Aspies For Freedom

Full Version: Anyone willing to help out a professional in training?
You're currently viewing a stripped down version of our content. View the full version with proper formatting.

jos111 Wrote:
Second, I sense some distrust in your statement regarding professionals (correct me if I am wrong). This is what I am ultimately trying to understand. I work with a number of professionals who are knowledgeable about ASDs and are willing to put their knowledge aside and follow the client's lead when they are having obvious difficulty understanding the client.


This distrust in usually based in personal experience.  Many of us have not had good experiences with therapists--generally, those with AS often have trouble verbalizing our problems, and the therapist has trouble understanding what we're trying to say.  The way someone with Asperger's "thinks" is generally very different from what a therapist is expecting to deal with.

One example would be someone with undiagnosed Asperger's telling a therapist about preference for routine, based around personal interests.  To the person with undiagnosed AS, this is just a natural kind of living style, preferable to them, and it helps the AS person offset anxieties incurred from a tedious job, ill-suited to their interests (AS people who have jobs based around their special interests aren't that common.)  To the therapist, this established routine may be seen as a pleasure-seeking escape from reality, a way to limit overall responsibilities, and the claim from the patient "it's just how I do things" would be seen as a negative self-fulfilling prophecy.  This kind of "these habits MUST be corrected to progress" is what leaves a bad impression on the undiagnosed AS person--as it did with me.  I have not had a good experience with therapists.

Therapists that don't know enough to look for AS, don't care enough to understand a patient through the AS lens (and won't make the effort)... this is what causes the distrust.  Lack of information on AS on the part of the therapist, and an unwillingness to see the undiagnosed AS patient any different from the "typical" NT patient...  this is what causes the problem.

As far as self-diagnosis goes, some people want to find the identity they never had (necessary for better understanding of self), and realize that there's other people in the world who think like them.  That's all that needs to be said on that.

Edmonton_Alberta_Canada Wrote:
I am not a member of this board - I too found it through Fark.com so can / will not speak on behalf of the regulars. But as someone who had a severely autistic niece who I was very close to before I moved away, I am going to respond...

I would also like it noted that my first wife (she died of scleroderma complications) was a Chartered Psychologist & very good at her profession...

jos111 Wrote:
As I checked out your board, I noticed that many members here are suspicious of mental health professionals, professional opinions, and AS.

I would like to know what I (as a mental health professional) could do to make clients with suspicions, such as those posted on this board, more comfortable with utilizing mental health resources.


The first thing you can do is never ever consider them as "clients" - they are either people who are forced to see you or people who come to you for help - the common description is that they are people...

jos111 Wrote:
I am left wondering why individuals with concerns regarding potential disorders do not seek opinions from mental health professionals. Additionally, it seems like many posters are skeptical of diagnoses they receive from professionals.


Almost all "professionals" are book smart but people stupid - almost all professionals believe they are superior to their "clients" because the client does not have a degree on the wall.

People are "skeptical of diagnoses they receive from professionals" because the professional never really listens to the person who actually knows what is happening to them.

I make that statement in the previous paragraph because my first wife's doctor told her that the fluttering in her lungs was from "nervousness" of attending my family reunion - he apologized to me after we shipped her body home.....

jos111 Wrote:
I work with a number of professionals who are knowledgeable about ASDs and are willing to put their knowledge aside and follow the client's lead when they are having obvious difficulty understanding the client. As scientists, we also collaboratively set treatment goals with the client and monitor our progress so the client knows whether he or she is getting a quality product.


There is no such thing as "a quality product" - that terminology is disgusting.... There are people with individual concerns & unique challenges they are facing.

Forget about the technical knowledge & cases you read about in University - forget about which drugs work in most situations - ask your "client" questions & listen - actually listen to them...

My present wife was diagnosed with Lupus a year after we married - she has a Saint of doctor who actually phones every now & then to chat to see how things are going. My wife (while a patient) is not a client - she is a person with health challenges...

Jos - the fact that you posted asking for feedback puts you ahead of 90% of the professionals - please do not disregard my input due to my blunt responding style...... Smile


I really couldn't have said it better, myself  Smile

Really, you shouldn't use psychiatric terms and ask for informal advice from people with similar experiences?  Leave that only to the professionals, right?

As we've said before, some people are simply looking for better self-understanding.  Whether these same people would benefit more from official diagnosis and/or therapy, rather than questing curiousity and introspection, is not for you to decide.
I think I said it best, in my last comment.  Tongue

Janet Wrote:
Yes you did Batman55 - I am proud of you for your confidence in bringing this back to our attention.  You give a great deal to this forumTongue


Thank you--as I was thinking I was more an annoyance to many people, than anything else.

