What are some of the sex differences influencing diagnosis for Autism?

source of writing www.naturalempathiser.com – feature photo Scottish Loch

Over the course of the past several years, there have been many studies done, creating a number of explosive and insightful discoveries, into the disorder Autism, especially for the Females.  More people have been able to observe how, why or even if, Autism presents differently in females.  A development becoming more openly welcomed rather than shunned, but there is a unique presentation of Autism in females, that is fundamental in helping better identify and treat, those who may have the disorder.

I am terrible with consistency out with my personal comfort and timescales, also I medically pop in and out on paper, for help due to all the labels, stigmas. Worst of all can come from those you put your trust in to help, their treatment can be the most damaging from those claiming, to only be trying to help. Unfortunate but true, sometimes your biased, stuck or uneducated view makes everything extremely more challenging, for all parties involved, especially the patient or clinician.  For me it can put me on the slippery slope of depression, because all the professional words continuously contradicting one another, leave me more confused at times, than when I started

These challenges are for a number of reasons because, not only are females just as diverse as any other groups of individuals with the disorder, but there is a more pressing matter I would like to stress.  I yet again keep hitting a metaphorical brick wall that makes it harder for me to gain access to the help I need, and that is because most autistic screening and diagnostic tools were developed and based, primarily on, observations and behaviours of boys.

I was reading an article by a clinician who was expressing her views and opinions that I happen to agree with.  That was in relation to specialist research and those closest to the individuals in questions, which was the matter at hand of, missing girls with symptoms who do not fit the “typical boys presentation”.  This brings me back to an article I previously wrote with regards to three tests added to the mix, one for the female, one for the male, and a combined more generalised one and see what that produces.  I very much would like a test more relevant to my sex plus a more generalised to give me the answer, it would be very much appreciated. PDA is one of the better questionnaires, especially with wording, that has not had me wanting to pull my hair out.  My next articles will include the different profiles, will include PDA, an area of personal interest I will be delving into.

Anyways this article written by the clinician, helped me to be able to, word, that as a female parent, by my own and many professional opinions, am in fact Autistic, but where I fit seems to be the time consuming and frustrating process, that is like pulling teeth out, the most mentally, invigorating, deteriorating experience I have ever been through, which believe me you, says a lot.  My children are raised by a self diagnosed ASD (awaiting diagnosis if relevant) but a clinically diagnosed ADHD female mum, they are not going to meet the levels of ‘norm’ for your criteria necessarily or to the T, I work really hard flipping their stuck mindset and helping them gain broader and greater understanding.

For that reason, I listen to what my children’s words and body tell me, that is why I listened to my tween’s teacher as she explained, my daughter met the criteria for both ASD and ADHD, she even went for a second opinion, but doctors dismissed it, hitting another brick wall.  Therefore with the 10 years of knowledge gathered between raising the two of them, 30 years of being me, and what others have learnt, written or communicated, I am beginning to find answers and better ways of doing things.  Not everyone has the ability to be a self-directed learner and it comes with its costs and sacrifices to.

My daughter is the double of me in so many ways its unbelievable, she see’s the world in the most amazing way, and like her mum can learn and excel at anything she puts her mind to, but her focus is language.  My 3 year old son appears as a mute in nursery at times, didn’t start communicating properly till 3 and really flags a lot of the criteria.  He took years longer with verbal speech but is a little mastermind, when your truly listening and watching, he has to be comfortable too, he’s a possible mathematical Wizz in the making.  So here are 3 possibly undiagnosed Autistic people, who are unreachable and unhealable by those who could, but simply unobtainable due to stigma and stereotyping.

That is why as a female parent, who by my own and many a professional opinion, am in fact autistic, and now that I am in touch with someone from the National Autistic society I might actually get somewhere with the diagnosis, hopefully one step closer to those that can give it.  Because of how easily dismissing the process can be, (I’ve been in it since 12) I’m scared to let my daughter walk in my footsteps and it isn’t right to be made to feel this way.  I have a feeling things are about to change though, for the better and maybe my trio can be helped

I started by looking and reading a little into biological science, which tells me I’m delving into a subject that is, extremely confrontational and debateable.  As a minority myself I agree and disagree with what is to follow but they are personal opinions, I’m not educated enough and have nowhere near enough information to say anything without a shadow of doubt, but I need to start somewhere.   This is just what I’m coming across on my personal journey for answers into where my cluster fits on the spectrum.

