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aspergers and transgender

Started by abcde, December 06, 2013, 03:50:25 PM

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abcde

Has anyone ever received any good help with these two combined diagnoses?
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Devlyn

Hi abcde, welcome to Susan's Place! I'm from Boston. We have several members with Aspergers, I'll hang out with you until they show up! Hugs, Devlyn
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genderhell

Quote from: abcde on December 06, 2013, 03:50:25 PM
Has anyone ever received any good help with these two combined diagnoses?

Sorry, I figured everything out myself.

You did not state any information, so I wont go into details.

Note: I previously asked the forum admin to make an autism category, so that autism information would be categorized, and easily accessible to members, however they did not. I even pay the $20/month.

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abcde

Thanks, it's just very personal right now.  Details are hard.  It is a young friend that is diagnosed aspergers and now also says she really feels like she is a boy.  I feel like the connection is there, but it is very difficult to understand as it is so complex.  I wish there was some professional guidance to help her understand this complex body she is in. Any suggestions?
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Doctorwho?

Well there is a line of thinking which says that Autism - particularly in its Aspergers form shares many attributes with masculine thinking, and that therefore perhaps having Aspergers is like having a very masculinized brain.

I don't think the theory has ever been proved, but I can see how there might be a possible connection.
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CalmRage

Quote from: Doctorwho? on December 07, 2013, 05:39:09 PM
Well there is a line of thinking which says that Autism - particularly in its Aspergers form shares many attributes with masculine thinking, and that therefore perhaps having Aspergers is like having a very masculinized brain.

I don't think the theory has ever been proved, but I can see how there might be a possible connection.

Which reminds me of a girl i know from Asperger therapy and am planning to spend some time with soon, but during the week is too stressful for me. I just want to be left alone and have some kind after a hard day.
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Sharon Lynn

I'm diagnosed as both.  I'd be willing to bet my oldest child is both as well (won't get him started w/ therapy until later this month).  One of my younger daughters I'd bet my paycheck has some form of light autism/ aspergers too, but I don't get the impression she'll end up trans.

Is there a connection?  Anecdotally, I'd have to say yes.  I have a working theory on it atm, but until I get finished with school I won't have time to delve into it.
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genderhell

#7
Quote from: Sharon Lynn on December 07, 2013, 05:51:55 PM
I'm diagnosed as both.  I'd be willing to bet my oldest child is both as well (won't get him started w/ therapy until later this month).  One of my younger daughters I'd bet my paycheck has some form of light autism/ aspergers too, but I don't get the impression she'll end up trans.

Is there a connection?  Anecdotally, I'd have to say yes.  I have a working theory on it atm, but until I get finished with school I won't have time to delve into it.

Wow, I cannot believe this.

My dad has both too, but I always felt uncomfortable to say it online.

We are both very feminite looking male-bodied, and my estrogen levels were very high as a youth. I saw pictures of him
as a youth, and you can see the "estrogen glow" you get from having some estrogen in your face.

He lived such an angry and disturbed life, and when my trans issue came out , he confessed to me that he wanted to be girl when he was young. He was so angry and destructive his whole life.

I am dx autism too. They said I have a genetic disorder.

I read online another case of an AS-trans child with a father in which the article said "father has gender issues".

Wow this blows my mind to see another parent-child relationship.

The doctors did not like when I brought this up.

My treatment and understanding of my conditions is very different than the trans people here.
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genderhell

Quote from: abcde on December 07, 2013, 04:34:07 PM
I wish there was some professional guidance to help her understand this complex body she is in. Any suggestions?

My opinion is that you should call doctors, and find one that has worked with both trans people, and autism people.

You definitely want to be concerned that AS can cause "OCD" behavior.

AS girls traits:

http://www.help4aspergers.com/pb/wp_a58d4f6a/images/img244154ad237783e339.JPG

Take note: On the left side of the link, seventh paragraph down, it says "may not have a strong sense of identity ... can be cameleon like ..."

I have read a lot of cis-autistic girls and cis-autistic woman (not trans) on Wrong Planet that ...

-don't wear makeup
-don't dress up instead, just wear what is comfortable
-don't fuss with hair
-prefer to have very little socialization
-complain of having boobs (see no point in them)

Anecdotally, it seems that a cis-ASD/AS female is very close to what a male is expected to be like. I don't know if that would influence someone to think they are transgendered or not. I am just stating my observations, and in view of the ASD/AS-girl trait link above.
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Sharon Lynn

I hope I do not upset anyone here, I'm just tossing out something that has crossed my mind.  I don't know if it's true or not.  Here's a couple of different ways I've been thinking about this.  Like I said, I haven't had the time to flesh these thoughts out, but I intend to play with them a bit to see where it goes once I'm done with this accursed semester.  I'm inclined to say atm that they feed off of each other, though it could also be possible that they are totally separate.  The list of GID traits and Aspergers traits overlap at several points.

