than emotion (if you make people happy, world just becomes a better place for yourself). Atop of this I do also have some more sensory... Things. Pretty much all my senses are hypersensitive. To a controllable degree, but still quite draining. Some slight compulsive behavior I guess, having to keep things ordered. Straightening things so it's lined up properly to its surroundings and the like.
I suppose there is some disassociation. I've always seen my own memories in third person, for example. No trauma, at least not anything noteworthy that I know of. Good life, good upbringing, good parents, all that. On the poorer side perhaps, as well as moving around a lot for various reasons here and there so I was perhaps rather disconnected from extended family.
I certainly fit within ASD, and I was near 100% certain that I had it, but at the same time I also fit at least 4 of the criteria for Schizoid perfectly, with the other 3 being more in the "kiiiiiiiiiinda" category. While extremely reserved, I wouldn't say I am cold in the slightest. Again, high Agreeableness. I do find fun and pleasure in things, strongly even, though it always tends to fade rather quickly. I'm not indifferent to praise or criticism and all that, but I also move on quick (back to things "fading").
TLDR; I'm really not sure whether I have SPD or ASD. Could be either, could be both, but it's definitely one of 'em.
I have 5 children and 3 of them are autistic. I have BPD with ASD and ADHD traits. I think there 100% genetic. Thank you Dr Todd :-)
Why do you have kids?
Mónica Rodríguez exactly
@@baileythedog9243 There is nothing wrong with being mentally atypical and everyone should have the opportunity to have kids of their own. I'd rather the two of you not have kids if you're going to be teaching them this kind of condescending, judgmental attitude.
@@softbunny.gif- I have children because I'm human, I have a lot of love to give and I'm a very good father. I teach ALL my children, not to be judgemental. And with all due respect, eugenics of the mentally unsound was a master plan of Hitler. Am I not allowed to have children because I have a mental disorder? If you believe this, your watching the wrong videos.
@@softbunny.gif- Why are you mean and bitchy?
Oh boy, another professional pathologizing the condition. I was born wired differently so naturally my social communication is different than in Neurotypicals. My son was raised to be aware of his strengths and weaknesses and I fostered a positive self image for him. He's 34, likes himself despite all the negativity that NT's try to heap on him, has been in a healthy relationship for 17 years with two children and has a successful career as a chef. He is not lacking empathy, indeed he's a social justice warrior who protests and funds various groups. He is extremely loyal and loving albeit not in the typical sense. He enjoys spending time with his children encouraging them to garden and learn to cook with him. Doesn't say I love as a reflex because he reasons that he said it once and he'll let you know if he changes his mind. His partner had a little bit of trouble with that but they worked out a compromise that was mutually beneficial. She understands him so much better after counseling and I daresay she wouldn't change a thing about him.
1:45 you can't talk about autism without mentioning how out of touch the diagnostic standards tend to be with out daily reality.
I appreciate you going thru the explanation of A, B & D clusters. Fascinating. TY
LimitlessThinker
What Cluster is Cluster “D”?
Aspi girls are different tho, aren't they and often undiagnosed. Aspi girls watch and copy, so get admission to social groups. They're more likely to conform (on the surface). And more likely to look shy, which is more acceptable in females.
In my experience, they lack genuine empathy but mimic it to perfection. And it's EXHAUSTING, so they have things like CFS or seem depressed. And because of that, might seem dependent. But it's all about self.
Totally off topic, Dr. Grande, but I find prosocial psychopathy fascinating. Although I am just guessing, I think it occurs often in spies, undercover LEOs, etc. but is also known to occur in surgeons, engineers etc. So I wonder what the prosocial psychopaths have that the antisocial lack, or is it comorbidity, or early childhood environment etc. that determines the outcome?
Yes please!!! I would like to listen to this, too! 👍💗
Have you seen stuff by Dr. James Fallon, or read his book? I bet you're familiar, but if not, he is the neuroscientist who discovered his own psychopathy accidentally from a study of comparative fMRIs. I like your question. I think my Dad was kinda like that, and he was a brilliant aviator who never spoke to me except to convey that I was "too emotional, masochistic, selfish, or disgusting ". I loved the guy.
@@lisbethbird8268 Your father sounds like the father in The Great Santini (played by Robert Duvall in the movie based on Pat Conroy's novel). I am going to have to order one of Dr. Fallon's books, as his work is often cited. His perspective would be interesting.
