{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Actually ADHD | Medication Strategies & Clinical Wisdom","title":"High Masking Autism: The Most Misunderstood Psychiatric Diagnosis","html":"","width":"100%","height":180,"duration":1128,"description":"Autism spectrum disorder is the diagnosis Jonathan Murphy, PMHNP-BC, sees the most confusion around — from patients and clinicians both. People get evaluated, spend a lot of money, and come back without much.\nThis is what he actually looks for, and what high masking autism looks like from the chair.\nIf you're a late diagnosed adult, or you've wondered whether you're autistic and the evaluation didn't give you an answer, this one is for you.\nThis episode covers:\n▸ Why a diagnosis only has to be documented when you need to access something outside the appointment\n ▸ Autism as one of the rare psychiatric diagnoses where people feel better just by knowing\n ▸ High masking autism vs. autism spectrum disorder, and why it's about observable signs rather than function\n ▸ Monotonous tone and speech patterns as an early cue, and why it isn't required for diagnosis\n ▸ Sensory sensitivity and difficulty processing multiple inputs at baseline\n ▸ Concrete logical thought sitting on top of and taking precedence over other senses\n ▸ Why typical neurodevelopment includes a felt social sense that doesn't require thinking\n ▸ Concrete communication, taking people at face value, and vulnerability to manipulation\n ▸ The mismatch between deeply felt emotion and limited external expression\n ▸ Developmental Reinforcement Theory and the eight survival modes\n ▸ The Strategist as the most common mode on the spectrum, and how it leads to shutdown\n ▸ The Operator, avoidant cohesion at the periphery, and the path toward OCPD\n ▸ The General, agitation as protection, and why you can't tell you're dysregulated when you're stuck in your head\n ▸ Regulate before you navigate\n ▸ Staying in the job, the marriage, the boiling water, and where meltdowns come from\n ▸ Why attachment is different from autism, and why autism explains the attachment pattern\n ▸ Autism and bipolar, and what that co-occurrence usually reflects\n ▸ What a narcissistic parent does to someone on the spectrum\n ▸ Social skills...","thumbnail_url":"https://img.transistorcdn.com/TQ0cdwY1LDRCErv0owrNaxd6zJJuqtQCa3NYWW3JqR4/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8yY2Vj/MzI1NGM3NGJkMzhm/YTFhNGUzZWMzMjg3/NTQ5MS5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}