Tag: autism

  • PDA lies in the accommodations needed

    Sometimes, even now with an official diagnosis, keeping this blog and my instagram, having connected with the PDA community…

    … I still sometimes doubt that I’m PDA.

    Sometimes I have quite a lot of demand capacity, and these times can last for long durations – days/weeks.

    In these times, I feel little demand anxiety. I am able to meet requests. I am unbothered, or much less noticeably bothered by the expectations of others foisted onto me.

    I can offer to do things, that I could easily avoid.

    I can meet my own expectations for myself, and my bodily needs.

    In these times, it feels unlikely that I truly have PDA.

    However, in these times, my demand cup is being emptied by something.

    It might be someone else’s support. Or getting good sleep. Or having had a restful enough period, or enough demand free time, or a reduction in anxiety. Or I am spending enough time engaging in special interests (this is my recent situation – I have been reading a lot about queerness, perception, baye’s theorem, spending a lot of time on instagram reading about autism and ADHD).

    The fact that I need these things to cope with expectations and demands is part of PDA itself.

  • Externalising PDA

    I had thought for a long time after learning of my PDA neurotype that I was definitely an internalising PDAer, or at most a mixed PDAer who mostly internalised.

    I was wrong. That’s my response to trauma. I learnt to fawn, i.e. comply, to retain control of situation through maintaining safety. That was the only acceptable response as a child and teenager, no matter how much that went against my true nature. It caused an awful lot of dissociation, especially as I got older, and disconnection from my body and emotions. I dissociate less now that I have acknowledged my experience of demand anxiety, but I still struggle to name sensations in my body, which makes the process of therapy rather difficult, as brain spotting relies on doing this to work. I am slowly learning to be able to pay attention to my bodily experience, but probably still spend the majority of the time disconnected. I live in my head, rationalising everything to cope.

    I’ve realised during this hospital stay that my unmasked, authentic self is very externalising. It makes me wish I had been in the early cohort of identified PDAers, that perhaps that would have lead to some understanding – but perhaps that early the successful approaches for PDA children had not been developed?

    I can see now how my externalising lead to the responses that I got from adults. There’s no excuse for how I was treated, all children deserve safety, but I can see how things unfolded. My mum says I was always quick to escalate to meltdown, and adults were determined to take any action possible to prevent that, with very unfortunate consequences. At a young age, I was likely very vocal about my autonomous wishes, and had adults who strongly believed that adults were to be obeyed, not challenged, which was not the ideal environment for me.

    I want to find a way to be my externalising self, authentically, without escalation to meltdowns. I definitely need a low demand lifestyle, so I am very glad not to be heading to supported accommodation, because I have come to the opinion that “low demand” is not possible in that setting (especially not mental health related supported housing, which does not understand anything about autism, let alone PDA). I have a lot more faith that in my own place I can create my own rhythms for “activities of daily living”. I would be willing to have the support of a personal assistant, to ensure that flat maintenance does not suffer – hopefully this will be possible.

  • Almond butter autonomy.

    It’s never a good start to a day when at 4am, after a night of pain and no sleep, you develop a craving for almond butter on toast… and have no means of having that for breakfast.

    I’m likely going to struggle to eat breakfast at all. My demand capacity is going to be quite a bit lower. It might seem odd, but a large part of that will be due to the loss of autonomy of the choice of what to eat, not pain or sleep deprivation. Of course, I’d probably cope better if my stress cup wasn’t filled by those things – see Tomlin Wilding’s page for information on ‘cups’.

    Odd as it may seem though, the simple lack of the food I actually want for breakfast – and the inability to pop to a shop beforehand to pick it up, or that it wouldn’t be listed on deliveroo groceries, is a problem. I’m already grumpy just thinking about breakfast without my autonomous choice. Nothing else is going to be a good substitute, which is not ideal when pain has already reduced my appetite.

    Sigh. I foresee a taxi ride to the nearest big supermarket today.

  • Rebuttal to article in The Times, 1.3.24

    I’m really upset by the article in The Times today headlined “self diagnosis of ADHD and autism ‘risks overwhelming health system’”. It claims that self-identification of these neurodivergences “risks… harming those who need the most help”.

    I fully disagree with this. Everyone with these neurodivergences is deserving of help and understanding themselves. Diagnosis is a privilege that not everyone has access to, and self-identification of an identity is valid – we should not be prevented from understanding our differences from the neuromajority. I also fail to see how, and the article does not articulate why self-diagnosis would lead to harms for those who are “less articulate or non-verbal”. Yes, people in these groups deserve support and diagnosis but this does not detract from the issues faced by those with supposedly less ‘severe’ traits – noting that, there is no severity levels of autism, we’re all equally Autistic. We just have varying needs of support.

    I feel that by people being more aware and able to understand themselves, we can leverage pressure to change society to work better for us. We can work as a group to create services that meet our needs, and advocate for ourselves as a minority group. It’s unfortunate that there persist to be those who argue that these neurodivergences need to be seen as medical conditions based around deficit. We have a fight on our hands to get Autistic and neurodivergent culture recognised as legitimate and valid, but I have faith that with time we will reach this goal.

  • Article in Asylum Magazine

    I’m lucky enough that I’m shortly to be published in Asylum Magazine, a radical mental health publication. I’ve admired the magazine for years, as I align with their values surrounding psychiatric survivorship and amplifying mad people’s voices.