Thankyou! Actual information on ASD is sorely lacking online and feeds such ignorance. I was diagnosed at 36 and it changed my life. It's so hard to explain to friends sometimes when they ask me to explain ASD over 'mental illness'
What changed your life and how was your life changed?
@@t5396 Autustic Spectrum Disorder. I'd had serious depression and anxiety for years and although there were times it wasn't so bad life didn't click into place for me. I am high functioning and like many autistic women wasnt diagnosed until my adult years. The biggest change for me was understanding and having a name for my difference. Until then i thought i was a bad and faulty person. It meant self acceptance. Sorry. Brain splurge. Does that make sense?
@@spinsterpunk totally makes sense.
I asked the same question on Discord and he said that if I was diagnosed with Autism Spectrum Disorder and Schizotypal Personality Disorder at the same time, my psychiatrist will get fired, as he said.
He thinks that I can't have both, even though the symptoms of both disorders are obviously not the same at all, even though they look similar. That is like saying I can't have ADHD, because symptoms of ADHD looks very similar to Autism Spectrum Disorder.
If that is the case, then Autism Spectrum Disorder is a developmental form of Schizophrenia.
My symptoms:
* I have fixed, false beliefs that I am better than everyone else and have magical powers based on my restricted interests
* Fantasies about being better than everyone else and having magical powers.
* Mild arrogant attitude
I have Autism Spectrum Disorder myself.
Autism is a spectrum, and it would be great if you could meet up with some actually autistic researchers and psychologists. There are many online now. In the past many autistic women have been diagnosed with BPD. CPTSD and autism can also be hard to distinguish between, and many autistics also have trauma histories. Sensory sensitivities can lead to meltdowns which look like emotional dysregulation but the causes are different. Please look into the experiences of autistics, stereotypes are super harmful, and though some auties are Rain Man presentations, most are not. Many would be described as HSPs. Having a close empathy with animals is common, most autistic people don't lack empathy or compassion, unless a disorder like Antisocial or Narcissistic PD is also present. Anthony Hopkins is autistic. Elon Musk is autistic. The variations are wide and interesting... 💛xx
ETA: my comment was triggered by the constant use of 'deficit' and 'disorder' in the DSM. 'Differences' is very appropriate, and without the pathologizing stigma 😊xx
I am autistic, and I also meet the criteria for OCD. I have also experienced paranoia, but it’s always been self aware experiences, so I think it can be attributed to high amounts of anxiety. I understand that the thoughts are ridiculous and irrational, I just can’t shake them. And they’re repetitive.
I learned more alot from you than my books. I wish you can be my professor throughout my psychology program ❤️
Thank you for this video Dr Grande. One item you didn't discuss is that ASD is a developmental condition. It is present from early in life. When I assess people in my clinic for possible ASD I thoroughly examine early behaviors. Their presence or absence often is a major clue to whether I am seeing an acquired personality disorder or a developmental condition.
Early signs of ASD can include difficulty relating to other people before age 3, repetitive behaviors and sensory sensitivities, difficulty using language socially, absence of certain kinds of gestural communication, poor emotional self regulation, apparent lack of interest in peers or the interests common to most peers, gross or fine motor coordination difficulties, absence or delay of pretend play, highly focused intense interests.
@@schoo9256 it's not unusual for people with ASD to have other conditions including trauma, which can contribute to not recalling some parts of your early life. Simply having ASD sets you up to be at risk for trauma because you're living every day in what amounts to a hostile world. If you're near a professional who has the expertise to pick apart the developmental characteristics of ASD from acquired mental health conditions, it might benefit you to get assessed, so that you will have a clearer idea of why you've been experiencing what you have. Depending where you are, I might be able to refer you to someone.
@@schoo9256 i wish you the best. There is I think an active ASD community in Australia. Yes you're right about women. About 40% of my clients in my clinic (all adult ASD, usually first diagnosis) are women. I'm in the US.
@@schoo9256 forgot to say - a large number of my clients have trauma symptoms including dissociation, triggers for flashbacks, etc. You are not alone.
@@esgravois much more research and public awareness is needed in the area of females with ASD. Females with ASD can present very differently.
