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Showing posts with the label anxiety

Depression and Autism: More on Finding Kansas

Depression scares me. I can imagine nothing worse than a lack of hope. Page after page,  Finding Kansas: Living and Decoding Asperger's Syndrome reminds the reader that many autistic teens and adults struggle with depression. As I read Aaron Likens' essays, I'm keep returning to something mentioned early in the text by his father: depression. Aaron mentions his mother briefly in an essay, stating that she's had something of an emotional breakdown. At the same time, it is clear that Aaron recognizes his own depression and its illogical nature. I tell families and individuals with autism spectrum disorders that they should work with the best clinicians they can locate (and, sadly, afford). When an ASD is accompanied by depression, anxiety disorders, or other conditions, a relationship with a medical professional with neuropsych knowledge is essential. Be careful, though — psychologists and other clinicians tend to develop biases and blinders based on their areas of ...

Work: Thoughts Inspired by Finding Kansas

I'm reading Aaron Likens' Finding Kansas while I am revising my eBook A Spectrum of Relationships . I mention my project because I was updating the section on relationships at work when I reread Aaron's essay "Work" and found myself reflecting on how difficult workplaces can be for people with autism spectrum disorders. I certainly find workplaces confusing. Aaron's struggles in the workplace feel all-too-familiar. The gray areas are annoying. The interactions with others are exhausting. Honesty often backfires, and kind people are too often punished for doing what seems right. Because we seek to understand people, asking questions about coworkers is how we sometimes try to navigate and anticipate how people might interact with us. The problem with seeking information is that it can seem like gossip. Maybe it is "gossip" to others, but autistics are simply trying to learn the rules others seem to know intuitively. I end up wanting to avoid peo...

Keys, Wallets, and Other Objects

Things matter to me. I cannot explain why, but physical things provide comfort and security. Sometimes, simply knowing where my things are is enough to calm my mind. There are days and nights, though, when I have to find something and see it to relax. My pens, notebooks, and favorite pencils are like that. Some nights, I have to check to make sure my writing materials are nearby and okay. I'm not sure what would happen to them, but after the flooding in the last house and this house, I worry about my writing being safe and secure. Last weekend, my wife and I planned to run errands. I wanted books on local plants, local birds, and I am still searching for a good Art Deco history text. When we were at the bookstore, I realized I didn't have my wallet. It wasn't a need — my wife had her keys and wallet — but I couldn't relax without having my wallet. It makes no sense, but I couldn't focus on the book quest or anything else. We ended up driving back to our house so I...

Surgery Monday and Catching Up

I have minor surgery on Monday to address a problem that has been recurring for several years. A few years ago, the problem made Christmas a bit complicated — I was planning to get my wife a gift and ended up in the hospital that day. This year, I'll be having surgery the day before a guest arrives to stay with us for a few days. My wife and I need things to settle down for a few weeks so we can gather ourselves and relax. Neither of us has a "laid back" personality. We are both perfectionists. We both feel like we are always falling behind, even while we finish tasks ahead of colleagues. Being a perfectionist is hard work and emotionally draining. Surgery comes right as I'm dealing with some issues at work. It also comes as we are trying to fix up our existing house enough to put it on the market next summer. There always seems to be more to do than is possible, but that's because we think of everything as important. I want the classes I teach to be "p...

When Driving is Too Much

Driving is okay when there is little traffic and I know the route by memory. I do not like driving on busy streets or highways and I hate driving on narrow roads or in cluttered urban settings. I also hate, truly despise, highways or freeways without sufficient exits and places to turn around when necessary. I hate driving in Pittsburgh, enough so that I shake and get a headache after passing through the Fort Pitt Tunnel. I hate narrow, enclosed, claustrophobic tunnels. Two lanes, horns sounding, and tailgating. Horrible. Today, we drove to Cranberry. I hated the last trip there and needed two days to recover. I hate the fact beautiful hills are being covered with townhouses. Narrow two-lane roads are trying to accommodate a flood of new arrivals. Yes, the economy in Butler County is doing well, but the roads and spaces were never meant to handle so many people. We planned the trip ahead, knowing I hate the toll booths and most of the Turnpike, which is in a constant state of repa...