Luai_lashire Wrote:
 And I can't count the ways self-diagnosing as autistic has helped me overcome my problems.  It's probably one of the best things that ever happened to me.  No, I don't fit the criteria 100%.  That's not the important part.  The important part is how it's helped me overcome the significant problems I face and understand myself, and how it's led me to be part of a community that's like me and understands me in ways even the best meaning and most knowledgeable of NTs usually don't.
So that's where we're coming from.  Don't dismiss self-diagnosis as delusion.  In many cases, it's the best way a person has of helping themselves when no one else can or will.


Jos, is it possible you can comprehend things of this nature?  So far, you haven't given any indication of it.

I'd say a good professional is someone who tries to learn the facts about his client and then is open to admit that she/he may have to look it up before offering a 'solution'. It's difficult when you have little time for each client, but there are some things that cannot be rushed.
A good professional would be open to any solution offered by the client, so that she/he could think about its validity.

Ethel Wrote:
Fair do's... I apologise for using this thread to have a rant about incompetent quacks.

But if I am uncomfortable with "utilising mental health resources", that's the reason.  I just don't trust the people pushing them.  My personal experience is that only one in ten psychologists or counsellors, and no GPs at all, are even capable of identifying Aspergers.


I share some of the same distrust that Ethel has, and I have enough experience with the mental health system to back it up.

Jos, I acknowledge I made a needlessly harsh comment to you in my last post.  My reason for doing so is that I am frustrated with some of your views, and some of those shared by your brothers in the mental health system.  I feel that the individual, especially in in regards to Asperger's, is not appreciated enough.

I get the sense that a lot of therapists, at least those I have seen, tend to investigate the "nurture" without considering "nature" half as much as they need do.  I'm easily among the "worst neurotypical" patients any given therapist could have, if they don't consider something more fundamental to my neurology could be going on.  Hence, my frustration and my angry words.

That said, there is no "collective group" here who thinks you aren't welcome.  I will try to maintain my composure in future discussions.

Janet Wrote:

Pakrat Wrote:
Well, once I became convinced of having Asperger's, I would have kept going to health professionals until I found one who could/would give me an official diagnosis. It was that important to my family and myself that I get some answers to the questions that plagued me since childhood.


I think this may say more about the world we live in than you.  

I am intepreting your statement to say you felt isolated by your differences and the offical dx gave credibility to your uniquness

Yes indeed! Got it in one!

I must take some issue with Jos's idea that a treatment plan will always be a good follow on from official diagnosis. The reason is we can't be cured and doesn't "treatment" generally suggest aiming for a cure?

Unfortunately, previous therapists have got impatient with me because I only seem to improve while there is a fair amount of support eg. if they act as an intermediary with other health professionals etc.

They also had issues with the "slowness" in improvement and the fact that I would "get better" for a while and then go downhill very fast after seemingly minor setbacks.

Whether or not it is seen as special pleading, I consider an official diagnosis was necessary so that I could receive a few concessions in the workplace (ie. minimal phone and face to face public contact). This is because I easily get into a flap and can sometimes even self-harm when phone calls and face to face encounters go wrong.

This is very distressing to the people around me and to myself. I've tried things like assertiveness training and this has helped somewhat but what happens when the other person turns even nastier when I act assertively? I can't seem to cope with this kind of fall-out most times.

The impairments are subtle but pervasive and mean that things such as getting a prescription filled, making a doctor's appointment, getting medical tests done, arranging to have a handy person come and fix something broken; even getting a meal at a restaurant or going to the shops can become a nightmarish experience.

I fully realise that some of these things are simply unavoidable and I just have to manage the best I can. There is no cure and I accept that. Sometimes I would just like a sympathetic ear rather than somebody jumping in with solutions. Unfortunately, psychologists and counsellors are trained to jump in with "fixes".

I found they assumed they were dealing with an NT person who just needed a little prod to get her going and they didn't believe me when I said I couldn't follow their suggestions to the letter. I wasn't saying that to be difficult - I was telling the truth but they didn't want to hear it.

Jos, I think you'd need to be prepared for clients such as Batman, Ethel, and me who are definitely "gun-shy" about the helping professions, are intelligent and perhaps even oppositional and defiant if we believe we are being patronised and/or not listened to.

We could be either your most challenging type of client or your most rewarding - not because there will be some miracle cure but because we blossom if we know somebody believes in us.

