I don’t like being referred to as a “person with autism”. I can’t just set it down, it’s not something I can remove. It is fundamental to the way I interact with the world, right down to how stim enters my brain. If my brain has types of inputs no allistic person can even approach, and methods of processing inherently different, it is an existence no allistic person can reach. There is no version of me that is not autistic.
A “cure” is the same as shooting me and replacing me with someone else.
The type of person I am is autistic. I am autistic.
I know it is a big trend in anarchist spaces to use person first language, but in many situations that just sounds like eugenics to me. Personhood is not some distinct universal experience. There is no “ideal human mind” floating out there in the aether for them to recognize in me.
I get that person first language helps some people recognize that thoughts happen behind my eyes, but if the only way they can do that is by imagining I’m them, I don’t care.
And (edit: traditional) CBT is widely known to not be effective (and in fact often harmful) for autistic individuals. There is no “winning” over autism, you can only learn to live with it, and its limitations.
I used to have the mindset of “not letting autism restrict me”. It led to two rounds of severe burnout, depression, cPTSD, and anxiety, lasting multiple years, as well as severe skill loss.
Uhm I don’t know your cultural background but at least around where I am the “own limitations” part is a crucial element of the therapy aspect. Accept your own limits to and work with your strengths.
Managing and accepting restrictions is what is thought here for therapists (at least the fields I’m in closer contact with.
This “widely knowing” people are at least not scientists as the last meta study I am aware of basically says “not enough data”: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265021/
That said: there is a high risk of discussing local variations on various therapy approaches and it’s even highly likely I’d guess that you’re absolutely correct for your medical cultural background and my lense is highly dissorted (from your pov) by my own.
A lot of CBT is built around ‘cognitive distortions’ this is the main crux of the issue as a lot of autistic people/those who are autistic will be telling a therapist their experiences and then the therapist will think it’s a cognitive distortion when it isn’t.
There are newer types of CBT that are autism friendly/aware, but it’s unlikely for your average therapist to 1; be trained in them and 2; be aware of, and able to spot autism in a patient.
I’ve had multiple therapists and psychiatrists where, despite them having many years experience I was their first autistic patient.
Perhaps it is different elsewhere in the world, but that’s how it is in Denmark.
A skilled therapist will be able to assist anyone to use CBT or other modality as a tool, even if they don’t have training or experience specific to that person’s needs.
Nobody here needs to be told that finding such a therapist is far from a given, and engaging one who is not helpful (or worse) tends to make it hard to convince oneself to try with a new therapist. Run through a few, and the reluctance compounds into aversion.
That said, I do feel that CBT attracts therapists who have a strong preference for an unreflective practise, and who are more comfortable with very straightforward & commonplace anxieties.
It doesn’t help that many health services, whether publicly or privately funded, push short courses of CBT as the predominant or sole psychological therapy. Even a highly skilled therapist will struggle to arrive at the point of being of assistance to those whose difficulties don’t map so closely to those most commonly found in the general population, if they have just six 45 minute sessions to work with, and even more so if the person comes to them undiagnosed.
That’s very good to know, thank you for sharing! I have only insights into the behavior therapy arm of occupational therapy due to personal contacts there. I can imagine what you describe though because I heard more than one story of “what’s wrong with that doctor/therapist, sending that kid with (insert ridiculous diagnostic)”.
I know this is a 4 month old comment, but maybe this explains why I’m just not connecting with my anxiety CBT therapist, whereas I did really well with my phobia CBT therapist.
I’m 5 sessions in and I still feel like she just does not get it. For the second session I even brought in printouts from the National Autistic Society’s page on anxiety. She skimmed through, said, This is the same as non autistic people.
She described my difficulty in dealing with new people and social situations as overthinking, and when I told her I don’t see it as that at all, spent a lot of time trying to convince me that my processing issues are just overthinking, so I gave in. She admitted herself she has no knowledge of autism and because I don’t have an official diagnosis (it’s a three year wait now for adults), I think she just dismissed it.
Now I’m wondering if it’s worth continuing, because I don’t think I’m gaining anything from this.
It very much sounds like she’s not getting it, and isn’t willing to learn. I’d definitely find someone else.
It’s up to you if you want to tell your current therapist, and why. I doubt it’ll make any difference in her approach.
I’m getting it on the NHS, so if I ask for a new therapist it might be a 6 month wait, just to get another one who’s maybe clueless about autism related anxiety too. I’ll try to ask this one to spend a bit of time learning. If she still doesn’t then I’ll see what the procedure is if I want to switch therapists.
In other news, my GP is helping me get an assessment referral and he said the waiting list is closer to 18 months than three years.