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Recently I encountered a problem while collaborating with a group therapist with whom I share a patient.My patient has progressed quickly in therapy, as do many adults on the spectrum. It took a few sessions to realize this fine gentleman suffered mightly with the symtoms of Asperger Syndrome, which he kept well managed and thoroughly hidden.Yet they feel shut out, left pining for connection with this special person who remains unreachable.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.
He never misses a deadline at work, yet cannot remember to give our dog his heart medication.
Partners of people on the spectrum are drawn to what they can sense is inside their partner.
He seemed quietly confident and wry, intelligent and perceptive.
People responded well to him, really liked him, though probably none of them would describe him as a close friend.
His difficulty managing his thoughts made rudimentary conversations minefields to be navigated.
And navigate he did, dodging social errors with the same fright and determination one might actually dodge mines. He truly did not fit the criteria for Asperger Syndrome.