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However he did not start off as stereotypically autistic. Contrary to the stereotyoes of adults on the spectrum, my patient displayed no "meltdown" behavior, was keenly (TOO keenly) aware of people's reactions to him and exhibited no bizarre special interests or encyclopedic knowledge of vaccuum models.
In fact, initially he presented as many of my patients do: shy, articulate, witty. In fact, "Joe", as we'll call him, socialized quite well.
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It can be a confusing relationship, and one that can easily lead to resentment. When Joe would make an insightful comment during group session, this group therapist and members would share a hearty laugh, rolling their eyes that this sensitive man had been diagnosed as autistic. Shouldn't you be indifferent and focusing on dinosaurs? After a long day of running what he terms his "social program", feigning natural banter and hiding anxiety, he is exhausted.So what was the problem I ran into with the collaborating therapist? When Joe would tear up recounting his wife's rage and disappointment, he'd hear "So Mr. " (I'm sorry to say this is a direct quote.) The general public, even many clinicians, cannot believe someone like Joe can be autistic. His wife comes home to a man who has retreated to isolation as a desperate attempt to find peace and rest.His social deficits are so well hidden that he has convinced the world his autism does not exist. I'd like to write more about this "hidden autistic" phenomena. Adults on the spectrum are often too good at convincing others they are fine, have no emotions, are robotic.Being able to chat on your mobile phone, desktop and connecting with our unique social platform makes well ahead of the competition.The reason we are still going strong after more than 10 years is that our users love what we do and we love our users for sticking with us.
He seemed quietly confident and wry, intelligent and perceptive.