Another Long Week

I knew when I accepted my new job that it would not be a 40-hour work week. Last night, I had a work-related call just before 10 p.m. — a dedicated instructor caught in something of a jam thanks to scheduling conflicts. Tonight, I was working until after midnight on multimedia content for an online course. I barely had the first week's content loaded before the "official" start of the course. It has been one of those weeks. I keep telling myself I'm doing better than expected. I do seem more organized than many other instructors, and I'm working hard to prove myself in the new position. But, I am also exhausted. As readers know, my wife and I have been dealing with the damage from a flash flood. It was the fourth time water had taken over the lower-level of our house. I spent much of the last week worried about the new appliances (washer and drier) as well as calculating how expensive repairs are going to be. The good news is that the appliances do still work....

Meet Misty

I'd like to introduce Misty. Since moving, I've been shopping at a PetSmart location near the university. For that entire time (a month and a week or two), Misty has been in the adoption cages. Then, last Saturday, I noticed the employees had removed her tag and were sorting some paperwork in a large white three-ringed binder. I asked if someone had adopted Misty. No. She had reached her limit with the Humane Society. Misty arrived in April and August was as long as they could give her. Misty was so calm, quiet, and even "sad" looking that she didn't attract enough attention. She had been turned over to the shelter at the age of two and half, so she isn't a cute little blue-eyed kitten. But she is adorable. She is a beautiful cat, who simply needed a home. Having had an elderly owner, according to the Humane Society, Misty was accustomed to relaxed, slow moving people. The "spunky" kittens around her in other cages would run up and stick ou...

Settings and Sensory Overload

The last few weeks have been stressful, dealing with moving, a new job, two pet cats with issues, and all the little complications along the way. Yet, with what is probably more actual stress than I was experiencing only a few months ago, I tend to feel much better about where I am and where we are going as a family. Why do I feel better? My simple answer is because I'm not in an urban setting. The most extreme anxiety I've experienced in PA was not when the basement flooded. It was not even waiting to see how JC did during cancer surgery. It was while driving in Pittsburgh. I hated the drive — intensely. I disliked downtown even more than the driving. Don't misunderstand, I was plenty worried about J.C. Kitty during his surgery exactly a week ago. It was a lousy feeling to be wondering if I should be with him at the vet hospital, just in case something happened. But it wasn't the sort of stress that causes me to freeze and hide away. In fact, I wanted to do whate...

Moving Stinks, Ask Our Cats

I wouldn't claim that the move to another state has gone smoothly for me or my wife, but it seems to have truly upset the cats more. We worried about that possibility before the move because Pumpkin and Muttley are anxious felines with stressed-out personalities. Pumpkin Kitty (aka PK) is on Prozac and the vet suggested Xanax today. He's not eating well, hiding, and hasn't been in my lap once since the move. Muttley ate tonight, which was nice, but he still wanders about screaming at the top of his little lungs. He used to cry in the old house, too, especially after Momma went to work each morning. He would be anxious around 4 p.m. when she was due home within the hour. Now, he cries and she doesn't arrive. J.C. was diagnosed with cancer the day Momma had to return to her job in another state. He had surgery the next day and seems to be doing well, all things considered. He is eating a little and drinking water. I'm sure his tough time isn't helping PK or Mu...

Out and About, Alone

In the last week, I've managed to go to lunch or dinner four times by myself. That might not seem like a big deal to most people, but it can be a challenge for me to go to new places with my wife, much less by myself. I don't like noise, unusual sounds, some smells, and crowds. So how did I manage to go out and actually enjoy it? First, I went to places within a mile or so of our house. If I felt stressed, I could always head home quickly and I wasn't so far away as to worry about getting lost in a state of panic. Second, I went to eat at times before the "rush" crowds. I ate lunch at 11:30, when most places start service yet most customers haven't arrived. I ate dinner at 4:30, with the same logic in mind. Third, I asked to sit facing the door and windows. This helps me avoid feeling trapped. I ate at an Asian buffet, a little Italian place (with an odd menu mix that strayed far from what I consider Italian), a regional chain diner, and a Mexican re...

