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Dr Jay Watts (they/she)
@shrinkatlarge.bsky.social
Consultant clinical psychologist/ activist/ neuroqueer bluestocking. Former Lived Experience Worker. Future failed poet. Will question ideology for cake.
293 followers61 following44 posts
DJshrinkatlarge.bsky.social

Let's talk about autism and 'personality disorder' in ICD11. We know autism is massively under-diagnosed and that not so doing is a main reason why so many suffer mental health problems. The new ICD spectrum has 5 traits one of which, anankastia, include familiar things 1/2

Description The core feature of the Anankastia trait domain is a narrow focus on one's rigid standard of perfection and of right and wrong, and on controlling one's own and others' behaviour and controlling situations to ensure conformity to these standards. Common manifestations of Anankastia, not all of which may be present in a given individual at a given time, include: perfectionism (e.g., concern with social rules, obligations, and norms of right and wrong, scrupulous attention to detail, rigid, systematic, day-to-day routines, hyper-scheduling and planfulness, emphasis on organisation, orderliness, and neatness); and emotional and behavioural constraint (e.g…, rigid control over emotional expression, stubbornness and inflexibility, risk-avoidance, perseveration, and deliberativeness). Coding Note
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ARalanrew.bsky.social

That looks exactly like autism.

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DJshrinkatlarge.bsky.social

Now, there are lots of questions about norms and reclaiming etc that go with this which are important - but my main concern is this. How can this not lead to the cementing of the treatment lag between presentation at MH services and autism diagnosis, already 12 years?

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DJ
Dr Jay Watts (they/she)
@shrinkatlarge.bsky.social
Consultant clinical psychologist/ activist/ neuroqueer bluestocking. Former Lived Experience Worker. Future failed poet. Will question ideology for cake.
293 followers61 following44 posts
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