PDA fae

Tag: pathological demand avoidance

  • Second attempt at facebook

    I’ve decided to give having a facebook page a second attempt. I find generating content for Facebook the hardest, for some reason – I’ve never quite pinned down why. I think because it wants longform posts as well, and I’m using all my mental energy creating them for here.

    I’ve thought of a few different things I can try to mix things up and differentiate the three social media platforms. I want to try and foster more community engagement on Facebook, if I can. That’s going to take being as low demand as possible, and having no expectations on the community, and enticing interest. I hope I can get some discussion going, that would be really cool.

    I’d love to be more well known in the area of PDA advocacy – it doesn’t help that I struggle to keep a regular posting schedule. I struggle to generate ideas for content, and focus on posting when I actually have something to say. Trying to brainstorm ideas would make things very demanding for me. Some months I think of a lot to say, other months are more quiet.

    It’s an adventure, let’s see where this goes.

  • Moving demand anxiety

    Recently I’ve experienced so much demand anxiety about moving, that I’ve mostly been sleeping and hiding.

    There’s been so much to do and arrange – carpets, paint, electricals, electric, gas and water, television license, and internet. It’s been so stressful. It’s a little better now some of it’s getting sorted, I’m finally managing to feel a little excitement.

    I’m very lucky, it’s a great flat, with a lot of storage. It’s going to be so good to get away from the restrictive environment of the ward, and away from some of the repetitive conversation with ill patients. There’s a nice communal garden, and a little yard outside my flat where I can grow some plants if I wish.

    I just wish that moving didn’t come with so many intense demands. It’s really quite a lot to take on, but it’s going to be worth it to no longer be living in supported housing.

  • “what would I freely choose to do now?”

    I experienced a lot of demand anxiety today. I had been very disconnected from my demand anxiety after the stress of nearly entering supporting accommodation, and the results of that – which were very serious and quite triggering, so I will not be detailing that here.

    I was sat in the library, around other people, which in itself helped me enter ‘doing things mode’. Watching others apply themselves seems to help switch me into that mode, much like wearing shoes and proper day clothes is known to help some PDAers. Initially I journalled after thinking ‘I have the freedom to write whatever I choose’ – a similar approach to that taken by Dr Gloria Dura Vila in my assessment.

    I then thought of the question in the title, and started brainstorming anything I’d choose to do if it were possible. My first answer was ‘run away to the arctic’ which wasn’t acheiveable, but did make me feel better. As I wrote more, I generated thoughts that I could act on, such as create a research plan, and write a short story.

    I think this will be really good for times when I’m very bored, but my brain is saying ‘No!’ to everything, or days like today, where I really want to be doing, but everything feels very anxiety inducing. Something about starting with the impossible, and then teasing out the possible really helps, and focusing on free choice is key.

  • The demand of wanting to

    As mentioned on pdafae on instagram, I really want to read my Baye’s Theorem book. During the course of my psychosis, I started developing a special interest in perception. I think through the muddling nature of illness, I was reflecting on my past studies and realising that perception was the area I find most fascinating in psychology.

    It’s lasted since I’ve regained touch with reality. A patient was kind enough to purchase me my uni’s perception textbook to cheer me up, and I’ve read most of – that too has become slightly a demand to finish. Baye’s theorem is very relevant to perception, particularly autism and perception as I’ve mentioned before.

    It would do me good to engage in a special interest, but because it is a special interest that I’m really interested by, my PDA is responding to that with a lot of avoidance. I suppose there’s a big sense of “should” and “want”, and I need to find a way to relieve that.

    Something that might work is to just allow myself to ignore it for long enough, because that tends to remind me that I don’t have to engage with something.

    Alternatively, I could try just reading small amounts? I think I need to find a way to be in my flow. I’m really eager to study the signals and perception module at the OU, and that might be because it’s possible it’ll be difficult for me to do so – whereas the books are readily available. Possibly therefore, putting them accessible but out of sight might also help, because it may be that seeing them regularly is increasing the demands.

