Showing posts with label stress. Show all posts
Showing posts with label stress. Show all posts

Wednesday, 13 October 2021

How close to crazy?

Note to self: be less crazy.

I've developed a habit when distressed of repeating a short calming phrase to myself and Baby Peggy. It's quite effective but I think it makes me sound more crazy than I am. Or maybe I am just more crazy than I think I am.

Pacing around repeating "It's ok, we're gonna fix it, it's ok. It's ok, we're gonna fix it, it's ok" (or similar) is not normal behaviour. But it does help! The rhythm of the words, and the reassurance of telling myself that it will be OK even if it's not now can help to stop me escalating further. The sameness of the repetition can eventually smooth the seam of transition between distress actions and problem-solving, de-escalation or "moving-on" actions.

But it is disturbing for others to see (or rather, to hear), particularly if preceded or accompanied by an even more dysregulated presentation of crying, flapping, shaking, self harm, being a ball in a corner etc.

I don't know where the balance lies between helping myself and not being a nuisance. Sometimes it feels as though I can do little about it even if I wanted to and that these are ways to stop anything worse from happening. I have had to accept that being inconspicuous as I would like to be is just not always realistic.

I don't know whether it was the repetitive phrases or the general presentation or the fact I had a baby with me but I obviously went one step too crazy this time. 

It had already been a difficult day on a backdrop of raised stress levels. Meltdown 1 had been surfaced from after two and a half hours of recovery, and Meltdown 2a had avoided escalation by furiously (manically? desperately? absently?) continuing with my previous plan of action. I should have known (and probably did know) that Meltdown 2b was pretty much inevitable if anything even slightly untoward were to greet me.

Which of course it did in the car park of Aldi, in the form of a lady unloading a trolley in the back of the space I was reversing into.

The car was half in and half out of the space, waiting didn't fix it and instead the lady started to gesture to me (I was too stressed out from earlier to process that her signals meant she needed me to move out of the way so she could get the trolley out of my way), the baby started to cry, and I was expecting an important phone call at any moment.

Executive function swanned off entirely so I just could not work out what to prioritise or in what order things needed to happen. Or even what things needed to happen! Luckily having a baby makes it simpler in some ways as they trump all else on a fundamental level that can usually penetrate even the depths of my problems. Start with the baby and hope the rest follows. 

Of course, starting with the baby meant getting out of the car, which meant the problem that involved another person put itself all over me while my brain was still offline and in basic "comfort the baby" mode. It could only do one job at that moment - language was pretty much absent other than repeating a comforting phrase. Responsive language, problem solving and social interaction were way down my brain's priority pathways and out of reach. So I was largely ignoring the other lady in order to do the thing I needed to do first.

I would have got through, and indeed did get through, all the other jobs eventually, it just took longer than for other people and I looked more unusual whilst doing it.

And so I worked through the backlog of tasks and got onto the supermarket shop about fifteen minutes later. (The lady solved the problem that involved both of us in the meantime, which took a job off my list!) Order restored after a really difficult afternoon.

And then the bit that made me realise once again that I'm actually a crazy person. A couple of police officers wandering up the aisle opposite. Not hugely unusual in the town where I live so I carried on as normal. But it turned out it was me they wanted. The lady had been worried enough that she had sent the police to check on me. 

They were very calm and as discreet as they could be and we just had a little chat and they left me to it (although they did wait outside the shop and check on me again when I got to my car!) but it was a new experience for me and not entirely comfortable. I know I can be unusual and do become distressed at times, but generally I find my way through things and don't tend to cause others a problem. When this happened I felt even more conspicuous. I felt embarrassed being talked to by officers in public. And I felt acutely aware that I needed to present myself in a very "normal" manner or it would be so easy to suddenly find myself on the wrong side of crazy, popped into a van and detained for assessment. It's the second time I've had a possible close shave with the mental health act and it makes you feel suddenly very vulnerable.

I suppose I am grateful that somebody cared enough to make sure I was OK (I had assured her that I was, but clearly hadn't convinced her), but the whole thing left me unsettled. I realised when I went out the next day that I was really quite anxious. Anxious I would have another meltdown - they are not fun and because of the high distress of that day as well as the pre-existing background stress factors I am now feeling much more like I did eighteen months ago than how I've been feeling recently - and additionally anxious that if I did, someone would report it and I'd end up on the wrong side of crazy, with people saying I can't look after my baby or sectioning me. Until yesterday I felt less anxious in public than before having a baby: I know how to act with a baby, I know the conversations off by heart, I know how to behave with a baby, I have a purpose so am not occupied by trying not to be weird etc.  But now I feel more anxious instead, because of other people's responses to me doing what I need to do. And I also start to question the confidence I had in being able to look after a baby. If I can get that distressed around him then am I really fit? I hope I am, but it has shaken me and knocked my confidence. It has made me a little paranoid in public and much more likely to mask, which is widely recognised as being detrimental to wellbeing (also borne out by my personal experience).

