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An Aspie’s Guide to
Disclosing
Diagnosis
This eBook originally appeared as a chapter in
Been There. Done That. Try This!
An Aspie’s Guide to Life on Earth.
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Contents
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under U.S. or applicable copyright law.
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Preface from
Been There. Done That. Try This!
Craig R. Evans
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
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Preface
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
Anita Lesko
I went the first 50 years of my life with Asperger’s
syndrome. Only I didn’t know it! I heard of it two years
ago from a co-worker whose son just got diagnosed with
Asperger’s. I stood in shock as I read all the signs and
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Preface
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
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Preface
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
REFERENCES
Attwood, T. (2008) The Complete Guide to Asperger’s Syndrome.
London: Jessica Kingsley Publishers.
Grandin, T. (2012) Different…Not Less: Inspiring Stories of
Achievement and Successful Employment from Adults with Autism,
Asperger’s and ADHD. Arlington, TX: Future Horizons.
Lesko, A. (2011) Asperger’s Syndrome: When Life Hands You Lemons,
Make Lemonade. iUniverse.
under U.S. or applicable copyright law.
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79%
73%
* Please see “The 17 Stressors” at the end of this eBook to put this research
in context.
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
Richard Maguire
Q. How do you make sure a bad employer or prejudiced
people do not make your life unhappy because of your
autism?
A. Tell them about your autism.
It has been my experience that disclosing my autism has
been an effective way of filtering bad people and jobs out
of my life. On the other hand, when people are okay about
my autism they are okay about me. They are people with
good attitudes to life and people.
I have only been disclosing to people routinely for the
past three years and I must say it has been good for me.
Some people who thought I was being rude, offhand or
just not trying socially have had a proper explanation of
the way I live. Some people have said to me that they now
see me in a better light. They like me, the way I behave
and communicate. They used to struggle with me and
wonder what I was really like. Some people said I was an
under U.S. or applicable copyright law.
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Aspie Mentors’ Advice on Disclosing a Diagnosis
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this is disclosing and finding out who really does like you.
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Aspie Mentors’ Advice on Disclosing a Diagnosis
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
movement.
Henny Kupferstein
Disclosure is a personal journey, involving different
bumps in the road for everyone. It all depends on the
circumstances. Disclosure at college was an absolute
necessity. In order for me to receive accommodations,
I had to file my paperwork with the disabilities office.
When I disclose, I usually get a few different types of
responses. Most often, the person will immediately begin
talking very slowly to me. Yes, that used to infuriate me,
but I now understand that they are clueless, and not
evil. The other type of response is usually a complete
disregarding of what I have just said, merely because they
don’t know what to do with that information. At times, I
still get the shocked gasp, “What? You?! Shut up!” Thanks
to the media and advocacy from many individuals, that is
no longer happening as often. Last but not least, there is
always that person who will respond, “Oh, my nephew has
that, and he’s really cool.” And then we’re good. Those are
the lasting friendships that I usually make.
Disclosure took a long time for me, and I could not
do it. I could not say the A words for two years (neither
Asperger’s nor autism). I just couldn’t. I couldn’t say the
word “disability” for three years. I struggled terribly to
be understood, but then got upset and frustrated when I
wasn’t. I didn’t understand that I should place the blame
under U.S. or applicable copyright law.
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Aspie Mentors’ Advice on Disclosing a Diagnosis
Dr. Know
I’m contributing anonymously (although Craig R. Evans
and Dr. Tony Attwood know my identity). This in itself is
a statement on my opinions about disclosure.
I have only disclosed information about me to a small
group of people that I believed would:
• inform no one else about me
• view the information in a positive way
• obtain some net benefit from the information.
Disclosure is a complex issue and (like most things)
depends a lot on individual circumstances. There are very
few people that I think have the “right to know.” In cases
where the diagnosis is known by parents or caretakers,
this includes first and foremost the individual. In cases
under U.S. or applicable copyright law.
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WORK
Disclosure of a diagnosis of autism entails sharing personal
information to your supervisor or the Human Resources
department to request a reasonable accommodation.