This is the beginning of research, delving into the mystical world that has become the  differences between males and females.  Something I see often happening, is sex differences put solely down to culture differences, but science suggests a biological difference between the male and female, in relation to the brain.  These differences are not absolute, have been generalised as the majority and tend to be skewed depending on ones sex.

I looked through a narrow scope into why males appear geared towards math, where as females language, why women are more emotional, how the sex’s feel pain differently, how males are more likely to suffer neurological disorders, where as women are more likely to suffer mood disorders.  The gender difference’s apparent before birth and, why it appears women handle stress better than men, and finally why we are led to believe males have weaker impulse control.  But what if you are a minority?

Changes are noticeably presentable from birth, but even before that, taken to the development stages when you are still in the womb, things are different.  Gender is determined immediately upon fertilisation, meaning the sperm is the only one that knows what sex it is going to be, and the egg only carries a stationary X.  The 23rd pair of chromosomes establish the sex of the baby.  So to illiterate more clearly, the female egg contains one X chromosome, whilst the male sperm carries either the X or Y chromosome.  Once they meet the egg becomes XX=Female and XY=Male, so in a nutshell

“The baby’s gender is known before it is even consider a foetus” during the first few weeks the external and internal genital structures are the same, but this is just the process within the development stages.

The foetus gonads will either become ovaries or testicles, the phallus either a clitoris or a penis, and finally the genital folds will become either Labia or scrotum, depending on whether or not testosterone is present, which in turn determines the “default sex” of either categories of male or female.  Remember the sex is determined by the males sperm , to the mystery of whether it is carrying either an X or a Y, because the egg holds only an X.

Intersex describes a variety of conditions, where the minority of individuals who are born with, a sexual anatomy that doesn’t fit typical presentations, of a male or female.  Examples would include a person born with genitals that are between the usual descriptions of, male and female parts, or, they could be born with both XX and XY chromosomes.

A way that has been described to try and help understand intersex, were words written to think of gender like the colour spectrum. As sex organs vary in shape size and dimension, of course it seems only common sense, that so would the sex chromosomes determining the default sex.  As these conditions are very rare, however, they do still exist.

“It is argued to be a humanistic way, of categorising people into gender categories, not the original way of nature”

As gender is determined upon fertilisation, at around the 16th to 18th week of pregnancy, the foetus produces a bud called a genital tuber, at the site of the genital.  By the end of the 20th week, the external sex organs should be fully formed for both the male, and female sex of the foetus. At around 26 weeks, the female foetus generally starts developing thicker corpus callosum, which is the part of the brain that connects the right and left hemispheres, than a male foetus.  This information helps explain why women tend to use both, whilst men tend to lean towards the left hemisphere, which leads me on to my next point, that might explain what you have just been reading.

I often hear people saying that he or she is not in their right mind, but if looked at in a biological sense, women are the ones more in their right mind the majority of the time.  I say this because men mostly use the left hemisphere, to process information, where as women are more skilled at using both hemispheres, as we see happens because of differences in the making, of males and females in the womb.  So there is an obvious difference between males and females, which would affect the workings of their mind, would it not?

“So in a literal sense women are the only one’s in their right mind.” but what about the minority of males who do not fit this notion?

It is believed women are more likely to suffer mood disorders, than Autism and ADHD, because male brains, synthesise serotonin, far more quickly than the female brain.  Obviously when looking into biological factors, it’s then placed into categories and researched for many a year, seeing patterns develop, so yes the majority of people fall into the criteria’s described, but now doors are opening for more insight and analysis into the minds of the minorities, who may be more alike to some once classed, part of  majority, than we once thought.

Standardised intelligence test show no statistically significant differences, between males and females. When looking at the brain we can see lots of differences, take the findings that suggest that genders tend to slightly lean towards, categories with regards to their abilities, in maths and language.  Males are said to have a larger inferior-parietal lobules (IPL), than females, which is an area of the brain that is thought to, influence mathematical abilities, which matures in boys about, 4 years earlier than girls?!

