Love Dialogos

If you have had the pleasure of watching terrible cinema such as Highlander, you know the line that applies to AuDHD: "there can be only one." When both neurotypes are present, autism tends to set the terms. Autism is the more rigid of the two, and in AuDHD people it shapes how the ADHD presents, so the ADHD often looks different than it does on its own. Brain imaging gives a way to see why.

A woman in her late thirties brings me a printout. She has taken an online camouflaging questionnaire, scored 138, and read on a forum that anything over 100 means autistic. She has spent three weeks reorganizing her understanding of her entire life around that number, and she wants to know what I think. What I think is that the number is real and the reading of it is not, and that the conversation we are about to have will be more useful than either of those.

Gender & Identity A plain-language comparison of WPATH Standards of Care versions 7 and 8: assessment requirements, the real-life experience rule, new chapters, and what it means for access. M Mx. Love C. Dialogos, LMFT Monday, September 14, 2026•6 min read Listen to this post The short version. SOC-8 replaced a permission structure with an assessment structure. SOC-7 asked what you had to complete before you qualified. SOC-8 asks what a competent assessment establishes and who is competent to do it.