    The article focuses on the ability of identifying a PDA profile to be highly empowering and neuroaffirming. In it I challenge the perception that PDA is a pathologising unnecessary term that shouldn’t be used to describe Autistic experiences. I explain the benefits that diagnosis has had for me, and how it avoids being labelled with more problematic diagnoses such as borderline personality disorder.

    To find the article, if this interests you, find asylum magazine here.

  • “Just prepping”

    I made a small instagram post about this – the hack of telling myself that I’m not “Doing The Thing”, I’m just “preparing”. It’s something I’ve used a lot throughout life, usually to get myself to study. It started in high school, I would set up my pens, my books, my computer at the kitchen table, often taking quite a lot of time over an exact layout. I’d tend to feel unable to start until things were laid out “just so”, but also that that was all I was going to do – just lay things out.

    Somehow, starting by “getting things set up” reduces the demand anxiety to get the rest of the task done. I think I’ve used this with tidying as well, with setting up llama life, or a pomodoro stream. I wonder if it could be used to effect with cooking, laying out the ingredients and the materials needed, like the dish, frying pan, or chopping board and knife. I imagine that might actually work pretty well.

    It’s strange to me how this is a little hack I came up with years before even having heard of PDA. I guess I have been living my life having to find some ways around the feeling of demand anxiety – a lot of that involved dissociation, which I think I’ve mentioned before I do a lot less now I have acknowledged my demand anxiety.

    It’s good to live a life working with my brain, not against it.

  • Demand cup update.

    Making one of these because recently things have changed at my supported housing in a way that may provide me with more demand capability in life.

    In short, I have been offered a ‘quid pro quo’ of I don’t demand too much of them and they will demand much less of me. As in, I just have to keep telling them I’m alive daily, and nothing else.

    That works for me, I can work with that. I like quid pro quo when it’s not corrupt, so yes, if we’re playing this game I’m happy with it. They’ve also asked me to not tell them what ‘PDAers need’ but what ‘I need’ which, sure I can play that game too. They don’t realise that’s a demand, so they’re gonna hear a lot of ‘I need you to understand that’s a demand’ in the near future.

    But what can they say? They demanded it of me. So I’m happy to become the resident broken record of the scheme for them until they learn how to help, well, PDAers.

    Ridiculous I have to do it this way when I have the diagnosis but, fine sure.

  • Demand free time

    Recently I’ve needed a lot of this. I’ve been dealing with a series of traumaversaries throughout July and August, which has been Very Not Fun, and they obliterated my demand capacity.

    I re-downloaded tiktok, with better knowledge of how to curate a better feed for myself than when I first started with the app back in 2022. It’s now a lot of Autism/ADHD/Trauma recovery content with the occasional pet content (usually cats), and sometimes cleaning/cooking videos. It now feels replenishing to spend a number of hours browsing those videos.

    I find tiktok an ideal way to have demand free time that isn’t ‘understimulating’. Sometimes demand free time does need to be time spent just sitting, maybe with music on, and that can be replenishing in a shorter amount of time. But my ADHD finds that very difficult.. or sometimes there is just a very large amount of demand free time required. In those moments, social media becomes the perfect activity. I can engage in multiple special interests, without being required to expend very much effort at all.

    Of all the things that learning about PDA taught me, demand free time was the most useful, life changing concept I learnt of. I can finally recuperate from life properly, and much much faster. It helps me stave off (and when needed start to recover from) burnout. I now know it is a vital need to empty my demand cup.

  • Food..

    .. is hard. Demands, sensory aspects, executive function, these combine to make food a complete nightmare for me.

    So it definitely doesn’t help when I start losing my appetite again. Might be to do with reducing my risperidone. Might also be to do with staff nagging me too much about how I’m going to lose weight – I do not need extra demands around food or exercise because then neither will happen.

    For now I’m aiming for low spoons nutrition. Smoothies, cereal, microwaved baked beans, protein from the freezer, lots of potato, meals that just need putting in the microwave or oven (and nothing else), and multi-vit water. The highest spoons food I have is apples, which I need to cut up to eat because biting into them makes my gums unhappy.

    Hopefully I can settle into a good rhythm, eating like this, that can sustain me. Smoothies are definitely a low demand, low effort way to get a little more fruit and veg than I was previously.. and the more fruit, veg, carbs and protein I eat, the less processed food I should need to snack on to feel full.

  • Having a future, once more

    When I was manic, I declared I’d become a human rights lawyer. This was grandiose, I wouldn’t get through law school. I do have an interest in human rights, and so I’ve been researching alternative careers in the field that don’t require law school.

    It feels so good to have options around my career. In my 20s I was heart set on clinical psychologist (because I wanted to offer people better services than my friends were offered). I dropped out of undergrad, and since then, learnt that you can’t overthrow a system by being the system. So I moved on from that goal. It felt like a loss initially, but it really wasn’t.

    Now I’m looking at working in local autism policy, or autism research, human rights work, or setting up a peer support company.

    times are exciting again, finally .. after 6 years of stagnation after my first manic episode and not being offered any help to regain my functioning,

    I now have supported housing (which is limited, for reasons) and living here and recovering from mania has shifted my mindset into thinking about the future again. This is why I call this period of time a metanoia.

    It’s bloody amazing.

    What helps in all this, is learning about the idea of the PDA flow. This sort of stuff is exactly my PDA flow.. and I’ve been so much more motivated to be functional in life because I know where my flow lies again. Existing disconnected from the flow seems to be a surefire way to be depressed for me. Even when I was manic, I was finding my flow again, and that was a very good thing.