Could You Be Autistic? A Guide to Self-Discovery and Next Steps
For many adults, the realization that they might be autistic comes later in life. This journey can be both validating and overwhelming as you begin to make sense of lifelong patterns, challenges, and strengths through a new lens. If you’ve ever felt different from those around you, struggled with social exhaustion, or experienced deep sensory sensitivities, you may be wondering whether an autism assessment could provide clarity and support.
This guide offers reflective questions to help you explore whether an autism consultation or assessment may be beneficial for you. While this is not a diagnostic tool, it can help you recognize patterns in your experiences that may align with autism.
Exploring Your Social and Communication Patterns
Do you often feel different or out of place in group settings?
Do you prefer spending time one-on-one or in small, familiar groups rather than large gatherings?
Is small talk challenging for you, but deep conversations about topics of interest feel natural and engaging?
Have you ever been told that you dominate conversations or, conversely, that you don’t speak up enough?
Do you put significant effort into appearing "okay" in social situations but feel drained or exhausted afterward?
Have you ever struggled to recognize when a conversation is ending or when it’s your turn to speak?
Does making eye contact feel uncomfortable, forced, or unnatural for you?
Have others ever misinterpreted your tone, facial expressions, or body language?
Masking and Camouflaging Behaviors
Do you feel pressure to modify your natural behaviors to fit in?
Have you found yourself mimicking social habits or expressions to blend in with others?
Do you rehearse or plan conversations in advance to avoid feeling awkward?
After social events, do you need extended alone time to recover?
Have you felt that masking your true self over time has contributed to burnout or exhaustion?
Executive Functioning and Daily Life
Do you often struggle to start tasks, even when they are important?
Do you rely on lists, reminders, or routines to stay organized?
Does shifting from one activity to another feel frustrating or overwhelming?
Do you lose track of time when engaged in activities you love?
Does multitasking feel difficult or exhausting, making it easier to focus on one thing at a time?
Sensory Experiences and Regulation
Are there certain fabrics, foods, or sounds that you find unbearable?
Do loud, bright, or crowded environments feel overwhelming?
Do you experience strong preferences for certain sensory experiences, such as weighted blankets, specific textures, or repetitive movements?
Have you noticed that you stim—engaging in repetitive movements like tapping, fidgeting, picking skin, or playing with jewelry—especially when feeling overwhelmed or focused?
Emotional Processing and Self-Understanding
Do you feel deeply affected by other people’s emotions, sometimes to the point of overwhelm?
Have you ever realized you were upset only after noticing physical symptoms like headaches or tension?
Do you struggle to identify or name your emotions in the moment?
Have you experienced long-term burnout, making it difficult to function in work, school, or relationships?
Strengths and Self-Discovery
Do you naturally notice patterns and connections that others might miss?
Have you excelled in areas of deep interest, immersing yourself in topics with passion and focus?
Do you express yourself more comfortably through writing, art, or other non-verbal forms of communication?
Have you always had a strong sense of justice, fairness, or honesty?
Do you think deeply and approach problems in unique or unconventional ways?
Understanding Co-Occurring Conditions
Many autistic individuals have co-occurring conditions, and distinguishing between them can be complex. Some common overlapping experiences include:
ADHD: Struggles with focus and organization, but in autism, hyperfocus on specific interests may be more intense.
Anxiety Disorders: Social anxiety often stems from fear of judgment, while autistic social difficulties may be due to sensory overwhelm or social energy depletion.
Depression: Autism-related burnout can be mistaken for depression, but many autistic individuals still find joy in their focused interests.
PTSD or Trauma: While both conditions can lead to hypervigilance, autistic individuals often experience lifelong sensory and social processing differences rather than specific trauma responses.
OCD: Repetitive behaviors in OCD are often driven by intrusive thoughts and anxiety, whereas autistic routines provide comfort and predictability.
Chronic Health Conditions: Autistic individuals may experience conditions such as gastrointestinal issues, sleep disorders, migraines, and chronic health issues at higher rates.
What’s Next?
If you resonate with many of these experiences, you may find it valuable to explore an autism assessment. A professional evaluation can provide clarity, validation, and support tailored to your needs. My assessment process takes a strengths-based approach, focusing on your unique experiences rather than outdated deficit-based models.
Booking a consultation with me can help you determine whether an assessment is the right next step for you. I provide compassionate, affirming guidance to help you navigate this journey with self-understanding and confidence.
Schedule a consultation or assessment today to explore your autistic identity in a supportive and validating space.
You are not alone. Understanding your neurodivergence can be a powerful and life-changing experience, opening the door to deeper self-compassion and an authentic way of living.
Receiving a diagnosis is often a source of relief for many, like the feeling of puzzle pieces finally coming together.
Love this message I received:
“Dear Julie, the fearless way you explained your autistic diagnosis sparked me into looking into autism as a missing puzzle piece for myself. Today I am celebrating the first week of my life with an official autism diagnosis. My life is forever changed. The strategies I am learning to support myself are giving me hope for my life again, and in no small way this is all because of you. So I would like to say thank you, a million times thank you.”
Here are some examples expressed by those diagnosed as adults…
The diagnosis helped me become kinder to myself, providing self-understanding leading to self-compassion
It proved that my challenges and needs are real.
Knowing that my brain operates differently from others has transformed my life.
My diagnosis finally allowed me to stop feeling ashamed of who I am.
It reduces misunderstandings at home and work.