So I guess I have to once more examine the balance of how much "me" is acceptable, and how close to crazy is too close.

But for the minute I'll just snuggle down with Baby Peggy, go for walks away from the people, and try to let my brain get back to "now" me instead of year-and-a-half-ago me.

Some "rest the brain" activities

Saturday, 18 May 2019

Sensory Self Care Saturdays

On Saturdays I roll out all the coping strategies.  Every Saturday is a self-care Saturday. They're not necessarily the same every week, but some of the current favourites (I won't list the negative ones...) are walks in the countryside, cuddles with the Piggy Peggies and painting by numbers. Today as you can tell by the blogging activity, writing has been one, as has seeing a friend.






I've written before about how sensory experiences can help with my wellbeing (here is a good place to start) and because one of the aspects about my autism that I get asked about most frequently is sensory needs, I thought I'd give a window on one of my coping tools of today.

I had a shower.

Sounds simple, but let me see if I can give you an idea of how I had a shower and what the shower did for me.

Before I had my shower I stayed in bed. Usually my self-care Saturday begins with a lie-in, followed by pilates - just the ticket (combined with Friday night yoga!) to getting back in line with myself. This was a hard week though, and Friday was difficult and included bathroom floor time for lunch, yippee. I have learnt that it is both survivable and at times beneficial to follow my body's hints that departure from routine would be wise. I cancelled pilates and stayed in bed. For ages. The weight of the duvet(s) gives wonderful proprioceptive feedback to the whole body and savouring the experience nourished me.

When I had finished duvet-ing I took the luxury of leaving my contact lenses out and showering with the light on.* I'm very short-sighted so this transforms my sensory experience: my eyes focus on the water cascading immediately before them, glistening in the light - sparklewater! (see also. sun on the sea or a river...)

I had no time limit on my shower; no deadline for leaving the house, no stressful event to prepare for later. I closed my eyes and tipped my head back, focusing on the sensation as the water woke my scalp and face. Nice and warm - bed temperature eases the transition on the body... calm. Tappy tappy touch dancing on my skin.

I have my phone set to play "My Mix" on YouTube - no stress of deciding what playlist I want to listen to, no decision making, but music that I like because it's made from my playlists.

I turn around to join the sparklewater again and become absorbed in the way the shadows of the water drops play on the white bathtub if I shake my hands and move my fingers.

Eventually I move on to wash my hair and myself, with familiar scents and an unchanging routine. When I start to overheat I know I've been there long enough and I share a last few moments with the sparklewater before I say goodbye. My shower has a five-second delay on its "stop" button - this Godsend makes the transition more bearable. And I know I can come again soon. I am so very grateful that I am privileged enough to be able to access this form of self care: physically, culturally, financially.

Photos just don't compare.
Go and try it for yourself if you can.



*It's funny, because it's there every day, the sparklewater, but it's a special treat to see it. My contacts give me so much (I cannot focus beyond about 20cm without them and I have much better vision than with glasses, not to mention they are so much simpler, especially in my job!) but in entering the world of the distance-seers I lose the beauty of the morning sparklewater. On weekdays I also shower with the light off because dimmer light is more calming for me and our bathroom fan makes an unholy racket too, and I need to retain all the calmness I can on schooldays!

Saturday, 23 February 2019

10 Deep Breaths for 10 Days

Day 1 (Monday): I follow Hania Therapies on Facebook as I visit Amy Manancourt for massage and yoga therapy. As I checked my page at lunch time Amy was presenting a challenge to her followers: take 10 deep breaths for yourself each day for ten days and see what happens. It seemed do-able and potentially interesting, so I thought I'd give it a go. I tend to think I'm pretty good now at listening to myself and allowing myself time because I have had to learn to do this in order to keep functioning. So I thought it would be interesting to see whether a little practice like this would change anything much or not. I took my 10 breaths when I usually have a mindful moment at the end of my lunch break and they encouraged me to linger just a little longer appreciating the stillness and my surroundings (though not much longer or I'd be late!).


Day 2 (Tuesday): As I took my 10 deep breaths on Tuesday I was reminded of when I first visited Amy for treatment a year ago. At the end of each yoga posture she would have me take three deep breaths in with a sighing breath out. Although I never mentioned it, I really struggled with this - hearing my own breath was incredibly uncomfortable. It felt painfully vulnerable, as though my most intimate self were laid bare (eye contact can also feel like this). Luckily I trust her a lot! I felt exposed and most definitely not invisible (A desire to be invisible can drive a lot of behaviour in my life. Currently reading a fascinating book on 'Exposure Anxiety' and autism - future blog post in several months when I've finished it...); troubled by my own existence and taking up of space and air. I also had difficulty in those days when yoga required stretching arms out when lying down. I think I felt unprotected, exposed and vulnerable again, and had to work very hard mentally to physically open up form my 'safe' closed posture.