The "Aspie" Nature of Anxious Cats

There is a book entitled All Cats Have Aspergers Syndrome . I definitely know our cats have not dealt well with the disruptions associated with moving. One of our cats, Pumpkin Kitty, is so anxious that he's on Prozac for kitties. He struggles even in familiar settings, but moving has been a nightmare for our little boy. He's been hiding in dark spaces, from the tubs to behind doors. He loves to hide in the closets of the new house, too. He does not want to wander the hallways and discover new places, like the other cats are doing. He wants things the way they were. Actually, I think he'd be happier all the way back in California, though he wasn't at ease there, either. Something about each move seems a bit harder on the poor guy. This move is it, though. We're going to try to stay in this new location for the rest of our kids' lives and up to our retirements. I'm in no rush to move again, either. We have had cats that only ate one brand of food. We've ...

The Need to Control a Physical Space

The following question was submitted via the " Ask a Question " page: My 9 year old son has PDD/NOS and gets very upset when his room is clean and organized. He told me tonight that it makes the world feel all wrong, and makes him very unhappy to the point of tears. When I say messy, I mean there are toys on every spot on the floor, flat spaces and even old papers jammed anywhere. Can you possibly explain why this is comforting to him? Thank you so much! Disclaimer: I'm a language education specialist, not a psychologist — I have the minimal required background in psychology for special education. I'll have to discuss this question with a colleague in the future so I can answer more completely. I can offer only what I do know with caveats. Many of the students and adults I have met with autism spectrum disorders have been diagnosed with co-morbid conditions such as OCD, PTSD, SAD (social anxiety disorder), and GAD (generalized anxiety disorder). While other conditi...

Home Alone

My wife is out of town tonight, leaving me alone in the house with the "kids." While I like to be alone at times, I dislike it when I'm not with my wife. I know that we sometimes have to travel for work or family, but I don't like it at all. Our cats are senior citizens. I have to check their medications, make sure they are doing well, and entertain them. That helps, since I have a routine to follow. My wife prepared a checklist, just in case, for the next two days. What time alone does is remind me that I don't want to live apart for months at a time. That was something we considered — me taking a job and living in an apartment until things were settled with our current house. That's not a realistic option. I'd have to be flying back and forth or something, which is expensive. Phone calls and webcams are not the same as holding the cats or being near my wife. I had a donut (apple fritter) for breakfast and a small yogurt for "dinner" tonight. I ...

Holiday Season

My wife an I spent the holiday at home, with one friend, and that was fine with us. We'll likely spend New Year's Eve quietly watching movies, as well. Our ideal holiday, like most days off, is spent quietly with just the two of us. That's about as social as either of us wants to be. I might want out of the house at times, but I don't want to attend social events. I never enjoyed family gatherings, which are just too loud and too stressful. I want to enjoy a holiday, which means I don't want the stress of people. Yes, Thanksgiving, Christmas, and New Year's Eve are about family, but I can call and e-mail family members. I don't need to be in a crowded house, anxiously waiting for the holiday to end. Holidays were rarely pleasant as a child. I dreaded them. I still do. The fact we are several thousand miles away from family was somewhat "helpful" over the last five years. It means we can be alone without offending anyone. I care about my famil...

Twenty Years Ago...

The cliché is that I am supposed to "learn" from the last 20 years. At least I have a great wife and cool cats… but it has been a long 20 years since leaving USC. I believe 1988-89 was the last "good" year. (Like many people, I still view a "year" in academic terms.) I need to get back to the path I was on then: writing and more writing. I stopped giving my all to the journalism and English programs my last year at USC. I quit the Daily Trojan, ended my journalism internships, and shifted to the school of education for several complex reasons (including hubris). The basic thought was that teaching would be a secure "second choice" since I decided against journalism as my career path. I still love journalism, but I know I'm opinionated and passionate about the topics I might enjoy covering. Of course, a columnist or analyst can be opinionated, so there's hope. I have been unable to focus since leaving L.A. in Dec 1990. I did finish the...