The frontal and Temporal areas of the cortex, are larger in females, and are thought to influence language, matured approximately 6 years earlier, than the males.  All these words I have written to date, are just me summarising my findings so far from what I’ve gathered, and this is a subject I do not specialise in, I’m learning for vast and varied reasons now. It is a very debateable subject obviously, because a minority or girls can be maths wizzes or vice versa, minority of boys can be language masterminds, that comes down to individual choices, opportunities and circumstances. Personally I excelled in all subjects at school just some more acutely, some of my most traumatic problem’s arose during high school, with social communication and interactions, where my biggest cost, was my education.  These are the years where I learned to become a chameleon the best, with some of my harshest lessons.

So, from that we see above the majority of males mature quicker mathematically, by approximately 4 years, and the majority of females mature 6 years earlier, than males in language.  There and always minorities and splinter groups, who do not fit where the majority of others do.  Take the way we feel pain, there are even differences there between males and females.  When men experience pain, they tend to activate their right amygdala, where as for women, they tend to activate their left amygdala, which leads us to believe, women feel more pain.

“The left amygdala is more closely associated with the ‘internal functions’, this is the reason behind why it is often thought and expressed, women experience more pain than men do”

According to biological science from where and what I’ve been reading, males are more likely to be dyslexic and autistic, than females, this is noticeably explained in the skewed differences in ratios, between males and Females.  It is also said, that males are more likely to experience Tourette’s  and ADHD.  Females appear to be found, and thought, to be more likely to suffer, mood disorders.  The reasons for this is because, females have larger hippocampus, and deeper limbic systems, than males.  Therefore allowing females to feel the full range and depths of the emotional spectrum, more so than males. Is that why this minority female, keeps getting caught up in the Bermuda triangle effect of, Autism, ADHD and bipolar?

I wonder what a visual image of my brain would give insight into for someone, me in particular.  Since someone once said to me I am like the human equivalence of the Rubik’s cube, it has kind of stuck in my mind since, because no one seems to have figured out the riddle that is me.  If someone specialising in neurology or psychology was to take an active, time-scale appropriate interest, into researching my brain, I wonder what findings would be discovered, as I’m already aware I’m a minority thinker.  Maybe one day that will be possible, but at the moment, it’s a fantasy, my reality is just words, opinions, views, theories and a lot of both reliable, and unreliably communicated evidence, and experiences, in the search for the answers, to my questions.

I’ve been reading that, when it comes to differences in intelligence, between the two sexes, there are more males than females that differ, and become more skewed on the results.  Male IQ has greater variance from one perspective, than the female IQ.  This is why females appear to be more clustered around the middle, where as the males occupy the extreme high and low end, of the intelligence scale.

Studies have shown that the majority of women, handle stress better than men.  Science shows that whilst both the male and female release the hormone oxytocin during stressful events, the difference is by combining oxytocin with the female estrogen, it produces a calming effect, whereas male testosterone only makes men more aggravated.

It is coming to a point in need to finish up writing this article, before I end up writing the never ending story, that never gets published.  I will stress, I am no expert, just someone currently going through the process of life, just like you.  If I’ve worded something that upsets or offends, I assure you that was, and will never be my intention.  I would like to thank everyone who has taken the time to read my words, message me personally, shared and helped me on my feministic journey into the spectrum.  If you have a story that’s related please comment.


I personally am recieving extreme difficulty waiting, like many of my readers and those taken the time to message, just to see someone who can analyse and determine, whether or not i have autism before gaining access to, the help that is available.  I’m aware we do not have a vast number of people that specialise, but something does need to be done here to accomadate.  So the studies indicating it is more challenging for a female, undiagnosed in childhood, to obtain a diagnosis later, i fuly agree with, from first hand experience.  I am living proof this is the case, for getting access to the help already out there, that one requires, firstly you need the label that is the diagnosis.  I was suspected back in spring 2016, referred and awaiting specialist input, many a moon ago.  This week is the first time i have met with someone, who does specialise in an area i need help with, who looks like she can and will help, where she is able, she gave me hope, that things are changing, and that space may be possible.

www.naturalempathiser.com for more reading, understanding and depth

Further Reading

  1. My Feministic journey, into the spectrum
  2. Trip down Memory Lane
  3. Mirror-Mirror, Show me my true reflection
  4. My Journey through Mental health
  5. The words of Lilly falls Beautifully unfinished
  6. Welcome to the natural empathiser

 

Trip Down Memory Lane 27/02/2016 – 05/07/2018

A Reflection of the day dated 27/02/2016, on current day dated 05/07/2018

Join me on my trip of self-discovery and hopefully, having it confirmed one way or another whether I am Autistic, Bipolar Type 2, ADHD (current diagnosis) or a combination of all 3 from the people that have the knowledge, understanding and experience to look at the individual, and have the time to help me. 