I have bpd but I have had 2 psychologists tell me they think I'm ASD and an ex who I lived with and is currently with a woman who has both bpd and asd. Does that mean she isnt bpd or asd but they dont know? What does it mean for me? I think I'm autistic but I'm scared now I'm going to waste 2000 dollars getting this test.
Daaaamn doctor Grande's using visual components to explain his points now. Literally the one thing that could open the content to lesser informed populations, and showing us how he actually does take time on his video despite what people may think about the lack of movements or of dynamic cuts. Dr Grande keeps learning from what surrounds him. Nothing can stop him now.
Dear Dr. Grande, I would appreciate if you make a video about dyslexia, please. Thank you.
My boyfriend has been diagnosed with ASPD, ASD, and ADHD (in that order). I have analyzed this every which way, and I honestly have read more research articles about ASPD than I read about all topics while in college haha. I just think he's a unicorn. Well, I know he is because he antisocial behaviors have remitted and he is only 31, which is younger than what the DSM-V states but still old enough to have caused A LOT of pain & suffering to himself & those around him. He still displays antisocial behaviors, but they are far more mild than they were 10-15 years ago. Once he gains insight into the consequences of a behavior, thought, or belief, he said it's obvious what he should & shouldn't do. However, prior to gaining the insight he couldn't see past the behavior, thought, or belief fsr enough to see the consequences even if they are obvious to everyone else. I've been exploring this new theory that his ASD actually amplified some of the "trauma" that stunted his emotional development. The more insight he gains into what shaped his emotional development, the more I realize how crucial the environmental factors matter. I would love for him to get a fMRI just to get an idea of what's going on in there haha.
He sounds like me ina way. Are you guys still together? How well can people with ASPD love?
Thanks so much Dr. Grande. You never seem to disappoint. Hope you are having a great Sunday. ✌💞
There's a lot of people that find that a lot those who score as introverted intuitives on the MBTI test (INTP, INTJ, INFJ and INFP) tens to have a lot of traits that resemble aspergers. Do you think there could be any relationship?
i also thought of that, im infj and seems i belong to the spectrum
your comment at 9:41 regarding the lack of overlap between HPD and ASD was very interesting to me in a personal sense. when i was first trying to figure out what was "up with me" i initially considered that i had HPD, but now believe that light autism is much more likely. i felt a high desire towards being liked by all but struggled with actually achieving it, which i feel could fit both those disorders. not that what you're saying is wrong! i just found it very surprising that experts don't consider there to be much overlap between the disorders.
it also seems like a lot of people in the general public assume that autistic people are all quiet introverts, but from experience that couldn't be further from the truth. externally expressed confidence doesn't always mean someone knows what they're doing.
I just uncovered on my own without the help of docs medications, or deep research all within 7 days (humble tone) that I am fking autistic (however it was hidden from me as a child). I was made to believe that I was normal infact I was wired to believe that I was not good enough to be first 🥇( I fault no one as I now understand that they did not know any better) so I grew up "acting" like I was "Normal/second to first" when in reality I knew I was different ( not better) . Although it is a relief uncovering my condition and becoming self aware I am disappointment that I was not able to uncover this sooner. My theory is that all humans every single one of the 7 billion humans has pychological differences in the same way fingerprints work. No one human has the same mental pychological patterns as the next human just as every finger print does not match. I need someone to help me develop this theory.
Thank you for this - interesting as always. I haven't looked at the studies cited yet, but am curious as to the gender ratio in the study you mentioned, as I am interested in the relationship between ASD and BPD in females - will check out the Dudas study in the description!
I need to come back and go through this very slowly. This is amazingly interesting and this addresses questions I have had for as long as 20+ years. THANK YOU Dr. GRANDE. This is A WONDERFUL VIDEO!
Thank you Dr. Grande for sharing differentiations between ASD and PDs . ❤️🌹❤️
There is so much great info in this video. ASD is so often misunderstood.
