### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
As I have gotten older I have noticed people treating me like I am slow.I admit I have trouble understanding things and am clumbsy.I have suddenly realized this while at the dentist office the other day and the dentist asked me if I make big decisions by myself or is someone helps me.Things have been getting harder to do and I feel different or perhaps I have always been this way and never thought about it.Mabey because I am an adult and 38 years old now but it feels as if my brain has not grown with my body.I still have interests that a kid would have such as playing with toys and playing games and adult type activities do no interest me.I sometimes forget peoples names and what day or date it is.I have not had any head injuries..Some people have asked me if I had aspergers and I had to look up the word online.The description describes me a lot.In school I was labled as developmentally delayed.My IQ when tested in jr high was 141 yet I can t understand some simple things.My mobility is getting worse and it s harder to get around.More then one person has asked me about my tremors.These tremors cause me to spill whatever I am drinking in my hand or cause jerky sudden movements.I do not how to go about this.Should I go see my primary care doctor about this or see a psychiatrist about this?

### output:

Hi and thank you so much for this query. I am so sorry to hear about these troubling symptoms and difficulties that you have described. I will suggest that you see your primary doctor for a more detailed interrogation, review of medical records and a complete physical exam. Depending son findings, he may want to do some more test that would offer more information. With is supplemental information, he would be able to tell whether you need specialist attention if beyond his scope or not. If you do, he would coordinate you care and referral as you may often need more than one specialist to get your condition well evaluated and managed. For sure, you would most likely need to get consulted by a neurologist and a psychiatrist to help map out what is the problem. I hope you find this helpful and it ad Chat Doctor.  Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health.