none pizza with left autism

Diagnosis elitism

In today’s news, the moderator of I Bet Mitt Romney thinks that (1) there is a strict division between self-diagnosed mentally ill people and professionally diagnosed mentally ill people and (2) self-diagnosers are responsible for prejudice against mentally ill people.

Presently, in terms of my neurology and mental well-being, I have professional diagnoses of PTSD, OCD, dysthymia, generalized anxiety disorder and social anxiety disorder.

Based on reading the words of many autistic people online and talking to a shit-ton of autistic people offline, several of whom identified me as autistic before I said anything about autism, I’m pretty sure that I am also autistic. I’ve written a lot about the stuff I experience in terms of how I experience sensory processing, among other things. I know what the non-social traits associated with autistic spectrum diagnoses are, and it is on the basis of those that I’m pretty certain I’m autistic. So I’m also trying to figure out how to navigate getting to and paying for neuropsych testing (which will hopefully also include testing for ADHD).

I also think that I might experience hypomania, and since I’ve already got documentation for dysthymia, I want to be re-evaluated to see if some bipolar-spectrum diagnosis would fit me better. So one could say that I’ve self-diagnosed with cyclothymia.

As I hope is obvious, neither of my self-diagnoses involve a sense of “lol I’m so bipolar” or “awkward because autistic lol!”  And I do want formal evaluations for all of the above things. The assumption that “lol I’m so bipolar/ADD/OCD” is what self-diagnosis is like is wrong—the people who say things like that DO NOT seriously believe they have the illness in question BECAUSE THEY ARE MOCKING PEOPLE WHO DO.

There is not a strict division between self-diagnosed and professionally-diagnosed, either. I have professional diagnoses for some things, and for my self-diagnoses, I WANT evaluations so that I can actually access services (in the case of autism) and get better mental health care (in the case of the others). What prevents me from being evaluated for those things right now is NOT (YET) HAVING INSURANCE and NOT (YET) HAVING MONEY. So unless you’re willing to pay for all my evaluations and transportation to them right now (my PayPal and Gofundme are in my sidebar), you have absolutely no right to criticize that I FEEL UNDERSTOOD (and not like a freak) among autistic people, people with ADHD, and people with bipolar-spectrum conditions.

So can we stop with the diagnosis elitism and the “self-diagnosers should fuck off”? Aside from distorting the facts about what self-diagnosis involves, it’s classist as hell.


  1. angelicaicazador reblogged this from lonesomeroadscarrymehome
  2. angelsaves reblogged this from pluckyminna and added:
    i was misdiagnosed as bipolar in 2005. i actually have PTSD and ADD. i knew the entire time that i had PTSD (the ADD was...
  3. vcuriouscasefile reblogged this from goldenheartedrose
  4. goldenheartedrose reblogged this from grammarmancer and added:
  5. bending-sickle reblogged this from shitifindon
  6. shitifindon reblogged this from pluckyminna and added:
    also, being mentally ill and being formally qualified to evaluate mental illness are not mutually exclusive! the number...
  7. pluckyminna reblogged this from grammarmancer and added:
    the number of people i know initially diagnosed with schizophrenia who were later rediagnosed with bipolar is ‘almost...
  8. adecentworld reblogged this from metapianycist
  9. grammarmancer reblogged this from dion-thesocialist and added:
    Nope nope nope. Having a doctor’s diagnosis does not mean they definitely have that diagnosis. One of the hugest parts...
  10. tomii-writes reblogged this from ooswinssouffle
  11. yourfacelookstasty reblogged this from grammarmancer
  12. psi-nerd reblogged this from goldenheartedrose and added:
    IMO, I think that the main divide here lies between people who self-diagnose after a lot of thought and research and...
  13. transstingray2 reblogged this from goldenheartedrose
  14. kaylaflava reblogged this from dion-thesocialist and added:
    Yes to Dion 100%. If you have not been diagnosed with a disorder just shut the fuck up.
  15. chrisinhou reblogged this from dion-thesocialist
  16. dion-thesocialist reblogged this from metapianycist and added:
    Fuck alllllllllllll the way off with this shit. If you ain’t confirmed with a disorder, you have no fucking place to try...

logo of End of the Rainbow Crafts, my shop. Picture is several crocheted hats in trans pride, asexual pride, genderqueer pride colors next to each other.

I'm a 25-year-old autistic trans ace who crochets, plays pokemon games of all generations, and loves Spock. My two partners and I have just started homeschooling my 15-year-old brother-in-law-to-be. All four of us are autistic. Please use neutral pronouns for me (singular they). If we mutually follow each other, please tag your posts for these things.

If you find yourself visiting my blog a lot, I'd love it if you'd come to my askbox to say hello, because I like making friends.

This blog is gif-free and uses alt text and image descriptions whenever possible. Feel free to message me if you want me to warn in tags for anything.

I am white and I do not experience transmisogyny (I'm cafab). I welcome being told if I have screwed up in a transmisogynist way or in a racist way.

Donations to the "make metapianycist's family less poor" foundation are welcome, and are handled through a partner's Paypal.

sass Submit things or send longer messages here