People with Aspergers have extreme difficulty understanding others' emotions.  In a social setting of primarily their own gender (as is the case in early childhood when genders tend to group among themselves), it would be reasonable to think that they just do not fit in.  This could cause a couple of different reactions, either causing the person to form GID or to exacerbate an already underlying GID.

There could be ways where GID patients could also exhibit some of the symptoms of Aspergers as well.  Aversion to social settings and withdrawal from others due to "not fitting in" over time could become ingrained to the point of mimicking these (and other) traits of Aspergers.

Whether one caused the other or they are totally separate is only relevant for understanding.  Because they both exist, both need to be treated.  I have found (in my case alone) that my social impairments have been somewhat helped by HRT treatment, though the other traits of Aspergers remains largely untouched.

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genderhell

#10
Quote from: Sharon Lynn on December 08, 2013, 07:55:51 AM
I'm inclined to say atm that they feed off of each other, though it could also be possible that they are totally separate.  The list of GID traits and Aspergers traits overlap at several points.

Having met a few AS-trans adults I can say that the severity of their autism varies, and their traits vary as well.

I met one AS-trans woman who could not make eye-contact, and was immensely uncomfortable with anyone being near her.

Another AS-trans woman was nearly normal, very social, and appeared to not even have a ASD.

Myself, an AS-mtf person, I have slight mental-processing/speech-enunciation problems. I have the ASD-trait of making few facial expressions my whole life which I have not seen in others.

The ASD-trans people on Wrong Planet are varied too in their traits.

These differences in traits would have to be considered in your thinking. If these conditions are related ("feeding off each other"), then why do they produce humans with different ASD traits? The trans condition appears to be constant person to person, whereas, ASD/AS varies person to person. Further, the different ASD traits appear to be rather severe to be caused by the trans condition.

How would the trans condition cause sensory problems in some, or one not to be able to walk straight, or cause trouble forming speech ? Further, it would seem that once the trans condition is corrected, then if one did feed off the other, then the other condition would be fixed too. As you state, this did not happen for you.

So, perhaps you are implying that perhaps the ASD condition may cause the trans condition ?

If so, then I assume you recognize the trans condition is not merely psychological , or do you ? As I posted above, there suggesting a cis-AS/ASD female perhaps could be "confused" into believing she is a trans-man would be an example of psychological causation of the trans condition by the AS/ASD condition. The link I posted even says that AS can cause "sense of identity" difficulty.

Let's assume you recognize the trans condition as something not psychological, then are you suggesting the ASD causes physical formation of the trans condition to happen in the brain ? So that the trans condition is just another ASD-trait caused by the AS/ASD condition?

I am not disagreeing with you. Just working through your thinking.

My feeling has always been that these conditions occur simultaneously, and are correlated by bad luck or bad genetics, however, it seems plausible that the trans condition could just be an ASD trait caused by ASD.

Thanks.

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invisibleme

I just joined and really needed this thread. I am an FTM person who also scores very high on adult Asperger's online screening tests (can't find a professional who could assess me as an adult, but I have struggled with this my entire life). That jpg someone posted? At least 90% true for me.

Anyway, I am really struggling because I hate being transgender and feel I may have made a mistake by transitioning. I already de-transitioned and re-transitioned once, though. Yes, I have been in therapy off and on for years. A big part of the problem is that I cant make and keep friends, so I really need support and cant really access it. Right now I'm feeling pretty hopeless about ever fitting into this world, my body, my relationship (which is currently complicated by my spouse entering transition), etc.

I do wonder how much of my struggle is about Asperger's. Maybe I am not even trans. I feel like I have ruined my life - and it isn't like I'm young. I am 36, yet I need way more support than my peers. I wish I could try again and not mess everything up.
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Sharon Lynn

Sorry for the slow reply, Microeconomics, Business Math, and Accounting have kept me tied up :)  As soon as I get a chance I'll get a reply typed up.  Finals week sucks :(
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Doctorwho?

I suppose the irony of this is that (at least from my observational point of view) IF, and I emphasise the word if, there is some degree of correlation between extreme masculinisation of the brain and Aspergers then MtF HRT and transition might actually improve things but FtM and testosterone could make it worse...