I still experience these difficulties now when I am having a tricky day with Brian, and I have noticed that as soon as the difficult thoughts and feelings are present in my body it begins almost to shrink: to curl in on itself, becoming tense and making itself as small and invisible as possible. My 10 deep breaths helped me realise how far I have come from that first meeting a year ago though: I now notice this feeling in myself because it is not present all the time.

Day 3 (Wednesday):  On Wednesday it was very difficult to allow myself my 10 breaths. I think I got to about three. The day was challenging, the Brian was loud, and I didn't feel like I should be using the air I was breathing. I would be a better person, or have more respect for myself if I could do without that air. This sounds as though I have a terrible opinion of myself and non-existent self-worth, which isn't actually the case, so maybe it's not the best way to express how I sometimes feel, but I can't quite find any words that come closer. Perhaps it's more that fact that concentrating on the breath reminds me that I exist. I am here in this world, taking up space and oxygen. If I breathe, there is undeniably a "me". And on difficult days I find this a troubling concept to swallow. I'd like to be able to choose my visibility or invisibility. [edit: just read a quote from Exposure Anxiety - The Invisible Cage by Donna Williams: "so someone can actually trigger their own Exposure Anxiety simply because they become such an intense audience to themselves." Interesting.]

Day 4 (Thursday): On Thursday I still struggled, but managed to take my 10 deep breaths. Amy suggested on Thursday that we consider what we are grateful for when we find that moment where we give ourselves permission to slow down, listen and simply breathe. I was (and am!) grateful for birdsong, for sunshine and for hope.



Day 5 (Friday): I can't actually remember my 10 breaths on Friday. I thought when I started that I should make notes as I went along, but somehow didn't. I'm working on accepting this imperfection and going with what is. I usually take my 10 deep breaths time lying on my bench on the moor at lunch time, and the day was going OK at that point so I think it was fairly uneventful. The day later became stressful and I used some less constructive coping methods accidentally. I learn from this that I can never become complacent about how I am coping and that I must continue thoughtfully and intentionally looking after myself. I also continue practising acceptance of the me that is right now, with all of its different facets.

Day 6 (Saturday): I didn't get round to doing my 10 deep breaths. It was a busy day, and full of fun and excitement but also brought anxiety and some triggers taking me back to a time in the past where I was very much in the grips of my mental health disorder (particularly in the light of Friday). I stayed on the straight and narrow but my brain was busy! I could have made time for my breaths but each time I had an opportunity I forgot. Which is an insight in itself, really. However, I'm not going to berate myself, feel guilty or let the incompleteness or imperfection of my 10 days spoil things; rather, I notice, accept, and observe what this says about where I am right now.

Day 7 (Sunday): My normal routine has been rather out of the window this week because of Saturday's activities and preparations for the through the week. I always find it a bit difficult to balance weekends when I don't have a normal Saturday and today arrived with the relief of knowing my routine will be back to normal this week tempered by anxiety that I could not quite pin to any specific source. It threatened to overtake me as I searched for the balance between doing and not doing, preparing for the week (physically and mentally) and allowing myself to be however I needed to be. I couldn't settle to anything or find peace. I was pestered by thoughts of negative coping strategies and overwhelmed by all the things I needed to accomplish (including relaxing!).

I had set YouTube to "My Mix" (to create a playlist from music on my playlists or similar) as I wanted to listen to something but couldn't decide what. After a short while I was stopped in my tracks by a piece of music that brings an instant change in my internal state. It was the first piece of music playing when I walked into the JABADAO! training over a year ago, which was a day that changed my life (for more on this and also on Amy Manancourt see this previous post) . That piece has a lot of power for me and it reminded me instantly of my 10 deep breaths. I put down what I was doing, laid on the floor and took my 10 breaths. The breaths led me to my mat and half an hour of yin yoga. I won't claim it solved everything, but I was then able to go and eat something and from there to do a few jobs and then sit down and snuggle with my guinea pigs for a long and settled chill out. The anxiety didn't leave me completely: I'm still sitting with it now, but I got through the day without engaging in too many negatives, managing a few small achievements and having time to hopefully mean I can face the week ahead. I'm trying to be kind to myself about the things I might not get done, or the timescale I might be working to.


Day 8 (Monday): Well I somehow completed the day without disgracing myself in any dramatic way. I used coping strategies that probably aren't helpful in the long run, but they work to get me through what needs to be done. I don't have any other option right now. Despite not being able to allow myself some other things, I did defy the Brian enough to have my 10 deep breaths. Although I experienced a definite resistance to letting go at all, the breaths did help to relax my body and mind a little, for which I was grateful in the context of the day: a moment of slight relief is maybe all I would have been able to accept. On days like that, an attempt to grant myself anything is likely to be rejected as unacceptable because it is too much, too overpowering. Just a little at a time, so as to fool the Brian into not noticing.

