Just saw my new psychiatrist, a bit disappointed...

Page 2 of 2 [ 20 posts ]  Go to page Previous  1, 2

composer777
Tufted Titmouse
Tufted Titmouse

User avatar

Joined: 7 May 2009
Age: 51
Gender: Male
Posts: 31

14 May 2009, 11:26 pm

Danielismyname wrote:
There's nothing you can do to help the problems that an ASD causes in regards to therapy in an adult, so he can't offer anything, except CBT for secondary anxiety. So in a way, even experts will do the same thing, other than offering you advice from what other people with an ASD have found helps, i.e., avoid places that hurt you due to over stimulation, try to plan things out beforehand if you haven't done such, don't bother trying to interact with most normal people (this latter one probably isn't a popular piece of advice, but it's one I've found to be extremely helpful).

MMPI won't be for an ASD; if you have an ASD, it'll show that you have Schizophrenia on said test. It'll pick up various other mental disorders if you have them (anxiety and mood disorders, but these can be secondary to an ASD too rather than a primary disorder).

I'm sure there's someone around you who can diagnose an ASD with a high level of accuracy; it's fairly easy with even the most basic of training in such (most generic psychics and psychos don't even have this).


Why can't they do anything to help adults? I'm already thinking of strategies that seem to be working for my anxiety, just by having insight into what my potential triggers might be. Tying ASD into CBT could be useful. Also, helping me learn how to interact better with others would be very useful. I have difficulty with basic tasks that a lot of adults find easy, like dealing with clutter, and organizing my life. It just seems like no one is concerned about providing these resources to adults, so we are left trying to figure things out on our own.

The thing is, I'm not disabled to the point that I can't manage my life. But, doing "normal" things comes with a ton of stress and anxiety. I have a high IQ, and am fairly intelligent, but have had a very hard time with the basics, like time management, organizational skills, social skills, not being a pack rat, handling change, etc. Learning not just how to manage the symptoms of anxiety through medication but also ways to organize my life in a way that reduces stress in the first place would help.

Unfortunately, all of the CBT I've tried has been oriented towards normal people. So, rather than seeing my anxiety as a "normal" ASD reaction, they've been treating the reaction as abnormal, but me as normal. Instead, what I need is someone that understands that my basic needs are abnormal, but the anxiety itself is actually a fairly normal reaction for people within the spectrum. It sounds like a small distinction, but I think it would have profound effects on approach to treatment. A lot of my stress is coming from the fact that I am missing skills that others take for granted. I need a therapist that can help me with that missing skill set.



composer777
Tufted Titmouse
Tufted Titmouse

User avatar

Joined: 7 May 2009
Age: 51
Gender: Male
Posts: 31

14 May 2009, 11:49 pm

EvoVari wrote:
composer777 wrote:
Sorry if I'm sounding agitated. I think I had too much caffeine today, and the drive out to see him took 2 hours (we're having major road work done, and so there is quite a bit of congestion). It was extremely stressful. Thanks for the support everyone.


Many of us have been through the same 'Merry go round'. I don't think there is a med I have not been prescribed and all give me adverse side effects.

There is a huge difference in CBT technique from my Clinical psychologist who specialises in Aspergers compared with your general psychologist. Mine has a white board to re-enforce strategies and therapy techniques. Uses many visual aides and her understanding of what I'm attempting to express about distressing behaviour is impressive. Usually I would get aggitated and stressed at not expressing my thoughts properly. I believe it is how she makes me understand my behaviour and thinking, never judges or critisizes, but suggest how others would view it and suggest solutions to diminish the negative reactions from people. She respects my input and comment during the consultation, there is no domination of the client.

Got double lucky with her, she specialises in relationship councelling and sex therapy. Saved my marriage and I could talk about sensative matters that have confused me since adolesence.

Just rambling here, but like I said don't give up and maybe you have to pay $400 for peace of mind.

Hope things work out for you soon.


Thank you. And to everyone else who has posted, you guys are awesome. What you are describing sounds like exactly what I am looking for, so there is hope that there are others out there who take into account PDD/AS problems and use that insight in combination with CBT. Thanks for the encouragement and listening to me vent.



Flismflop
Veteran
Veteran

User avatar

Joined: 16 Feb 2007
Age: 54
Gender: Male
Posts: 1,025
Location: DC metro area suburbs, USA.

15 May 2009, 12:10 am

List of service provider, organized by state:
http://www.aspergers.com/asplist.htm

Again, stay clear of the psychiatrists. Psychiatrists are not required to have learned any psychology. They're certainly not the best sources for help with the skills you want to improve.


_________________
Why be a label, be yourself and keep others guessing instead. - Dee_.


itsallrosie
Tufted Titmouse
Tufted Titmouse

User avatar

Joined: 25 Apr 2009
Age: 74
Gender: Female
Posts: 34
Location: Near Sydney, Australia

15 May 2009, 1:00 am

Because of our mixed abilities and masking we have gone unnoticed or misdiagnosed till 15 years ago. We have to accept it takes time to find suitable treatments as there is no medication and little expertise and treatment is mostly trial and error.

Without recognised treatments it's a difficult area to specialise in. I agree that they are mostly treating OCD, anxiety, depression and other co-morbids as that's all they are trained or experienced with.

If our brains are essentially different and the problems are hard wired then I wonder if any treatments will substantially work. Maybe it would be like trying to straighten someone who is gay. It just won't happen.

Publicity to inform the general public would help, after all, a reasonable person wouldn't expect someone with dyscalculia to solve a maths problem so why should we be expected to act in ways our brains won't allow? It's all about tolerance and acceptance in society and that may take a century in the same way that women have taken that long and still are often expected to act like men in the work force.

I don't have any answers but I do know that acceptance of where things are now would reduce anxiety as it's when we are not accepting that we meet resistance and emotional pain. And, hey, we can be the generation that informs the proffessionals what we need and how we wish to be treated. We can use our intelligence to write more books and magazine articles, make ourselves heard and pave the way for generations to come. Not just for autistics but for tolerance of any and all differences.

ADULT AUTISTIC RIGHTS - AUTISTIC ACCEPTANCE NOW

Phew, got that off my chest.


_________________
AQ=36 - aspie quiz = 139/64
I see myself as neurodiverse with monologuing, stimming, perseverance, obsessiveness, prosopagnosia, anxiety, dyspraxia, executive dysfunction, s-l-o-w-ness and frequent word finding lapses.