Learning how to ask, in different ways, is important
and needs to be practiced. You do not need to tell every
aspect of your autism, only what applies in a particular
under U.S. or applicable copyright law.
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
COMMUNITY
When the pharmacist announces a prescription is ready at
the Walgreens drug store, I startle because the audio is too
loud. If I am at the checkout counter and need to protect
my ears, I may say to the cashier, “Sorry for the delay,
the speaker is too loud.” If a similar incident happens in
another setting, such as a restaurant, I may disclose to
the waitperson or host, “I have sensitive hearing, and the
under U.S. or applicable copyright law.
SCHOOL
School personnel can help you write your Individual
Education Plan (IEP). Make sure to arrive at your IEP
session ready to articulate the stressors in the classroom
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Aspie Mentors’ Advice on Disclosing a Diagnosis
Mary Robison
Since about a year ago, when I decided that being on the
spectrum isn’t the worst thing in my life, I’ve been pretty
upfront about it. It is a part of me. I refuse to be embarrassed
about it any more than I would be embarrassed about
being female or left-handed.
The first time I told people that I was on the spectrum
was as a panelist, in front of a large crowd and videotaped
(the video is available on YouTube). I was shaking, literally,
under U.S. or applicable copyright law.
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so. The type of job I was looking for would determine how
forthright I would be. In personal relationships, it shouldn’t
make a difference whether or not you are on the spectrum.
Good relationships require effective communication, and
since the spectrum inhibits good communication for you,
explaining to your partner that you need additional cues is
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Aspie Mentors’ Advice on Disclosing a Diagnosis
very important. But ASD doesn’t excuse you when you act
Copyright © 2014. Jessica Kingsley Publishers. All rights reserved. May not be reproduced in any form without permission from the publisher, except fair uses permitted
Anita Lesko
Anyone with Asperger’s syndrome wonders when and if
they should disclose this fact. Unfortunately, our society
has yet to grasp what Asperger’s really is, even more so
since the Newtown shooting by Adam Lanza. The media
chose very irresponsible reporting on that event. They all
began linking Asperger’s syndrome to the killer mind.
Nothing could be farther from the truth. This, of course,
shed a dark shadow over people with Asperger’s. This may
perhaps make many of us even more cautious to disclose.
Regarding work-related issues, I think it’s best not to
disclose during a job interview. Simply put, you risk not
getting hired. If you are qualified to do a job, that’s what
you are applying for. There is no reason to disclose at that
time.
Once hired and working, there may come a time you
need to disclose. That is when having a formal diagnosis
comes in handy. You will have a letter from a psychologist
to present to your employer. This conversation needs to be
done in private.
Be prepared when you talk with your supervisor.
Have printed materials to present to them, and point out
your positive aspects: extreme focus, loyalty, and so on.
Encourage them to ask you questions. State that Asperger’s
syndrome is on the Autism Spectrum, and is covered by
under U.S. or applicable copyright law.
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
Karen Krejcha
In the computer security world, full disclosure requires
that complete details of any vulnerability in the computer
systems are disclosed to the public, including how to
detect and exploit them. Fortunately, we don’t need to
give that kind of “full disclosure” when we talk about our
spectrum diagnosis. Fear of rejection is bad enough. No
one should be exploited.
The truth is, when you disclose your diagnosis,
your experiences vary. Sometimes it goes very well and
relationships improve. Occasionally a relationship ends
abruptly. Often there are gradual changes.
under U.S. or applicable copyright law.
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Aspie Mentors’ Advice on Disclosing a Diagnosis
acceptance of you.
2. Practice disclosure in advance. Write it out. Read
it aloud. Did you convey what you intended? Too
much information? Not enough? If so, edit and
try again, noting that the content and amount of
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
situation.
3. Role-play your disclosure. I recommend doing
this with both an Aspie and a neurotypical. Do
this separately. Have each person react to you in
different ways, sometimes positive, sometimes
negative.
4. Timing is very important. Never disclose during
an argument. Be aware of the health and mood of
the people with whom you want to disclose your
diagnosis. (Easier said than done, right?) Pick a
neutral or positive time.