Very interesting video. I'm surprised you didn't mention the fact that often women with ASD are often diagnosed with BPD in later life. It's known that women with ASD appear more ""normal"" and unfortunately their symptoms of ASD make them appear as a neurotypical "weird" person. What is common in people diagnosed with both is: their inherent mismanagement of emotions, trauma from being severely bullied in their childhood, anxiousness and erratic behaviour when they finally do make a friend due to lack of experience and what may APPEAR to be toxic behaviour, but is ultimately just low conscientiousness. It seems that many many mental health professionals are willing to diagnose BPD despite there being low openness, low extraversion and low conscientiousness which can lead to these disorders being comorbid. Unfortunately, someone with ASD being treated as if they have high openness, extraversion and ESPECIALLY conscientiousness, can lead to confusion and disorientation during therapy which may just make everything worse.
ASD is different in females and that's why there's crossover/misdiagnosis with BPD. I'm male and there's zero chance in hell my ASD would be confused with BPD.
@@-SUM1- yeah a lot (not all) of women with ASD seem to appear emotionally dysregulated. It still stems from the same problem which is struggling with emotional expression through behaviour and body language. It's just that many of us are so out of tune with our emotions that we struggle to express them at all lol
I'm a year into my wait for ASD assessment, I'm a 47yo woman and have been missed, I've been in and out of therapy dealing with my ptsd and OCD. I do feel I would rank highly with Schizod, Avoidant and ocpd, with some paranoia, but logic and my need for understanding will usually override it. I get a lot from your analysis, they help me understand myself and other's, people are strange, I don't understand them most of the time.
I’m high functioning autism and have avoidant personality disorder with overlap symptoms to borderline personality disorder. Hate my brain so much. Legit wouldn’t wish this on anyone
I am autistic, I have been diagnosed late at 31 years old, through my whole life I thought i was such a s**t, I thought I was such a horrible person. Everytime I tried to show my empathy it always ended up awkward and so I wired myself to never show it, I keep it inside and I meltdown when the bucket is full about once every 2 weeks.
You just summarized the ASD criteria from the DSM but did not address the fact that the criteria is based on outdated, limited, and stereotypical observations on autistic white boys, and autistic people (mainly girls) with differing presentations typically get ignored or misdiagnosed. Also it’s a myth that we lack empathy. We are very empathetic. Please make another video on ASD with accurate information and please address the fact that most clinicians are operating on outdated information about ASD due to the limits of DSM5
Your presentation was very helpful Dr. Grande. Thank you.
I am working on getting my ASD diagnosed at 44 years old. Figuring this out has been like finding a missing piece of puzzle that fits into place making my entire life’s head mess make sense finally. I’m happy to finally KNOW. I have quit trying to mask my issues and instead am doing what I need to do to actively manage my nervous system and stress due to interacting with people or sensory problems with noise. Trying to be “normal” was destroying me. I don’t think ASD is as rare as previously believed and every mental health practitioner needs to get on the ball with identifying it early so people can accept themselves and their needs to manage their stress to keep out of meltdown zone.
Similar Story here, I was finally diagnosed at the age of 46 with ASD. I had previously had no diagnosis in my life. I’m from the UK I don’t think we do a very good job of getting people into psychiatric analysis even when they blatantly have issues. At least our healthcare is free though I suppose. Also when I was a kid Asperger’s syndrome and ASD didn’t really exist, I don’t think anyway. I recently found on my school report cards and read through them and any person with psychiatric training could’ve probably diagnosed ASD just from the comments from the teachers, who had no clue what they were dealing with at all.
I’m glad I have some diagnosis now and I’m not just simply that weird guy anymore.
I’m very glad to know and stick to my boundaries about what I can realistically do. No more agreeing to go do loud 💩 I hate trying to make friends with no sensory issues happy.
Thank you. Autism is my "blind spot".
Yes when you describe the avoidance of ASD and AVPD it's like yeah!!! I am Asperger's/tourettes/ADD and love volunteering and working with kids and love one on one work with adults who work in my special interests (art+painting mostly) but when environments arent catered to my juvenile/childlike tendencies or have complex social interactions that require a lot of immediate, ordered, verbal processing of information and tasks all I wanna do is AVOID!!! Its totally embarrassing when I have had desk jobs in the past and my bosses think I'm ignoring them or that I'm inept at taking phone calls and it's like NO I could do this stuff but the coffee machine keeps buzzing and the phones keep ringing and the office smalltalk gets so LOUD and I can't focus on my name being called or being asked to do tasks!! I am learning now to forgive myself and the people who I struggled to work with as I got myASD diagnosis at 20 and these situations were before that. I learned that there are some avoidance patterns that are not pathological and are actually important for my wellbeing if I do not have the proper sensory-social supports for those spaces/situations.
