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ASD & schizotypal- overlap and differences?



Well-known member
Mar 23, 2009
At my last meeting with the Nurse practitioner at my old address she mentioned autism in relation to things I told her and gave me a sheet about a local autism charity. However she also said that things might be explained by schizotypal.

I am wondering what people think about the overlap and differences between ASD and schizotypal. How many have gone in for an ASD assessment to be told they are schizotypal? How many are seen as being both ASD and schizotypal ?


New member
Nov 12, 2017
In my experience there is a lot of overlap in symptoms between schizotypal and ASD. When I was originally diagnosed (as an adult) my official main diagnosis was schizotypal, but I also registered high enough on the ASD testing they gave me to be diagnosed with ASD. However, the psychologist and psychiatrist that were both doing and evaluating the testing decided that although I was obviously somewhere on the spectrum, the majority of my symptoms were caused by schizotypal so they did not give me an "official" ASD diagnosis.

My current therapist (who is extremely experienced and an actual psychologist as opposed to a licensed counselor type) picked up on the ASD without me even telling him the above information. He also agreed that there is a lot of overlap so it is difficult to separate the two.

Finally, in my own personal opinion, it is important to remember that diagnoses are simply a method of categorizing clusters of symptoms for classification. Whether you're diagnosed with ASD, schizotypal, or anything else doesn't ultimately really matter - what matters is the specific symptoms that are causing problems for you and finding ways to live with or mitigate those symptoms.