Day 9 (Tuesday): Today was similar. I threw out my last lifeline early in the morning, which was caught by a couple of wonderful work Peggies perfectly undramatically and just about got me through a day which was even more challenging than expected. My thought while taking my 10 breaths was to consider carrying the practice throughout the days. I breathe very slowly so ten at a time takes quite a while, but I thought it could help when things are difficult to remember I might be able to stop and take just one deep breath, or even not to stop, but at least to take that breath for myself in the midst of whatever is happening, giving myself space to refocus. Of course I was then too busy the rest of the day to employ this and it only came to mind again once I reached my bed at night!

Day 10 (Wednesday): Reading back yesterday's writing is amusing as I recognise that taking deep breaths is hardly a new idea for somebody that has lived with anxiety for a while! It's the prescribed-to-all first line of defence and doesn't generally cut the mustard for me. But having committed to this practice for these ten days has perhaps brought back its value to me, and allowed me to find what a relaxing deep breath is for me, rather than one that is full of stress. It still isn't going to solve everything for me, but there are times when it could be the ingredient in my coping concoction that just gets me through a particular moment. And of course I know very well that taking a proper time out purely to ground/focus/meditate/yoga/pray/whichever precise emphasis or name you choose to take at a given moment does proportionally more to bring (or perhaps is even exponentially proportionate to) a physical and mental change of state. Can I restructure my days to facilitate more of this??


So I haven't had a perfectly-formed beautiful journey of discovery to share with you from my 10 Deep Breaths for 10 Days, but that is not what it was about - that is just what my perfectionist Brian would like to turn it into. Instead you have an imperfect but real record of my explorations and thoughts, ups and downs. I'm not even going to say successes and failures - just a story of what is. Down with judgment is what I say!

Saturday, 7 January 2017

Full up

I'm often trying to find ways to explain what it's like being me, or what it's like inside me when I look or behave a certain way on the outside.

I've been using one phrase recently that I think reflects it in a relatable way: I'm full up. It's what I might previously have described as feeling grumpy (and still do sometimes) or extra-autism-y, but it's not really just grumpiness, and it's one particular sub-set of being extra-autism-y. A particular type of Square Day.

Many of the children I work with are on the autistic spectrum and some colleagues and I were talking a while ago about how unsettling Christmas can be for the children because they need and are used to a low stimulus environment. Suddenly displays start going up all over the walls, their routines change to accommodate Christmas activities and all sorts of other things bombard them.

Which room makes you feel calmer?
The phrase "low-stimulus environment" suddenly made me think. I've never really thought of myself as someone that has big sensory issues and I certainly don't get sensory overload, though I do get social/emotional overload to varying extents at times. But I suddenly realised that when I get grumpy and feel irritable and don't want to answer questions or talk to people or look at them, it's because I'm already full up.

Image result for busy living roomIt's like there's no room inside for the extra words or sounds or touch or visual information. Any input seems like too much.  I don't get the thing where everything mashes together like you see in the YouTube simulations of sensory overload, and I would rarely have a meltdown or shutdown: I would control my response and reaction while with people, to present one that is outwardly reasonable although it may seem a bit irritated for no apparent reason.To any onlooker, it's probably a subtle, almost unnoticeable change, but inside I'm getting fuller and fuller and it takes more and more effort to keep the lid on. I suppose it's the background social/emotional/general stress/anxiety levels that are making me full up, but the result of that is that I can't tolerate any physical stimulus either.

In this situation I have no capacity to give out any of those things that are too much to receive either (e.g. answers, words, eye contact). This can be hard for those around me if they don't understand, as I just appear to be withdrawn, and I can't enter into conversation about it, probably just saying I'm fine. I'm getting better though - sometimes I can say I'm feeling grumpy and it's not their fault or something to that effect.

The best treatment is to leave me alone and completely minimise input of all varieties, which is fine for a day or a few hours, but it's really tricky when I go through a patch of feeling like that most of the time. It's not fair or realistic for people like Mr Peggy to stop giving me input or receiving from me. Any ideas how to manage times like this?

While I've been exploring this thread of thought and beginning to understand a bit better, I've also been thinking about how stress levels from different stimuli interact and cause different effects in me: the outcome or "symptom" of the stress often seems entirely unrelated to the cause of the stress, which I find quite confusing, but I think it works something like this:


Specific stress IN                                                                          Specific noticeable "symptoms" OUT
eg.          unexpected change                                                                                   eg.    avoiding eye contact
               waiting for something      ➘                                                                              irritable at questions 
  having to make decisionsGeneral stress/anxiety/arousal levels rising  ➙     not talking    
              being tired                        ➚                                                                       ➘       stimming but not       
         a horrible smell                                                                                                    touching others   


This accounts for how I can be experiencing the "symptoms" of being full up but not recognise a related or specific trigger. It's like there's a transformer inside, masking the nature of the input, so it can be a mystery to work out what's really going on!