I think a lot of older undiagnosed Aspies are walking around with PTSD. I have PTSD from getting my very loud irritating butt beat by my father who I suspect was also ASD who got his butt kicked by his mom who I also suspect was ASD who got her world ripped apart when her dad who I also suspect had ASD blew his brains out at 56. Identifying ASD and getting us into parenting classes and trauma therapy ASAP would be extremely helpful.
I have ASD and PTSD. Trauma and probably ASD was passed down through my family also. I decided not to have kids.
I have Autism, Avoidant, Anxiety, ADHD, and PTSD
Thank you for being a reliable source of scientific information on mental health topics. Do you believe 12 step programs such as AA help people with substance abuse syndrome gain insight and recover?
Man I would love a video on this.. and the 2 camps of addict for life (which ppl argue can be self defeating) vs full recovery.. and what science says addiction being a disease
It is said that substance abuse is the symptom of underlying issues. That is simplistic but I think there's quite a bit of truth in it. Why do people smoke and drink and take drugs? Generally it is to make themselves feel better for whatever reason. Maybe it's because of an emotional upset or emotional abuse, or insecurity, or wanting to fit in with the crowd... there is also a physiological component that once you start on some substances, you have receptors in your brain that sets up a hunger for more. This doesn't explain compulsive addictions like gambling, hoarding etc. Usually there is some type of emotional problem underlying such as unresolved grief and trauma. Not that I have any qualifications, but I am fascinated by these subjects.
Isn't AA about living with, and coping with an addiction vs a recovery program? Eg how to say no and keep saying no.
@@joywebster2678 AA is about understanding you lack the power to stop and stay stopped on your own, and the steps guide you to a higher power that can remove your desire to drink during your weak moments when you would otherwise find yourself drinking. "Just say no" doesn't work for ppl who need AA.
Explains why a person living with ASC/ D may develop a personality adaptation. For example, why they may become paranoid. As a person living with ASC / D have high openness, conscientiousness, agreeableness and medium extraversion and neuroticism - in the video a set OCEAN profile was referred to for people living with ASC / D - perhaps more research needs to be done. Very helpful video helps me to understand the differences between PD and ASC/D . Thank you.
Such an important video because I think there are people with a personality disorder and their loved ones might be suspecting autism spectrum when it's not the case. Great video!! 👍
Or vice versa...
Hahaha! You got that right. Everyone in my family thinks I'm an Aspie, and point out things like pacing or lack of eye contact when I express my doubts. Nah, I just don't want them to know what's going on in my head 24/7. I confessed all my true feelings to my therapist, away from the delicate ears of my parents, and it turns out I'm on fact a vulnerable narcissist. No worries, I am well behaved.
@@AlastorTheNPDemon I've done that my whole life. No one's helping. I only know what I say is wrong cause of an email from someone. That's all I'm saying
Even better when your PD developed (partly)because of their neglect and then they even double down on that by calling you autistic for the disorder they caused while ignoring you when you tell them about your exact PD.
Never liked this type of 'humor'.
I'm in New Zealand. I have been watching a lot of your videos Dr Grande,and I'm fascinated by the whole subject of mental health topics, following a long marriage to a narcissist, and several short term relationships with other cluster B men. From my unofficial research on channels like this, I believe my son was married to a borderline woman (also a heavy pot user), and that one of my relationships was with a sociopath. The others have been variants of grandiose and covert narcissists. AS a result, I have been able to look at myself and the reasons I seems to attract these types, such as being too agreeable and not listening to my own gut feelings. I have a question which was postulated by Sam Vaknin, a clinically diagnosed NPD and psychopath who also has a lot of videos on You Tube. He says that NPD in particular could be a form of PTSD from childhood neglect and abuse. He also seems to think NPD cannot be cured, but that might be because he is also a psychopath. I'd be interested in your thoughts on these ideas. Thank you for your videos - I like how they are factual, kind and well organised.
i have asperger's and i've been having symtoms of antisocial since i was little and they have been increasing as i aged, i also have paraphilla.
