I'm currently in therapy (and have been for years) for a couple anxiety disorders and depression, which have severely impeded my ability to function for over a decade. My therapist is amazing, and I have no doubt that my current diagnoses are accurate. However, for the past year or two I've spent increasing amounts of time wondering if it's possible that I'm also autistic, and if I have some form of ADHD in addition to my other disorders. (I can try to list some of the reasons I think so if that would help, but I wanted to keep this post brief because I know from experience that I'll probably never finish writing it if I don't. In short, though, writing about autism and ADHD more often than not sounds to me like it's talking about my own experiences, to the point where it feels like the world makes more sense if I assume it is about me, I've had multiple "wait, this isn't just me? there's a name for this thing?" moments reading posts like that, and I regularly find advice for autistic people and for dealing with ADHD helpful and applicable to my life.) I want to bring this up to my therapist, but the thought of doing so makes me feel very self-conscious. I feel like I would look stupid suggesting to a professional who's worked with me for years and knows about my issues in great detail that I know better than them; it really does look likely from where I sit, but it also seems implausible to me that a therapist who knows me so well wouldn't have already suggested autism and/or ADHD if I had it. I'm also not sure I have a good reason to want a diagnosis for either of these things even if I could get one, because I don't have a clear idea of what if any practical difference having a diagnosis would actually make. And I'm worried I would come across as having bad priorities, like I'm more focused on hunting around for a shiny new diagnosis on the internet than on actually fixing the problems I already know I have. So the questions I'm looking for advice on are: What purpose does a diagnosis serve? If I do actually have autism or ADHD, is there any reason I'd want or need an official diagnosis for it in addition to the diagnoses I already have? Is this kind of thing worth raising with a therapist? I'm know that the sheer degree of anxiety I feel about bringing it up is irrational, but I could use a reality check on whether my concerns that it's not a good priority are accurate. If yes, how do I bring this up with my therapist? If anyone has experience doing this or knows a good way to go about it, I'd greatly appreciate advice.