So after that ramble, I think what I'm trying to say is that being full up is a comfortable way I've found to describe that mental state where the background level of stress/anxiety/stimulation from any one or a variety of causes has got to the point where even any extra sensory input makes me want to snap, and that the causes of this state may not be blindingly obvious or apparently related to the type of stress I am showing. It was a pretty groundbreaking realisation for me, but probably common sense to others! I'd be interested to hear whether others identify with this so do let me know by commenting or sending a message.

Monday, 18 April 2016

What is AS for me?

In no particular order, here are the things that AS means for me in my life.

Uncertainty is a huge issue for me. Maybe the biggest. If someone says "maybe I'll do this" I will spend the next indeterminable time period repeatedly going over the options of what will happen if they do or don't do that thing; how my day will look, what will I need to expect, what will I need to be prepared for, and I will be constantly questioning "does that mean they will do that, or they won't do it or they themselves don't know yet (in which case, again will they or won't they end up doing it?)", trying to work out the probability of each of the myriad possibilities of how the day will run. And the thing they are doing could even just be "I might go and buy milk" or "I might make a cake." If there is any uncertainty at all, the issue will remain in my mind as unresolved, like a flagged or unread email, demanding attention until resolved. If there is any emotional involvement with any of the options the chasing of thoughts escalates and often comes out physically in my body as feeling sick (if worried) or in repetitive gestures like finger wiggling or fist clenching if excited (though I think I manage to keep these down to only in private).


Another aspect of uncertainty is uncertainty of people's expectations. I need clarity in what is expected. I am very happy to do a task for you if I know exactly what you want, but if there are options and I have to guess, it becomes very stressful for me. If I know something is expected but I can't deliver because I don't know what or I don't have the skills, the situation seems inescapable to me and this has been the trigger for quite a high percentage of my 'shutdowns' or whatever you want to call them. The same applies to what is expected of me in a certain situation, for example when I am unsure what or how much I am expected to say, whether somebody is expecting a reply or whether they are making a joke.

Change is difficult to deal with. This can be change in my surroundings, like a rearrangement of furniture (even just a turning around of something on the work surface. Why? Why change things if they're fine? It's all wrong now. Something inside reacts and I don't even know what. It's like my whole world has been turned upside down. I can't work out what it is that I feel, but it's wrong. If someone can explain a reason for the change: e.g. "it makes more space on the surface" this can help) or a change in my expectation for the day. I think this could be linked to uncertainty, because if one thing has changed, how do I know I can rely on anything else to be as expected? As a side note, for me, big changes are often easier than little ones. This is probably because they are usually less sudden, more thought through, more expected and more prepared for. Somebody parking their bike in "my" space is completely unexpected, hits me just when I'm preparing to settle down into my own safe world after people-ing, and makes me want to cry, and sometimes shout and bang (again, why would someone do that?). It takes a while before I come to terms with the fact that I could park my bike elsewhere, and even then that space is wrong and my insides are wrong.
Searching for something else I came across this scale. I wish I could use it to show people how I feel about change. Sometimes I am at least a 7 on matters where other people may not have even realised they have made a change.

Inconsistency makes me all wrong as well. How does it not stick out like a jack-in-the box popping up in your face to people? It might be spelling inconsistency in a document or inconsistency of policy/treatment of people (this is touching on unfairness, which is entirely inexplicable and unacceptable for me), or things moving about (where has someone decided to keep the washing up liquid at work today? Why can't it just live in one place?!), or people saying one thing and doing another. I want to scream and shout "what are you doing? How do you think this is OK?"

The Plan is everything. The first thing that happens when my brain switches on in the morning, before my eyes open or I think about anything else, I work out what day it is and what is happening that day. I flash through what to expect, whom I will see and interact with, roughly how those interactions will go, what I need to take with me and wear (this I will have prepared the night before). Sometimes I know there is a question mark about something, for example, I am going to work but I don't know for sure whether we will be swimming in our swimming session or whether a certain child will be poorly. If I know there is a question mark, I can deal with that, but if something changes unexpectedly that can be more difficult, depending on the change and its implications. The most difficult ones are changes that affect my 'down time' or 'me time': if The Plan was to have the evening in alone and this changes, for example I have to go out unexpectedly, I will be quite stressed about it.

If somebody suggests something that isn't in The Plan I tend to automatically react in the negative. Don't be ridiculous, of course we can't do that. If I have time to adjust, however, I might come round to the idea. Which brings me to:

Time.  Because The Plan is so important in keeping me calm and functioning smoothly, I need time to adjust The Plan in my head if it is going to alter. Some changes I can write in fairly quickly; others can take days or even longer. If you want to go out for lunch, giving me at least a day's notice is probably a good guide.