My Daughter had been diagnosed with Autism she is one of a kind seems she has every disorder..people don't get her at all,i worry about her as she gets older,everyday is a new day for her, I'm a older mom so it's a heart breaking for me, not her she OK to learn everyday the something's. Thank you lost Momma here..
Ooh interesting. In my clinical work I was torn between OCPD and ASD when considering a patient 🤔
Low conscientiousness? Interesting. I would have thought a lot of people with ASD had high because of their need for routine/order.
Thank you so much Dr. Grande for this well thought out video! I really appreciate your thoroughness. At about8:05 you mentioned that the last two cluster a personality disorders cannot be diagnosed in the course of ASD. Just curious your thoughts on the miss diagnosis of women in either category undiagnosed ASD, Schizoid and Schizotypal? Are the first two more likely to be diagnosed in males than females? Why is this criteria set up? Could this contribute to misdiagnosis of Schizoid in undiagnosed ASD females? What other mental health issues do women with undiagnosed ASD usually have co-morbid? Okay you just answered a question at the end!! 😊
I have learned so much from you over the years and found your channel learning more about this subject of Schizoid personality. Thank you for sharing your knowledge in the way you do!! 👍🏼🙏🌟
Its only recently people started diagnosing female as ASD, since they look like normal men usually, so nothing out of the ordinary, just as compared to other women.
Schizoids and schizotypes are parts of the schizotypy spectrum. Usually men tend towards schizoids, women schizotypes, probably because of compensatory behavior where women are supposed to be more social.
The differences are highly superficial and tentative. The reality is probably that there is a revolving door. Strictly speaking though, the real difference is in the age of onset, so before adolescence, it would be ASD. Criteria don't really lead anywhere on that front, but schizotypy is also in theory supposed to be inherited, so in that case, there is no difference. Its just not how the DSM cuts it, they put an arbitrary distinction on the onset.
Dr Grande went by "the book" and a study. I know this is what he does so I appreciate him within that framework.
Unfortunately, when it comes to asd the DSM is still woefully ignorant and most studies are still unforgivably plagued with gender bias. Furthermore, these problems were reflected in the inadequacy of the Big 5 to profile a supposed asd personality. We NDs are all very different people with different personalities just as NTs are. Some NDs are actually huge extroverts! Many are extremely high in conscientiousness and agreeableness.
So much misunderstanding still prevails. I found this video interesting and partially valuable, but it left much to be desired as far as understanding asd. In a lot of ways it perpetuates many typical misunderstandings.
Especially lacking, as usual in the field, is acknowledgment of gender differences and the overall vast differences, gender aside, across the spectrum.
I'm waiting for the day we can shed these narrow views and definitions of autistic people.
Superb timing for this topic, Dr. Grande. Thank you as always
Sometimes I feel like I fit the diagnostic criteria for Asperger's Syndrome in addition to my given Borderline Personality Disorder. I've wanted to explore this, as I lack an adequate of even functional theory of mind, I can't communicate well my wants, needs, and feelings, I stim, I have meltdowns and blowups, I'm easily overwhelmed and overstimulated by external stimulation and have auditory processing issues. I've had issues with my executive functions since childhood. I just don't understand, as others have noted that I might have ADHD, but I feel like I might be on the autism spectrum.
I don't know what to do.
I'm also on the asexual spectrum and I'm transgender.
I don't know if that explains anything, but I just don't know what to do anymore. I feel disconnected from everyone around me, from their minds and emotions. I cannot understand emotions in others at all, and my own emotions are loud and confusing.
Thank you :)
Im female asd but mental health services are confussing me again.
Can you do a second video on this?
I agree that i display behaviours when something is hurting me.
Im currently pregnant and my family wont stop drinking and i am shut down and want to run away.
I like to drive around aimlessly. Could this be my ristricted repetative movement?
What does ptsd and asd comorbid look like?
Thanks from australia
Update: very well and happy.
Turns out the driving was adhd comorbid masking/cognitive loading.
Babies are well and I ended up having my babies during lock down and doing really well.
Writing a biography called Miss diagnosis.
Can I please quote this video in it?
I was diagnosed by the age of 3 and I am a person with High Functioning Autism.
I spent a few years thinking I was schizoid... only to realize that I related a lot more to the experiences of autistic folks. I'm still not diagnosed (I tried but by the time the evaluation came my burnout made me "impossible to evaluate" according to the neuropsychologist) but my psychologist agrees that I meet all criterias and honestly, it's the only thing that can explain most of my struggles. My mother also has a lot of autistic traits, and so does her father.