I am a mature female, in a relationship and a mother, but I am just an individual, someone looking for answers and help that shouldn’t be this difficult to access, but unfortunately it is.  The end goal is that from confirmations more acute and relevant to one’s-self, help and doors will open to allow me to learn new ways and techniques to combat these disabilities, as alone it’s getting to hard and in some ways, it is preventing me from moving on, or living the life I possibly could.  This desire for isolation and space is getting stronger and stronger, but no way of having it.

I see so many blogs and think that used to be me, before I learned this or that, but there is still so much I am ignorant to, that impacts my day to day living.  Maybe by showing where I once was, to where I am now, it might allow for broader insights and understanding.  Hopefully without imposing too much strain on my own mental health and wellbeing in my present. It has been challenging for people to help because I am so closed off, but I am trying to be more open, but I am selective in that because I have taken many a burn, theoretically speaking through systems, procedures and people trying to help.  

I suppose this is the journey delving into my most traumatic and invigorating experiences to date, learnings, and misunderstandings still to be, or already cleared up.  After the original entry Grammarly corrected, there will be a little personal writing in my present.  This is a walk down my memory lane, the words will be what they were at the time.

Please remember, these are my personal diary entries at the time they were thought and believe you me, in a lot of ways my opinions and attitudes have changed for the better.  Also, I may have been highly medicated on some of the craziest combinations that altered my perceptions and proceptions in varied ways.

Please read from an empathetic view point and walk in my shoes, figuratively speaking, for the time it takes reading my words, because this is, was, and will continue to be, my life, so let’s see what my refection shows. 

Saturday 27th February 2016

Wow words so effective depending on the persons perception at the time of hearing.  The ‘Ability’ (Disability) depending on the persons personal or ignorant view point or experiences.

I have an

·         Ability

·         Disability

·         Order

·         Disorder

Doesn’t matter how many of either I have because I am so self-awakeningly ‘Wild’ and self-tamed.  Let’s try the shit sandwich delicate flowers approach. I am already full of mindfulness and one with my natural environment.  I have fought every disability I have, every disorder I have through watching humanity and society.  Sometimes I truly believe I am poison but let’s look at the reality with a little riddle ‘love me right and you will be all right…… hurt me and I’ll hurt you by exploiting your disorders, disabilities, ignorance or selfishness.

I never do anything half-heartedly, I give you my best but lose hope I will drown with you, but I will always, regardless, float even if I must watch or make the person drown so I can swim away.  I am unique there is no label for me, take away my abilities, learn my disabilities becomes so obvious.

I use my resources till they have nothing useful for me to survive no more.  Time for a switch off but something I would love to learn is, where does someone think they have the right to be deluded and ignorant, to think just because you’ve took away somethings freedom and offered it something meaningless, does not mean you can own, possess, or control it.  They’ll just play your game till it is time to break free.  I achieved a lot and now my bubbles burst, and my walls broke, the waters putting out my flame, but my brains fire and I AM the ignition. 

So, if I am free I can never be put out, but it is time to tame me differently.  Just another battle in my war I will never win, but for some reason I am still breathing, and until I take my last breath of life and give it back to my natural environment, I will NEVER stop FIGHTING because I am a survivor of so much pain, but I have dealt with it alone.

I do not talk because if I do I watch the spark go out in that person’s eyes.  So, define disability to me ‘HOPELESS’ no ‘IGNORANCE’ to me is a disability, hope you can find anywhere.  My disorders are my weak watery heart, fiery brain, and a body and ability to ignite or put out anyone’s flame.  Society and people taught me how to do that PAIN, NEGECT, IGNORANCE, UNRESOURCEFUL, HOPELESS, = WEAKNESS vs STRENGTH.

