Autism assessment

Officially Autistic: Awareness vs Acceptance

~ gypsy116toast2001 ~ Leave a comment

A few days ago, on autism acceptance day (though I did not realize this until after the fact), I became officially autistic. Of course that’s not true, I was already autistic. I have always been autistic but that is how it felt. I feel like I no longer have the need to qualify the fact that I am autistic with “self diagnosed at this point…”, as if self diagnosis isn’t valid. Unfortunately though, to many it isn’t valid and even though I’ve known… I have known that I am autistic for quite some time now, claiming it felt disingenuous. Imposter syndrome is real y’all.

So…on autism acceptance day, I had my formal autism assessment and became formally autistic and now no one will ever have cause to doubt my autisticness, right? If only that were truly the case.

I will not receive my actual report for another week or so but the psychologist did tell me her thoughts on my diagnosis… C-PTSD, Autism, and ADHD. She also mentioned dissociation, alexithymia and giftedness. When my mom asked what the psychologist had said, that is what I told her… C-PTSD, autism, ADHD… And my mom said ” you don’t have any of those”. The following day when I asked my dad if Mom had told him that both my son and I had received an autism diagnosis, he replied “yeah, she said you said that” and walked out of the room. So, yeah, there’s that.

Being that April is autism month, I’ve seen so much debate over whether that should be qualified with awareness or acceptance, i.e. autism acceptance month or autism awareness month. I agree that acceptance is important. Awareness speaks of just that, an awareness that we exist, while acceptance speaks to accomodation, it speaks to change, it speaks to the possibility of inclusion, the possibility of healing but…. As much as acceptance is needed, we, as a society aren’t ready to drop the need for awareness just yet.

It isn’t that my parents (and most people including countless doctors and even professionals supposedly qualified to diagnose autism) think that I’m (and so many others are) not autistic because they’re just being assholes (although, I am aware that that can be a problem with some people too). They aren’t able to believe me because of a fundamental societal misunderstanding about what autism is and the myriad ways that it can present. This is a problem of lack of accurate information and education.

I want to say that it’s amazing that it took 44 years for me to receive an accurate diagnosis. I want to say that my differences have been apparent my entire life and it’s amazing that I went under the radar for so long. The truth is though, it isn’t amazing and I didn’t go under the radar. Instead, I collected mental health diagnoses like clothing that didn’t quite fit, that sat as clutter in the closet of my mind.

I’ve been viewed as sick and broken my entire life, so… I lived as if I were sick and broken and in need of fixing. Try to fix myself, I did. I dedicated my life to fixing myself. I suppressed all of the parts of myself that were natural and easy and authentic. All of the parts that I like about myself. The parts that make me me. All in the name of fixing myself. I fixed myself until my self was completely gone and all that was left was actual sickness, brokenness. This is why I’ll argue that both awareness and acceptance are equally important. Without awareness, there can be no acceptance. Unfortunately, as a society we are woefully unaware.

Congratulations, he’s autistic… You wanted support? There is none

~ gypsy116toast2001 ~ Leave a comment

Last night, I dreamt that I had breast cancer. The message in this dream was very clear and the same message I have received in various forms over the past few years. I need to focus my time and energy on myself, on the things that regulate me, if I am to survive. I’m order to do that, I need more support.

This past week, after searching for almost two years, my son finally had his autism assessment. In case you are not aware, it is ridiculously difficult to find a professional capable of accurately diagnosing autism if you don’t fit the current stereotypes, i.e. you can make eye contact, are empathetic, or “too” social…PDA adults and children are notoriously hard to diagnose.

The assessment itself went well. The psychologist spent the majority of the time talking to me, asking me questions. The rest was spent asking my son questions while she watched him play. While the whole thing was dysregulating for my son, he did really well and was able to engage as needed.

I won’t receive the report for the assessment until I’ve fully paid for said assessment (a few months) but the psychologist indicated that she agreed with my evaluation of my son, that he is autistic with a PDA profile. She then began a bit of an explanation of the report that I will receive and asked a few questions about my indicating that I was hoping for recommendations for support.

On one of the forms that I had filled out prior to the assessment, I explained that I was looking for recommendations for therapists that are able to work with PDA children. Due to the nature of the PDA nervous system, most therapies recommended for autistic children are not appropriate for a PDAer, they only make things worse as they threaten the child’s autonomy. I’m in need of support. Are there ways that I can better support my son with eating? Potty training? And possibly more importantly, if the information about how to best accommodate my son is coming from a professional and not myself, I feel it will be better received by the other adults in my household and that would hopefully lead to more support for both my son and myself.

The response from the psychologist? I’m sorry, I know this is not what you want to hear but there really isn’t any support. There aren’t any local therapists that are able to work with a PDA child in an appropriate and Neurodiversity affirming manner. She said that she will double check with her boss but…😬🤷 Her recommendation was to find a good therapist for myself (have one) and join online support groups (already joined). I don’t think I even need to explain how fucked up this is. So, not only am I not receiving enough support in my personal life… Everyone who supports me is tapped out themselves, they need more support. But also, there is no support available on a professional level?

This blog is not incomplete because I don’t have the desire to work on it. It has been under construction for over two years because I lack the time and energy. Between my illness and my son, there is nothing left. Even as I write this now, I’m sitting in the bath tub, stealing time from my very important for my healing meditation routine. If we aren’t able to look to the so called experts for help with our children’s (or our own) disabilities, where are we meant to turn? If society is set up in a way that drains us all so that we are not able to support each other, what then?

My hope is that with spring and summer coming, and my son’s love of gardening, I will soon have more space and time. But what about when winter rolls around again? This is not sustainable. Not for myself and not for so many others. What are your opinions? How can we form community that allows for mutual support? What ways are we able to lessen the load on ourselves and others as is? As always, comment below.