It reduces anxiety, helps me grow self-esteem and hope, and enriches my life.
I am grateful to have finally learned to give myself space when I feel overwhelmed.
Autistic burnout prompted me to seek a middle-age diagnosis. This diagnosis saved me.
My autism diagnosis empowered me to live my best life.
Frequently Asked Questions
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Yes, I provide video autism assessments for sensitive adults who can be in California at the time of the virtual assessment (residency is not required). I specialize in how autism can present differently in sensitive adults. If you are not physically present in California, you can book a consultation with me to explore whether you have autistic traits. However, I can only provide a formal diagnosis for individuals who are physically located in California during the assessment (as state law requires a California address). Residency in California is not required. Or consultations available globally.
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Assessments for diagnosing Autism involve three one-on-one video sessions. I delve into your internal world during these assessments to thoroughly understand your experiences. This personalized approach is essential for accurately diagnosing adults, especially women, as past criteria have often been inaccurate. Working with a practitioner who recognizes the nuances of autism in adults is crucial. I also provide time to process any emotions that may arise. As a late-diagnosed autistic woman myself, I understand this experience and enjoy nurturing others through it. Understanding ourselves better is a liberating experience.
Generally, we will discuss the following:
Sensory experiences: your sensitivities and preferences.
Cognitive style: passions, structure, routine, etc.
Social experiences: childhood and adult.
Answering your questions.
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Most assessment practitioners in California don't accept insurance, and undergoing a private assessment can range from $5,000 to $10,000. Most of the cost is for the practitioner's work outside sessions, such as scoring assessment measures and writing the report.
In contrast, an assessment with me costs $1,125 (3 collaborative sessions). Most of the time, 3 sessions are enough. The affordability is achieved by streamlining the assessment process to these collaborative sessions, with some brief time outside of sessions for me to reflect on the collected data. As no written report is provided at the end of the process, this approach saves you thousands of dollars on your adult autism assessment. It has been important for me to make these assessments more affordable and accessible.
Conducting the assessment this way allows me to understand you better from several conversations. This gradual approach fosters a sense of comfort and encourages you to become progressively more vulnerable and authentic in our sessions, a crucial element for accurate identification. The extended timeframe also allows for gathering a more diverse range of data, significantly enhancing the accuracy of identifying autism, particularly in the sensitive.
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If you're looking to understand whether you might be autistic for personal reasons, undergoing an assessment with me is a suitable option. However, if you need a written report for submission to a school or a government agency to secure accommodations or services, opting for a formal neuropsychological assessment that concludes with a comprehensive written report is advisable. Many colleges mandate an assessment report for accessing accommodations, so ensuring compliance is important.
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No, I do not include a formal written report to make the diagnostic assessment more affordable. I can offer a simple letter stating the diagnosis. If you need paperwork filled out I can do that for an extra fee.
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Getting a diagnosis of Autism as an adult can be important for several reasons:
Self-Understanding and Identity: An autistic diagnosis can provide clarity and insight into an individual's unique way of processing information, socializing, and experiencing the world. It helps individuals better understand themselves, their strengths, and their challenges.
Validation and Acceptance: For many adults, receiving an autistic diagnosis provides a sense of validation for the challenges they may have faced throughout their lives. It can be a crucial step toward self-acceptance and understanding that their experiences are valid and shared by others.
Navigating Social and Professional Relationships: Understanding one's neurodivergence can assist in navigating social and professional relationships. It can help individuals communicate their needs, preferences, and challenges to others, fostering better understanding and support from friends, family, colleagues, and employers.
Mental Health and Well-being: Many autistic adults may experience mental health challenges, such as anxiety or depression, related to the stress of navigating a neurotypical world. A diagnosis can guide appropriate mental health interventions, ensuring individuals receive the support they need for their well-being.
Accommodations in Education and Work: With a diagnosis, one may find it easier to request accommodations in educational settings and the workplace, including modified work environments, flexible schedules, or specific strategies to enhance learning and productivity.
Community and Connection: Being part of the autistic community can provide a sense of belonging and connection. It offers the opportunity to share experiences, strategies, and support with others who have similar perspectives, fostering a sense of community and reducing feelings of isolation. I also offer an Autistic Women’s Support Group!
Personal Growth and Development: Armed with self-awareness and understanding, individuals with an autistic diagnosis can embark on a journey of personal growth and development. They can focus on building strengths, acquiring coping strategies, and setting realistic goals aligned with their unique attributes.
In essence, obtaining an autistic diagnosis as an adult is a personal choice that can significantly impact various aspects of one's life, leading to increased self-awareness, access to support, and the potential for a more fulfilling and empowered life journey.
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No, we will be focusing exclusively on an Autism assessment.
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No, I specialize in diagnosing sensitive adults.
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Yes, you can also book consultation sessions with me from anywhere in the world. My mission is to help spread awareness and education about how autism presents differently in the sensitive, particularly women. If you are a mental or medical health provider, this information is important for you to have.
Book an Assessment or Consultation
I’m Julie Bjelland, LMFT
As an Autistic HSP and Licensed Psychotherapist specializing in highly sensitive people and adult-diagnosed Autism in HSPs, I founded Sensitive Empowerment to amplify awareness about the remarkable value of Neurodiversity. Committed to education and support, my mission is to enhance awareness and create tools and resources to reduce susceptibility to mental and physical health challenges to help individuals flourish to their fullest potential. Learn more at JulieBjelland.com.