Autism = Intellectual Disability??

I’m a 20 year old woman and I recently saw a resident at a pretty prominent Adult Psychiatry clinic in my area. I was weary about seeing a resident, but thought perhaps I was being disrespectful; obviously this person is incredibly more knowledgeable than I am. He was very respectful and engaging, however an off-handed comment he made concerned me. I am currently in the process of finding a reputable place to be evaluated for autism, as in recent years autism in women has been looked into further. After about 3 years of consideration, talking with my loved ones and especially my mom, I have decided to have an autism evaluation. I don’t necessarily care for labels, but I’m mostly looking for better access to student disability services at my college. I’ve had therapists in the past tell me it may be beneficial to be tested as they believed I met the criteria for Autism Spectrum Disorder. I have also been “treated” in therapy as if I had the diagnosis for about two years, as my therapist helps me with my socialization skills and anxieties, as well as not “masking” my personality to appease those anxieties. I made a quick remark about this during my appointment, and unfortunately was immediately dismissed; I was basically interrupted. The resident told me, verbatim, “Autism usually comes with some sort of intellectual disorder, and you seem pretty bright, so I would be hard-pressed to say you are autistic.” Initially, I was slightly offended because I felt invalidated. However, who am I to say he is wrong? I’m a second year psychology major, I’m still memorizing different types of validity in research! I don’t have anyone in the psychiatric field to ask about this in real life, so here I am. I am planning on speaking to my therapist about it but I am impatient and want more opinions on the matter. Thank you for reading if you’ve made it this far! I apologize for the length but I wanted to be very specific to avoid any possible confusion.

TLDR: During my first psychiatry appointment, the resident treating me said, “Autism usually comes with some sort of intellectual disorder, and you seem pretty bright, so I would be hard-pressed to say you are autistic.” Is this correct? Should I mention this to the doctor he is working with? I’m at a loss and feel a bit bad for thinking negatively of the interaction.

Posted Jan 30, 2026, 5:12 AM UTC

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