 

Thursday 5th July 2018

Have to say my opinions have not really changed since writing these words if looked at black and white, but there has been some light shone on these words over the years.  New experiences, understandings and just personal growth have all gave those words more shape.  I still have difficulty with words because people’s eyes, body language, energies and words do not always match, so hard to interpret what the person is trying or not trying, to communicate.  Also, I say words so wrong sometimes verbally and written. which can confuse the heck out of all parties involved if you do not know me, if I’m unprepared or uncomfortable. 

To many people, myself included, are fighting systems because they cause more problems.  Since I am not the only person voicing this maybe we should start focusing on that more.  A starting point would be making them more adaptable, understood, and reachable within realistic timescales.

Something I am beginning to become more aware of and question is, if it Depends where oneself fits on the pecking order, which determines how much insight and knowledge they have, or appear to have.  I wonder what my medical records say about this date or the surrounding dates.  After I have put all my written words to digital and posted enough of the past, that I am aware of.  That will be the next step, adding what other perspectives have been on the days or months I am voicing.

When reading this I concluded what I have wrote some years ago, that it is a one track minded, somewhat ignorant view point, but still accurate in a lot of ways.  What I mean by being so self-aware is that it is impossible to be aware of everything at one time. How we broaden that is down to the individual, so I choose to reflect, whether naturally or forced is always going to be debateable. This is something I have always done for as long as I can remember.  Also, I seem to always be aware of things others are not, but at the same time being blind to others, as those considerate and thoughtful enough to have pointed out to me, in a non-judgemental or prejudice way, have said.

The problem doesn’t seem to be feeling emotions because there I do not believe I have a problem, i can just appear as detached at times. That Is because internally the emotions are starting to overwhelm me somewhat as if I’m drowning with you, but to save myself I must figure out the problem, fix it or break away, if what I’m attached to is the problem. Expressing and understanding, knowing what to do with these emotions seems to be the problem, I appear to lack the abilities in this department

When I talk about using my resources, we all do it, but people are my most valuable as I learn at personal record-breaking speed, through them.  I once got asked what my view on friendships and relationships are.  It was asked in an intense, formal, fish bowl environment, I eventually summed it to the one word I always land on after excessive babbling, that word was ‘pointless’.  Because you can become a point-less or a point-more with any relationship.  Sometimes we give too much of ourselves to others but get nothing but problems back in return.  It’s quite hard finding people that understand and relate to me, so they can become pointless because they end.  I have a few strong friendships and relationships where I do not have to be so self-conscious or have the feeling I am walking on egg shells.

 

In the end I always eventually feel trapped and must do something with my surroundings.  Because I struggle living amongst people and in society at times, I can require more support or help, and it can be hard keeping a consistent income. Unfortunately, that means falling into the comfortable, low poverty or severely poverty-stricken bracket of life.  This seems to be the cycle of my life that I am trying and hoping to change.  That just creates nothing but hassles within my day to day living.

I love to study and have found with the university I attend, working from home as a self-directed learner can have its benefits and pitfalls.  I can’t seem to be among people all the time so finding work or career choice isn’t the easiest, but the university I am with seems to be a brilliantly insightful resource, opening doors and suggesting things I never thought of or even knew were possible.  Maybe finding a career that suits my disabilities and abilities might not end up being as challenging as I had once thought

I’m learning some people just want a rant and do not want to delve into too much depth for whatever reason.  Sometimes I can be the worst person to be around if this is the case, because I’m a problem fixer, relationships sometimes want to be ignorant to problems, but not all the time and that is where I come in to use.  What I am trying to Learn is to not give so much of myself away when it has a somewhat crippling effect on myself.  This is proving challenging, but one I am getting better at and hope to continue to do so in the future

I’ve learnt that mental health and wellbeing is so tangled that even the people hired to help, forget, lose track or become so over worked and distracted they become a part of the problem, instead of a solution.  It went so bad from here onwards, I suppose as I share the story will be unravelled, and I truly am taking others on this journey with me, not only to help myself but to change the way it works.  How we portray words determines how we react.  I am a coward, it’s that thought that brings out the fighter and why I am voicing my words. (demand versus avoidance)