I am very disappointed to see that you are trained to believe that Asperger's is a disorder only. That in itself will make it so much harder for you to see our potential and our special abilities as well as the areas where we struggle.

featherways Wrote:
Supposing the vast majority of them are Apples, excellent for marketing, art, social communication, and only 1 in 100 are Microsoft Windows-based, excellent for science, maths, straight-line processing?


I find that straight-line processing is on-target, but in terms of myself and at least 1/4th of the posters I've seen on AFF, "excellent in science and math" is wrong.  Just flat out wrong.

Janet Wrote:
There is something wrong if you feel that you've given control to someone, EVEN IF THAT IS YOUR PREFERENCE.


I felt my last therapist was making "facts" about me that I couldn't dispute (because they were "true," as he said):

Fact, I'm incredibly immature for my age group, or at least as compared to most other patients.  (told it to me straight out, too)

Fact, I do not know what's good for me, but he does, and he is never wrong.

Fact, my routines are simple avenues for pleasure and avoiding normal responsibilities.

He never brought up the topic of Asperger's with me (really, he didn't see it...?) so I guess I was treated like an NT patient.  My brother later went to see the same therapist, and said he thought he had Asperger's, the therapist replied, "You do have some traits, but not enough to let it control you."  This after 2-3 sessions with my brother, at best.

Fact, he knows everything.

Most of the time I went to psychologists and counsellors it was because somebody thought they could "cure" me of the issues that I had. It wasn't because I really wanted to go of my own initiative.

So that in itself was not a good start. Then, for various reasons, organising to go to sessions was always difficult. That meant if anything went wrong, I could easily bail out because it was taking so much time and effort to get to the sessions. Money is often an issue.

They tended to tell me what I should do and not ask me for any more than minimal input so I didn't feel as if I "owned" any part of a treatment plan and it also wasn't appropriate for them to plan to get me off their hands after 6-8 sessions, which seems to be the norm here.

Whilst there might be a slight overall improvement over time, there are going to be other issues which will continually crop up ie. they are chronic. I don't think the mental health profession is really geared to those of us with chronic and long-standing issues which have often been aggravated by the wrong kind of treatment in the past.

It's a real conundrum for the helping professions to deal with people who will always need a bit more support than the average person in certain areas of their lives.

gitchel Wrote:
But there’s another, larger question that comes from all this. Although it’s clear you have been trained to believe in a cure (I’ve noticed and appreciate how well you’ve hidden your condescension) I hope you aren’t misled by the phrase “self-diagnosed” that we throw around here so freely. Actually, for many of us, it isn’t so much a medical diagnosis – since it isn’t an illness – but more of a cultural awakening. Like a person who finally understands that they are gay, or someone who suddenly discovers their Native American heritage, and it is really up to those already in the culture to welcome us in and acknowledge our right to be here.


If he believes in a cure for Asperger's, I believe in a cure for him.  Let's cure his imperious "professional" ways, and his cunning dishonesty (which has allowed him to hide his condescension from us.)  Let's make it a mandatory cure, also.

silky Wrote:

maquis1911 Wrote:
 I was told to try harder and not argue so much; that "little things" like unexpected changes in routine and people's grammar were not worth worrying about. ............
I couldn't go to the writing center for help; it was down the hall opposite of my class and I just couldn't bring myself to walk down the "wrong" side of the hall.  I felt stupid telling people this so I kept making up excuses for not going.  


Thank you for the post maquis1911. It was one of those moments where I thought "wow, that's me".  Sometimes I'm not sure about being an aspie.  I drove people nuts as a kid, correcting their grammar. (I no longer use good grammar.)  I also understood very well the issues about change and feeling foolish.  The struggle about being unable to walk down the "wrong" side of the hall was something I so understand, though I haven't had an issue with halls (other than the seams in the floor).

Anyway... I thought your post was very interesting.  Please give us an update in the future.

Even to this day, I get internally agitated (and if exposed for long enough - externally agitated too) by things such as some tones of voice, people throat clearing, changes being made without consulting me, bad grammar, and being expected to be a mind reader.

Some people say just to "block out" disagreeable noises and to be more tolerant. If it were so easy, I'd already do those things. They neglect to consider that my mind is wired differently to theirs and doesn't have all the "off switches" that theirs does. That has included counsellors.

I don't have a lot of faith in counsellors being able to understand me as my expressive speech lags far behind my receptive language skills but is still reasonably good for an aspie.

Would not say you're wrong in that reaction, DogBrain.  Jos111 showed quite a few signs of that "Stuffy, Professional Bastard" syndrome a lot of us have come to know and fear.
Pages: 1 2 3 4 5 6 7 8 9
Reference URL's