what you described in the following     even though we know we have a disorder  we can’t help but flagellate ourselves for not trying hard enough for inconveniencing others for disappointing people for being dim witted for being inappropriate for being too apathetic - for internalising other peoples sentiments  is interesting interesting as i was diagnosed in my late 20s yet felt and still feel all the things you described leads me to the thought that whether or not we have the insight diagnosis offers the belief we are innately flawed possibly manifests regardless     what you say holds very true after years of reinforcing these beliefs of yourself it creates a bias in your thinking that cant be seen as it is your thinking we base all our assumptions of ourselves and more critically assumptions of how others see us on it what starts as identifying our flaws naively grows into a destructive narrative     this has been and still is my biggest obstacle the vast majority of the time i have no idea i am doing it and changing it is a veerrrryy slow process