Also under time, I need regular time to myself. I think of my stress levels, or busy-ness levels (maybe arousal levels in scientific terms?) on a scale, maybe 1-10. On a normal day at work I'm maybe on a 5; a big social gathering of people I don't know would be a 9 or 10. Relaxing at home with my husband is one of my favourite things and bring me down to maybe 2, but the only time I'm 0 is at home on my own. I'm completely me, just being, and that needs to happen a couple of times weekly to allow me to manage the rest of the time.


I also need time to get to know people and feel comfortable in situations. I probably won't call you a friend until we've spent quite a lot of time together and shared quite a lot (and I don't share with just anyone!). I have to learn to trust people and learn whether new situations are safe.

I'm pernickerty, picky and fussy about a lot of things that seem entirely insignificant and baffling to other people. Also on being fussy, certain textures, smells, sounds I really dislike. They don't usually cause me physical pain but make me want to shout or cry or flap and stamp or shake the feeling off my fingers. Bad grammar makes me twitch and it's hard to not say anything about it. The washing should be hung up just so, every fact should be accurate and precise (my memory is annoyingly better than a lot of people's, so when they recall a past event wrongly it's very bothersome, and vagueness is just messy in my head). Things should be where they belong, our days should run according to the timetable in my head (The Plan, I suppose), and everything should be predictable.


Related to this, I can be a bit of a perfectionist. If I'm going to do something I want to do it properly, to the best of my ability (or better, quite often!). This means I can often be unsatisfied with my work or not seem to value it or take pride in it, whereas it may just be that I'm not quite satisfied that it was perfect, or I'm disappointed that I couldn't make it as good as I wanted. It can also mean that I'm not the quickest worker on the block. The job might take longer but it will be thorough and accurate if I have my way. I also struggle with guilt when I think I could have done something better and this goes for relationships as well as tasks.

I'm honest. You can generally rely on me to tell the truth. Usually whether it's wanted or not. I try and be socially acceptable in this department, though I don't get it right every time. But I won't lie to you and will always give my honest opinion. You can rely on me to be loyal to my friends, do my best to do the right thing, be fair, and look after the underdog.

Not me. I only dream of such an attitude!
I have some interests. I'm quite interested in them. I like to spend a lot of time pursuing them. They are calming and predictable and very enjoyable. I find it difficult when I can't do them.

I am very caring. I want to look after people and for them to be OK. I hate it when people are mistreated or sad. It doesn't necessarily make me sad, though it can do, but it is wrong and I feel a very strong sense of care or pity for the person involved. I will be there for the person that needs me, especially if I know how to help (annoyingly, I don't always - understanding and responding to emotions can be tricky - but that has been covered in other posts). Sometimes all you need to do is sit with somebody or give them a hug.

I like animals too. Weirdly, I feel like we sort of understand each other. And they are nice to cuddle and don't ask questions or talk to you. They aren't complicated!

Decisions are difficult (but there's a separate post for that). I see so many aspects to consider, and so many pros and cons.

I sometimes get overwhelmed (by my or others' emotions, or by a lot of social effort, or something unexpected) and need to get away. If it's too sudden, I might have a bit of a shutdown, which for me often includes crying and shaking. I can't talk to people and I can't look at them for a while afterwards (my eyes are usually shut during most of it). If it's not bad enough to cause a shutdown (which thankfully I don't get too often), I can take some time to myself at home alone and watch some TV, read or think to recover. Sometimes being outside in nature alone can serve the same purpose.

I look at language a bit differently. I rather like it, and sometimes I like to play with it. I understand most simile and metaphor, and quite like them really, seeing them as a bit of an art, but I often take things literally if I don't recognise them as figurative language. If there is more than one possible interpretation of something, for some reason I don't always see the one most people see first first (my Mum says I always seem to pick the least obvious interpretation). People can think I'm being awkward, but usually it is me genuinely having to search for the right understanding for the context. I like humour and like to make people laugh. I used to be rather a punner but not so much any more, but I still enjoy playing with language.

"As much use as a chocolate teapot" is one of my favourite similes :)

Creativity is something I have a love-hate relationship with. I love the idea, but I'm actually not very good at it and find it quite scary and very pressuring and stressful if someone is watching or expecting a result. This is quite entertaining when you think that my passion until I was about 20 was music, and from then on, dance. I love to do them, but I cannot create them for love nor money. Improvisation always made me feel sick and clam up. I can't compose for toffee. Or even chocolate, which I prefer to toffee. I could never write a story from my imagination: in primary school I dreamt
The story was about an
escaped hamster!
up one story based on true events and adapted it to fit every brief. But I really do appreciate the creative arts. I can get lost listening to music or watching dance and in a room on my own I put creative expression into music or dance where the notes/steps have already been written. Particularly with dance, though, I also appreciate the technical side more than perhaps most enthusiasts. I would watch class with at least as much pleasure as a performance and I don't need a story to enjoy a performance (it can even become overwhelming if I let myself be drawn into an emotional story eg. Swan Lake or Giselle). I find it very difficult to encourage the children in my class with role play and imaginative play because I can't think of how to extend what they're doing.