Decompressing, Sometimes

When I am anxious, there are a few things that sometimes help decompress. These things do not work always, but most of the time they do. Because I don't like street noises, which are particularly painful, I seek out isolated park-like areas when I am not home. In Dallas earlier this year, I found several amazing park-like settings, include an enclosed mall with a duck pond and sculpture garden. Parks, arboretums, and gardens are followed closely by museums and galleries. The worst places for me are urban downtown areas. Even the park areas are often too close to the buildings and streets. If I am at home, I turn to cartoons and family entertainment, from Disney to Warner Brothers. I love films with a family pulling together in the end. How can you feel bad after a Pixar movie? Friends and family always win the day in a good movie. I do seal the windows, close the curtains, and drink herbal teas when I am at home and anxious. I do not want to think about where we live, which is much...

Places Causing Stress

There are places that leave me anxious and stressed for days or even weeks. I can't explain it, but some settings leave me unable to gather my thoughts, senses, or emotions. I remain on "overload" and miserable until something several times more comforting can offset the anxiety. The main university campus makes me sick. Literally. I hate the campus and everything it represents to me. One visit of a few hours leaves me unable to focus and function properly for at least three days, and usually more. While the university is the most extreme example of a place making me sick, there are also businesses I can't enter or support. The nearby Target store is one I will not visit. It's a disgusting place with horrible employees. Maybe that will change, but I'm not going to go back to a store just to find out if they've mopped the floors. (I've noticed two stores in the same chain can be opposites. I love the Walmart in a nearby suburb, while the urban Walmart i...

Campus = Anxiety

I haven't felt well since Thursday, when I had to make a trip to the university campus. I dislike the university and everything it represents to me. The anxiety and stress of being on campus leave me unable to relax and think clearly for days at a time. My physical and emotional response to campus are too much to handle. I lose days of productivity. The reaction I have to campus raises a number of questions about what I should do or can do in the future. I know I have two more campus trips this year, at least. One for an eye appointment and one to speak to a class about writing. Neither trip will be easy and I anticipate losing two or three days after each trip to campus. Also, this week we had to confront the reality of student loans. It's a lot of debt, for a degree that causes my stomach to knot and head to ache when I think about the university. The diploma itself is somewhere downstairs. I never want to see it again. The university was a lousy experience that I'll be p...

The Flight Impulse

When stressed, I experience an intense desire to flee — to get away from whatever situation is causing the stress. I've left restaurants without ordering, stores without buying items, and even medical appointments when the situation didn't feel right. About the only thing I can't recall leaving suddenly was my classroom when teaching. The good thing about teaching is that you can stop lecturing and alter an assignment to adjust the mood of the room. Next to leaving, establishing some personal control seems to be the best way to reduce stress. The most stressful moments are those of individual conflict. When I feel threatened or dominated by someone, I do have to leave. I feel physically ill when someone is imposing his or her will on me without listening to or caring about the results. Some people are intimidating by nature. I suppose there are "natural" bullies, people who expect to be in charge at all times. These people aren't inclined to let each person in...

Outside the Activists

Ari and members of ASAN deserve credit for trying to increase awareness of adults with autism and their unique needs. They are voices that should be heard. But, what of adults with autism spectrum disorders who disagree with some dominant ASAN positions? It often felt those were not only unwelcome, but disliked by ASAN members. Understand: I encourage people to learn about ASAN and know that it is serving an important purpose. If your personality is suited for it, I think ASAN would benefit from gaining more members who can work within an activist organization. I'm definitely more restrained in my mindset. I'm also not aligned with the dominant political views of ASAN members, which was uncomfortable. Over time, ASAN will evolve and I have great hope that it will develop into an organization with divergent views. Ideally, there will be a realization that we want services, supports, and tolerance. Not all autistic people share the same views on autism. At the Autism Society of A...