My reasoning is this, and bear in mind that I am not a sufferer from Aspergers, so this really is only observational...

My experience of HRT was that it enhanced my emotional connections and further reinforced my, admittedly already fairly well developed, empathic abilities.

If that effect was replicated in someone who previously struggled with understanding emotions I think it might lessen their difficulties so I have wondered if perhaps the reaching out for being female is an almost instinctive attempt to fix the perceived difficulty. The internal logic might go something like this "I am struggling with my emotional relationships with others, observationally women seem to have a closer emotional bond with each other than men, therefore if I was a woman I would have less difficulty..."

The interesting thing is I think estrogen does subtly alter the way your brain functions. I'm not one of those who support the "women are from venus and men are from mars" extreme theories, but I do perceive qualitative differences in perception, and approach, and so I think that is some mileage in the idea of hormonal moderation of thinking style - and that could have some clinical relevance.

As I say that is my theory and I would be really interested to hear from anyone if it makes any sort of sense to them?
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Sharon Lynn

Quote from: genderhell on December 08, 2013, 04:44:37 PM
Having met a few AS-trans adults I can say that the severity of their autism varies, and their traits vary as well.

Absolutely!  The severity of symptoms isn't in question, since it's obvious some people have very mild symptoms and it can be debilitating for others.  The parts that I am interested in are:

1) Are the symptoms of Aspergers exacerbated by GID
2) Are the symptoms of GID exacerbated by Aspergers
3) Are the two different diagnoses correlated somehow

Quote from: genderhell on December 08, 2013, 04:44:37 PM
If so, then I assume you recognize the trans condition is not merely psychological , or do you ?

No, I do not believe GID is merely psychological.  I'm working through this now, and there are definitely psychological symptoms, but the root is likely genetic.  In addition to myself, I have a son who is struggling with GID, a daughter I'll bet is mildly autistic, and now I've started looking at the family tree.  From what little information I have so far, I have an uncle (dad's youngest brother) that was extremely effeminately gay and seems to have had traits that would have pointed to Aspergers.  He died before I was a teenager, so it's a little touch and go trying to get information.  While I know one family does not make a solid study, it is difficult to dismiss as coincidental.

Quote from: genderhell on December 08, 2013, 04:44:37 PM

The trans condition appears to be constant person to person


I'm going to have to disagree here, though possibly only in semantics.  GID apparently differs in degree.  Some people handle it just fine simply by knowing and understanding it.  Some need low dose HRT to cope, some transition to another point in the gender spectrum.  Most of the time, only the latter group would be fit under the trans label.  And I am not being thorough for simplicity's sake; there are numerous other categories in the GID spectrum that could be listed.

Back to the theory I have.  I'm looking at this primarily through a social lens.  GID typically causes social anxiety and a feeling of being different and outcast.  Aspergers causes the same social reaction.  People with one of these two conditions typically have few friends and very little social life.  At early ages, it stands to reason that both groups would generally pull away from society and be "loners".  As they age, they usually find coping mechanisms that help them integrate into society at some level.

The three points I listed above come into play when these two conditions are comorbid.  It seems reasonable that, on the social level, GID symptoms and Asperger symptoms would exacerbate one another and cause social problems to become magnified.

But what about the aspie who is misdiagnosed (would OVER-diagnosed fit better here)?  If you take a look at that link, there is a striking resemblance between Asperger's and GID symptoms, especially in the appearance/ personal habits column.  A GID diagnosis here might be correct or incorrect; it would be difficult to tell.  Using HRT as a diagnostic tool (ethics aside) would probably reveal the truth given a little time.  GID very likely exists in some degree, but the level of GID would be tough to determine until the Aspergers symptoms are filtered out (something I'm not entirely sure is possible.)

The same sort of situation presents itself from the other side of the spectrum.  Since GID patients are typically loners in early life, intellectual studies are common.  This leads to higher intelligence (yes, I know, chicken and egg argument... does intelligence cause interest in intellectual pursuits or does intellectual pursuits lead to higher intelligence?  Something interesting to think about for another time).  It stands to reason that the GID patient would naturally exhibit traits both from the social, emotional, and intellectual columns.  Could this lead to an over-diagnosis of Aspergers as well?  Once again, the probability is quite high that some degree of aspie exists, but it is hard to figure out how much until the GID traits are filtered out.