Nearly forgot about this one as it's so obvious, but social situations are also a challenge for me. The more people the worse it is, the less I know them the worse it is, and the more expected of me/attention on me the worse it is. I worry beforehand about whom I will talk to, what I will say, what I will do if I can't find the answer to either of these, when and how I will leave, whether I will say anything inappropriate, whether I will be boring, whether I will say enough or too much, whether I will look ok, whether I will do any silly things with my body, etc etc. When I am there I am still worrying about most of these things, especially how to carry on a conversation and things like that. A lot of worrying and feeling sick, and I will be tired for several days afterwards if it was a big one. It is just exhausting making sure you're doing everything right!

Help!
Small gatherings of up to 5 or 6 where a family member is at least one are manageable and don't put me down on social energy for too long, and I even enjoy these sometimes.

In addition to the feelings brought on by the event itself I also struggle with feeling guilty for not enjoying an event which is obviously supposed to be pleasant, which somebody has put on for everybody to enjoy and maybe even partly for me, so then I may have to make sure I adequately persuade that person that I have enjoyed it, even while trying to recover from the strain it has put me under.

Even just a break in the staff room or a meeting in the corridor can count as a stressful social encounter: what do I say? Where do I look? How do I finish the conversation? Is it bad to sit and not say anything? Can I make my drink last the whole break/Do I look daft sitting not talking with an empty cup? Is it OK to join in someone else's conversation/nod and smile as though joining in with it?

Communication can be difficult. Although I am a very language-minded person it can be quite difficult to express myself properly about important things. Often I only think of what I should have told somebody or asked them quite a while after a conversation has happened. This can mean I can seem rude unintentionally, I can miss out on opportunities, my opinion can be overlooked (well, not expressed to the relevant party rather than necessarily overlooked by them) and I can become frustrated. Sometimes I don't know what I want to express, other times I don't know how to express it, and others I just can't make myself do it at the right time and place. I work better in written communication where I have time to consider matters, think about my real response to them and formulate that into something that will be understood properly by others.

I am funny and silly and clever and quirky. I have a great time with a few good friends and we enjoy each others' company. I might not be everyone's cup of tea but if we get along we really get along. I stick by my friends and we help each other through all sorts and have a lot of laughs on the way.


These are just the main ways I can think of at the moment of what AS means to me, for my life, but I feel like I could keep writing forever, or at least enough to fill a book! I might update if other important things come to mind. I also have a big list of quotes from a few books (Asperger's Sydrome, A Guide for Parents and Professionals, T. Attwood; Inside Asperger's Looking Out, K. Hoopmann; and Finding AS in the Family - A book of answers, C. Lawrence) that I felt really were pertinent to me when I was reading around before diagnosis, if that is of interest to anybody.

Monday, 7 March 2016

Decisions Part II - links and research

When I consulted the oracle Google on the question of whether other people with ASC experience difficulty with decision-making, I was surprised by the huge number of results. Many others in my position had asked the same question on online forums (www.psychforums.com/asperger-syndrome, asperclick.com, wrongplanet.net) and received not unanimous responses, but a high proportion of people echoing difficulties with making decisions and the stress caused by this.

I came across further anecdotal evidence on a couple of good blogs I discovered through this search. https://aspergersandmeblog.wordpress.com/2014/02/20/how-do-i-adult-making-decisions/ has some good tips for people with AS to assist in decisions, and the blog 'Musings of an Aspie' has a whole series on 'What I want' as well as some single posts on decisions that I could have written myself (if I were as eloquent!): http://musingsofanaspie.com/2013/07/29/what-do-i-want/
http://musingsofanaspie.com/2013/02/21/my-no-reflex/
http://musingsofanaspie.com/2012/09/05/when-all-you-can-draw-is-a-blank
And to top it all off, I did manage to find a couple of academic studies in the area. One I sadly couldn't access due to copyright, but was conducted by Lydia Luke, University of Cambridge: 'Decision-making difficulties experienced by adults with autism spectrum conditions'. The abstract states that:
Autobiographical and clinical accounts, as well as a limited neuropsychological research literature, suggest that, in some situations, men and women with autism spectrum conditions (ASCs) may have difficulty making decisions. Little is known, however, about how people with ASCs experience decision-making or how they might best be supported to make decisions for themselves. In this study, we compared the decision-making experiences of adults with and without ASCs (n=38 and n=40, respectively) using a novel questionnaire and the General Decision Making Style inventory (GDMS, Scott & Bruce, 1995). The participants with ASCs reported experiencing several problems in decision-making more frequently than the comparison group, and were more likely to report avoidance of decision-making, as measured using the GDMS. The findings highlight areas of potential future research and inform suggestions for supporting adults with ASCs during decision-making.
Sounds interesting. The other research I found was conducted by Lee A. Wilkinson (http://bestpracticeautism.blogspot.co.uk/2013/01/decision-making-problems-in-adults-with.html)

The results indicated that compared with their neurotypical peers, the participants with ASD more frequently reported difficulties in decision making. Decisions that needed to be made quickly, or involved a change of routine, or talking to others, were experienced as particularly difficult, and the process of decision-making was reported to be exhausting, overwhelming, and anxiety-provoking. The participants with ASD reported significantly higher levels of anxiety and depression and were more likely to believe that their condition interfered with rather than enhanced the decision-making process. Not surprisingly, the participants with ASD were also more likely to report that they avoided decision-making.