5. Give others time to process their thoughts and
feelings. Their initial reaction may not be long term,
so respond to questions and keep communication
open. Since no two people on the Autism Spectrum
are the same, the person you disclose to may be
confused and not really understand what your
version of being an Aspie looks like. This is where
role-playing possible scenarios in advance is very
useful.
6. Do you have someone you want to disclose to in a
more casual way? I like sharing Dude, I’m an Aspie
by Matt Friedman and All Cats Have Asperger’s
Syndrome by Kathy Hoopmann.
7. After disclosing, realize that no matter the result,
under U.S. or applicable copyright law.
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Aspie Mentors’ Advice on Disclosing a Diagnosis
REFERENCES
Friedman, M. (2012) Dude, I’m an Aspie: Thoughts and Illustrations
on Living with Asperger’s Syndrome. Raleigh, NC: Lulu Press,
Inc.
Hoopmann, K. (2006) All Cats Have Asperger’s Syndrome. London:
Jessica Kingsley Publishers.
under U.S. or applicable copyright law.
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their thoughts of you and when talking about you with other
people.
The second option is to provide an explanation, but not
to use an ‘A’ word such as Asperger’s syndrome or autism.
The explanation can be in terms of personality rather
than a diagnosis, so that you say, “I am the sort of person
who…” For example, where there may be confusion over
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Dr. Tony Attwood’s Advice on Disclosing a Diagnosis
the sort of person who tends to look away when you are
talking. It helps me concentrate on what you are saying.”
Other examples might be, “I am the sort of person who is
very enthusiastic about [insert special interest] and am not
very good at reading the signs that someone is bored. If
you are bored, please let me know and we can change
the subject.” Or, “I am the sort of person who sometimes
says something that could cause embarrassment. If I have
made you embarrassed, I am so sorry. I am trying to
stop doing this. Can you be compassionate and help me
overcome this problem?”
The strategy is to consider those characteristics of
ASD that could be uncomfortable for, or misinterpreted
by, neurotypicals. Without a satisfactory explanation they
will assume a “moral” diagnosis, such as your being
rude, self-centred or thoughtless. With guidance from
family members and friends, you can create a spoken
explanation that satisfies the neurotypical and prevents the
development of a negative perception of you.
The third option is to explain openly to a neurotypical
that you have an ASD. This is the bravest and perhaps
the wisest option. This option would really be reserved for
those who need to know of the diagnosis, and should be
undertaken with great care. You will need to decide when
and how to make the disclosure. During the disclosure, it
may help to refer to literature on ASD for neurotypicals,
and the Aspie mentors in this chapter have made their
recommendations of books they have found informative
and illuminating for neurotypicals.
under U.S. or applicable copyright law.
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RECOMMENDED READING
Murray, D. (2005) Coming Out Asperger: Diagnosis, Disclosure and
Self-Confidence. London: Jessica Kingsley Publishers.
under U.S. or applicable copyright law.
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Painting: Freedom
Artist: Nekea (Kea) Blagoev
Artist’s Commentary: A cruel tree is restricting my thought,
a dark negative vein growing and expanding in the mind.
A line bleeds and spreads into the mind, but I have a fight
and that’s when it becomes light and a little brighter to
see, and I become free to just be me.
under U.S. or applicable copyright law.
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Dr. Know
Year of birth: Withheld
Country where I am currently living:
Somewhere in Europe
Favorite part about being Asperger’s/
HFA: I would rather think about the favorite part of being
myself. I like being who I am. I guess I am particularly
fond of my high intelligence.
Least favorite part about being Asperger’s/HFA: I would
rather think about the least favorite part of being myself.
under U.S. or applicable copyright law.
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About the Aspie Mentors
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Mary Robison
Year of birth: 1957
Country where I am currently living: USA
Favorite part about being Asperger’s/
HFA: Being able to concentrate with one
single purpose for hours or days on end.
Least favorite part about being Asperger’s/HFA: Being
able to concentrate for hours or days on end and forgetting
to eat or sleep as a result!
Last completed level of education: Ph.D.
Current job: I have several. I am an adjunct professor, a
tutor, the president of my electronics business, and I’m a
writer.
