New OCD and ASD Dx

Hi

I am an infrequent visitor here. I try to give back where I can, but I feel all take. So, sorry

Tuesday, I finally had first psychiatrist appointment in several years

My case manager had done a great job with filling him in beforehand

He asked me a few questions. Asked if any additional diagnosis had ever been added to schizoaffective disorder

I didn't think much of the questions

He got me to confirm that I generally refuse to discuss sleep etc with case manager. That I am 42, single, no kids, 1 GF in all that time in early 20s

He asked me if anyone had ever mentioned autism. And I said no. He asked if I had ever wondered. And I said only with having so much in common with my nephew

So I have to do a scale test. To help them guide how to deal with me. I have been reading a little. And "Meltdowns" happen. Especially being lectured by health professionals about sleep hygiene and social support

Then, he said we'd discuss the issue with intrusive thoughts, and said "You've been sending people emails" and I said yes. Explained that it helps quell the violent thoughts

He explained OCD in general terms. Then said that the grumpy old man letters were my compulsion to quell the thoughts

It's a lot to get my head around. The appointment lasted over an hour

We discussed some medication options. Which will come later

I am happy to have some answers. It helps. But also raises more questions