My family was extremely poor when I was growing up.
One time I broke my arm at the elementary school playground and my dad refused to take me to the hospital because we "couldn't afford it." He sat me at the kitchen table and got my sister, who was left-handed, to try and teach me how to write with my left hand "while it healed." After 2 days my mom eventually just said fuck it and took me and almost left him over this.
Taking me to a psychologist for any reason at all is not something that was anywhere in our universe. I have zero doubt that I am severely autistic though, almost stereotypically so, all the signs were there, especially as a child.