One line of advice I would give to someone with
Asperger’s/HFA: Persevere! Don’t give up just because
the world doesn’t understand you. Go out, find your niche,
and thrive.
One line of advice I would like the world to know about
Asperger’s/HFA: We’ve always been here and we are the
creators of everything that makes your lives easier—all we
ask is tolerance.
under U.S. or applicable copyright law.
Henny Kupferstein
Year of birth: 1977
Country where I am currently living: USA
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Richard Maguire
Year of birth: 1966
Country where I am currently living:
United Kingdom
Favorite part about being Asperger’s/
HFA: It’s an adventure, fun being different and being an
original thinker.
under U.S. or applicable copyright law.
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AN ASPIE’S GUIDE TO DISCLOSING A DIAGNOSIS
autistic person.
One line of advice I would give to someone with
Asperger’s/HFA: Learn to enjoy being Asperger’s, take
control of your life and make your own luck.
One line of advice I would like the world to know about
Asperger’s/HFA: We are lively, emotional, feeling people;
please become still enough to hear us. We are good to
have around and have much to share.
Anita Lesko
Year of birth: 1959
Country where I am currently living: USA
Favorite part about being Asperger’s/
HFA: Diversity and my “laser focus.”
Thanks to my Aspergian gifts, my life has included:
administering anesthesia; jumping horses over six-foot-
high fences in competition; ice dancing; becoming an
internationally published military aviation photojournalist;
learning to fly a helicopter; writing my autobiography—
Asperger’s Syndrome: When Life Hands You Lemons, Make
Lemonade—in two weeks by writing 16 hours each day;
heading the development of a hippotherapy center at
the world’s largest Snoezelen complex; and starting the
Flying High with Autism Foundation.
under U.S. or applicable copyright law.
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About the Aspie Mentors
Karen Krejcha
Year of birth: 1967
Country where I am currently living: USA
Favorite part about being Asperger’s/
HFA: Better understanding of my
neurological wiring has helped me with acceptance and
under U.S. or applicable copyright law.
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Contributing Artists
Nekea Blagoev, Australia (www.getsmashedart.com)
Michael Tolleson, USA (www.artofmichaeltolleson.com)
under U.S. or applicable copyright law.
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Copyright © 2014. Jessica Kingsley Publishers. All rights reserved. May not be reproduced in any form without permission from the publisher, except fair uses permitted
Tony Attwood
Tony Attwood, PhD, is a clinical
psychologist from Brisbane, Australia, with
over 30 years of experience with individuals
with autism spectrum disorders. He is
currently Associate Professor at Griffith
University in Queensland. He is the best-selling author of
The Complete Guide to Asperger’s Syndrome and Asperger’s
Syndrome: A Guide for Parents and Professionals. Dr. Tony
Attwood’s website can be visited at www.tonyattwood.
com.au
Craig R. Evans
Craig R. Evans is stepfather to his stepson
Nolan who has Asperger’s syndrome. He
founded Autism Hangout in 2008, an
online discussion forum that reported news,
under U.S. or applicable copyright law.
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Anita Lesko
Copyright © 2014. Jessica Kingsley Publishers. All rights reserved. May not be reproduced in any form without permission from the publisher, except fair uses permitted
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THE 17 STRESSORS
*
Ranking of issue by stress caused Percent of respondents living with issue
*Based on proprietary research conducted by Craig R. Evans in 2012–2013. See Appendix for more information.
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For all the Aspie mentor wisdom in one place,
Copyright © 2014. Jessica Kingsley Publishers. All rights reserved. May not be reproduced in any form without permission from the publisher, except fair uses permitted
read…
Been There. Done
That. Try This!
An Aspie’s Guide
to Life on Earth
Edited by Tony Attwood,
Craig R. Evans
and Anita Lesko
ISBN 978 1 84905 964 0
eISBN 978 0 85700 871 8
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WIEN
AN: 936090 ; Attwood, Anthony, Evans, Craig R., Lesko, Anita.; An Aspie’s Guide to Disclosing a
Diagnosis : Been There. Done That. Try This!
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