Do you have any appointments ?
😂
Doctor, I'm guilty! I've just read in some comments how much your subscribers appreciate your "new educational style"with "powerpoints" and I asked muself, what the 🦆 are they talking about? 🧐 You've caught me, I closed your vid down on my PC and was just listening. You look so good, that distracts me. But I appreciate this very much, this is a great innovation! *
* at least for those who do watch you. 🤭
I have 2 children with Asperger's, a son and daughter. My daughter's symptoms are extreme shyness and introversion and the need for a very quite environment. She also never gets into trouble, very stringent with rules. My son is very extroverted, loves to be loud, verbal repetitivness and preoccupation with stereotyping. Both are very sweet, kind hearted and very naive. I never had success in finding them the right environment, school or day programs, where they were able to thrive because of a large majority of teachers, staff and mainstream students bullying them and even attempting to entrap and get them in serious trouble. So our problem is we are in a place where narcissism runs rampant and bullying, targeting and even gangstalking of Autistic children is acceptable (Arlington, TX)
Hi dr I am autistic I have done the big five personality test. I scored 90 O, 65 C, 17 E, 50 A, 87.5 N. Please could you tell what you . It would find that very helpful thank you for your time
I really like the way you presented this. Many people still mistakenly believe autism and being a sociopath/psychopath overlap, they don't! The most obvious trait displaying that is that sociopath spectrum people are aggressive (have premeditated desires to harm others for self gratification). Autistics are not like that. Even when you look at Adam Lanza I really think he did that out of extreme frustration of being treated like a non human all his life just for being himself. Being placed on drugs young, isolated, extremely intelligent but treated like a baby. Autistics are also many times emotionally immature and not aware of the consequences of their actions. Never justifying what he did but sociopaths intentionally harm, autistics just want to be left alone.
Thank you very much for your hard work into creating the informative content Dr Grande. Have you ever made a video explaining "Hoarding"? I'd love to learn more about the topic.
I think the general definition of personality disorder (as given in this video) would also fairly accurately reflect milder/more high-functioning presentations of ASD. Something not noted here that I believe could also lead to confusion in diagnosing one or the other is the difficulties with executive functioning that can be present in ASD; given that similar problems are thought to underlie schizophrenia it would make sense that comorbidity is greatest with cluster A, being thought to be related to or even part of a schizophrenia spectrum. You might as a result of impairment of executive functioning also find mood/anxiety disorders, which if paired with the impulsivity it typically leads to could easily cause ASD to be mistaken for a cluster B - "erratic/dramatic" - disorder.
Please talk abt how asd can overlap with borderline personality disorder in women
I have been diagnosed with ASD and 2 different psychologists believe that I have BPD. I have been told that they cannot be diagnosed together. Is this true or am I being lead astray?
I think there are older autistic people who were never diagnosed and seem to become schizoid and schizotypal as they get old, hoarding disorder also showing up. I wish I'd known more before. I'm still trying to have a relationship with my parent who's elderly now and doesn't understand emotions and goes into a delusion if confronted with another persons emotional needs
I prolly have this :-/
What about Asperger and ADHD? I've been diagnosed with ADHD for twenty years, but recently realized I likely have high functioning ASD, too. They have a lot in common but then diverge at a point where some characteristics are polar opposites. I've found that I relate much more to high functioning ASD than ADHD when it comes to this divergence. I know that they can exist together, but I'm also wondering if I was misdiagnosed. My psychologist seems uninterested in exploring this avenue because 1) he's not an expert in ASD and 2) he doesn't seem to think that an adult can or should be diagnosed. I mean, it's not like we grow out of it. Like ADHD, it's a lifetime thing. In girls, it's also often missed because of the whole masking thing when we're young and trying desperately to fit in. A lot of Aspies are coming out of the woodwork as they get diagnosed as an adult.
I have autism spectrum disorder and schizophrenia
As an Aspie, I think the perceived "lack of empathy" is sometimes a "lack of interest".
This is one of the best videos I have ever viewed on ASD. I have long wondered about the problems of distinguishing between certain personality disorders and ASD. This video provides new insights that I had never heard of or read about before.