And this is where I'm stuck, trying to find the point where they can be realistically sorted out and the degree of each could be determined.  HRT as a diagnostic tool sounds rather dubious from an ethical standpoint.  Aspergers has slightly different attributes between the male and female end of the spectrum, and perhaps that's a decent starting point.  But then we get back to the problem of different aspies manifesting their traits in different ways and in different degrees, so that approach is also problematic.
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Sharon Lynn

Doctorwho, you posted while I was typing and juggling the baby :)  Yup, makes logical sense, and although I can't speak for all aspies, that's gone through my mind many times before.  It's pretty typical of my short, sweet, and disturbingly logical thought processes.  Doesn't always make those thoughts true, I know, but it's how I think.  Oversimplification works miracles in technical work, but sometimes it has bitten me in the butt when dealing with life in general.
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invisibleme


Quote from: Doctorwho? on December 10, 2013, 06:50:36 AM
I suppose the irony of this is that (at least from my observational point of view) IF, and I emphasise the word if, there is some degree of correlation between extreme masculinisation of the brain and Aspergers then MtF HRT and transition might actually improve things but FtM and testosterone could make it worse...

My reasoning is this, and bear in mind that I am not a sufferer from Aspergers, so this really is only observational...

My experience of HRT was that it enhanced my emotional connections and further reinforced my, admittedly already fairly well developed, empathic abilities.

If that effect was replicated in someone who previously struggled with understanding emotions I think it might lessen their difficulties so I have wondered if perhaps the reaching out for being female is an almost instinctive attempt to fix the perceived difficulty. The internal logic might go something like this "I am struggling with my emotional relationships with others, observationally women seem to have a closer emotional bond with each other than men, therefore if I was a woman I would have less difficulty..."

The interesting thing is I think estrogen does subtly alter the way your brain functions. I'm not one of those who support the "women are from venus and men are from mars" extreme theories, but I do perceive qualitative differences in perception, and approach, and so I think that is some mileage in the idea of hormonal moderation of thinking style - and that could have some clinical relevance.

As I say that is my theory and I would be really interested to hear from anyone if it makes any sort of sense to them?

Hormones absolutely affect emotional response - for me, at least. Testosterone made it easier for me to simply pull away altogether. It has made it easier for me to shut down my desire to connect (not entirely) enough to become very isolated. When I do want to access emotions, I struggle.

Before testosterone, I was not only more emotional but also felt more able to connect emotionally even though I struggled to make and keep friends. I could not have imagined that it would be harder with testosterone on board, but it has been for me. Important to recognize that part of this is about how society expects men to not need support and I have no clue how to get my needs met in the face of this.
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genderhell

#17
Quote from: invisibleme on December 10, 2013, 12:27:22 AM
I do wonder how much of my struggle is about Asperger's. Maybe I am not even trans. I feel like I have ruined my life - and it isn't like I'm young. I am 36, yet I need way more support than my peers. I wish I could try again and not mess everything up.

please explain

It is very common for people to have AS and not be diagnosed. Some AS people can be very "high-functioning" and only appear "quirky". AS Females
are supposedly better at passing as normal than AS males.

Based on this ... http://en.wikipedia.org/wiki/Asperger_syndrome

Do you think you have AS? Why?

Would you say you have "difficulties in social interaction"?
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genderhell

#18
Quote from: Doctorwho? on December 10, 2013, 06:50:36 AM
I suppose the irony of this is that (at least from my observational point of view) IF, and I emphasise the word if, there is some degree of correlation between extreme masculinisation of the brain and Aspergers then MtF HRT and transition might actually improve things but FtM and testosterone could make it worse...

"Extreme Masculinization" is the headline , what is meant is that AS people tend to lose socializing/empathizing brain capability, and gain systemizing capability.

I have heard it stated many times that AS females can "pass" as normal easier than AS males, so it could be "worse" for a FTM I would think. As a MtF Trans woman my personality is submissive, and easy-going and I am partially brain damaged it feels like. It is easier for me to function in a workplace, and in society as a submissive, easy-going person. 

The male AS people in my family are unemployed, because they cannot function in the workplace. They seem confrontational to things. They won't be submissive to authority, to their bosses, to doing what they are told to do even if they think it is wrong. It is like they have an attitude, and they are going to do it their way and only their way. They moved away from people, and live alone now. It is often said on Wrong Planet that 80% of AS people are unemployed.
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genderhell

Quote from: Sharon Lynn on December 10, 2013, 07:45:02 AM
GID very likely exists in some degree, but the level of GID would be tough to determine until the Aspergers symptoms are filtered out (something I'm not entirely sure is possible.)

I wrote out a huge response and the accidentally deleted it. *Sigh*

I was wondering if you consider "GID" to "exist" after a person has corrected their hormones and their original personality can express itself?

Isn't it "GID" that is "filtered out" ?
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