It should definitely be taken in count. I have had problems with AS and psychiatrists just because neither them or I recognized we had an issue communicating with each other. Since then I have grown mentally.

I used not to know that I was supposed to take the patient role. It was always seen as me trying to challenge the doctor and her knowledge or whatnot. I just wasn't yet aware I was making a mistake socially and according to them we are not equals. I have then learned to pretend I'm not their equal and things are going much better. It would have been good if they had adapted to me as well and realizing I don't get the social gameplay instead of thinking I'm mean and trying to hurt them in their profession or something.