  • Accommodations I use to cope on wards

    Mental health wards are a difficult environment for Autistic people. Autism is not regarded as being part of mental health, so staff, including the psychiatrists even are not specialists in providing care for this. They have some degree of training, especially now there is the Oliver Mcgowan training required by law.

    So to cope on this ward, I’ve instated a lot of my own accommodations:

    • I have my ear defenders, and my loops to cope with noise levels
    • I have orange glasses, to cope with the bright lighting levels
    • I have a large array of stim toys to help me regulate my nervous system
    • I allow myself to hand flap and fidget
    • I have clothing that refers to neurodivergence, to help me self-advocate and show pride in my neurodivergent identity
    • I have a plastic bracelet, which is green on one side and says “talk to me” but can be flipped to a red side that says “not ok” and “leave me be”
    • I engage in conversation and activities to keep myself from experiencing painful boredom that will make me depressed
    • I try to achieve demand free time, when I can
    • I engage in playing board games with staff, to occupy my mind
    • I engage in special interests, even if that’s just reading autism blogs on instagram
    • I read magazines when my concentration is poor when I am recovering from mania, again to help reduce boredom
    • I take melatonin to help correct my sleep pattern
    • I created a laminated flip chart with the support of staff (i.e. I am not allowed to use their laminator myself!) to help quickly explain PDA to staff members

    These accommodations make my stay just a little more bearable for me. They aren’t a complete fix, but coping here would be so much more difficult without the awareness that I am Autistic, and that these things can benefit me.

  • Perception (and PDA?)

    I studied psychology at Cardiff University, and as part of that we covered perception. I achieved only a DipHE, due to my mental health, so I am not yet a psychologist. I am currrently studying the Open Degree at the Open University, in which I am hoping to re-study perception, and then go on to read a psychology conversion course, ideally at Cardiff.

    Looking back at my studies at Cardiff University, perception was my favourite area of psychology, followed by brain imaging. Concepts like conditioning are central to understand well, but I do not find them engaging – they are very dry to me, and rather dull.

    When it comes to the study of the sensory system however, it’s very difficult, but really intriguing. It’s so interesting to me how we make sense of the world around us, and the information coming into our brain from that world. Through our vision, taste, touch etc. Psychophysics is the study of these systems and the brain regions that process them.

    I’m intrigued as to how these differ in PDAers. The sensory system can be used to explain some of the differences in Autistic individuals – unfortunately usually in terms of deficits. I don’t believe any research like this has been done on our population, and I do wonder if there may be clues as to why we experience demand anxiety within these systems.

    In Autistics, a major difference is that we use “priors” differently. A prior is a concept from Bayesian probability, something humans are very bad at when undertaking it consciously, but may well use very easily intuitively within our sensory processing for example. We usually make use of prior likelihoods about the world to process what we are likely receiving input from – but Autistics weight this much less heavily, making less use of these – I will add a citation to this shortly, after accessing my iPad.

    This is used to explain some of the differences experienced in Autism. I shall need to re-read the paper before summarising that here, but I will attempt to do that shortly (if PDA allows!).

    I also wish to create infographics about perception – particularly the Bayesian Perception that differs – on my instagram.

  • 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.

  • How about writing in a logical order?

    “Introduction paragraph should be the first to be read, and last to be written”

    Gosh how my brain is rankling at that idea, of writing the first paragraph of my essay last. Especially the more my lecturer returns to this idea, the more my brain thinks ‘never needed to do that so far, why would I start now?!’

    The idea was a demand the first time it was mentioned, three or four times later and it’s a definite No. The essay gets written from the beginning, as it will be read! As is sensible!

    I guess I understand why some would find writing an introduction based on stuff that have already written out easier, but for me, an essay plan usually enables me to write an introduction – that is how I know where my essay is going to go.

    It’s a silly point, but this really stood out to me as causing demand anxiety – the statement that the introduction will be written last.

  • 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.