...
These findings are consistent with previous autobiographical accounts, known features of the condition, and previous studies of decision-making in ASD... Despite limitations of the study (e.g., self-reports), the results are consistent with suggestions from the literature relating to decision-making for people with ASD. Importantly, they also have some practical implications for supporting more capable adults with ASD. For example, it may be useful to: (a) provide additional time to reach a choice, (b) minimize irrelevant information, (c) present closed questions, (d) offer encouragement and reassurance, and (e) address general issues around anxiety. Understanding how adults with ASD experience decision-making is especially relevant for family members and professionals who are involved in providing support to help these individuals achieve greater self understanding, self-advocacy and improved decision-making in lifespan activities such as employment and personal relationships.
It seems I am definitely not alone then, and that this issue may well be part of the AS, not just me being mindless and pathetic. Bit of a relief, really. Now how to explain this problem or get people to support me in it without telling them about AS... that could be a tricky one. After an issue last week, I am wondering whether I should tell work, but I'm not sure how they'd take it - it seems to be a fairly "fend for yourself" environment, and my colleagues are very aware of severe needs so may discount my milder problems. Will have to ponder on that one.



Sunday, 6 March 2016

The D word

Anybody who knows me knows I have a problem with making decisions. It's far more long-standing than my diagnosis of AS and has left me with many rather embarrassing memories.

It tends to go something like this:
Somebody asks a very simple question, such as "do you want to go for first dinner break or second?", or "what do you want to do?", or I have to decide what food to buy in a cafe. Basically, anything where a decision is required on the spot, I don't know the answer and somebody is waiting for it.

Image result for cookie

Now, strangely, the less I mind about the answer, the harder this sort of situation is and the more stressed and anxious I get. Inside, I start to get worried as soon as the question is put or I see it coming. I start frantically searching for the 'right answer.' Here I am considering all the possible minute implications of each possible decision (to the routine of my day, to my companion's feelings, to my finances, to what is good for my body, to whether Great Aunt Gertrude would put her pink hat on if I chose option x, and whether that would have an impact on llamas in Peru etc etc). If I find a 'right answer' (some kind of deciding factor, eg. "I really fancy that toastie", or "that's the cheapest and I'm poor at the moment", or "the other person will want the big piece of cake so I'll take the small" or "that's got the highest specifications so is the best version") then everything is fine. The choice is made and we all carry on as if nothing had happened.

Image result for worried face female

But if there is no deciding factor to find a 'right answer', we run into trouble. My heart starts pounding and my breathing gets faster, I go bright red (I assume by the feeling in my face anyway!), I start to get panicky and my eyes might dart around. At this point if there's no way out of the decision my eyes are prone to leak. This is very embarrassing in public when you are a grown up! I also might start tapping my fingers together quickly, or wiggling my toes, possibly before the crying stage. I will most likely be very quiet while this is going on. If we're lucky I might manage "I don't know." I'll be feeling very scared and vulnerable. The most recent couple of times I noticed I started flapping my hands and stepping my feet quickly on the spot, or sucking a finger. One time my mouth muscles did a weird thing I couldn't even stop when I tried.



As an aside, these last few have worried me a bit as normally I don't do things outwardly that would make people think there was something wrong, so I don't really know what's going on. I could just be becoming more aware of myself, but I'm reasonably sure I didn't used to do them or people wouldn't find it surprising that I have AS! Since changing jobs I seem to have been experiencing more 'AS symptoms' so I don't know if it's related to that, but I certainly hope it goes away. Any ideas welcomed! Just had a thought: perhaps this could be because in certain situations crying is not an option, like at work, so maybe the excess is coming out in a different way. Any thoughts?

I have observed a few factors which seem to compound the situation when it happens:

  • time pressure
  • the person reiterating that I need to decide rather than them
  • thinking someone will not be happy with me if I don't make the decision (or if I make the wrong choice)
  • when I'm hungry
  • when I think a particular answer is expected or desired and I don't know what it is
If you think I'm in this situation and want to help, the very best thing you can probably do is to give me a hug (but only if you know me) and ask if I want you to decide. I'll probably nod. It doesn't matter what you choose: the reason I'm like this is because I don't know what I want. If I don't want you to choose, I might just need some time and space. If you can, take me somewhere quiet where we can sit down. I'll probably start to talk to you about it after a while. 

Image result for heart racing

Anyway, until a week or two ago, I thought this was just me being bad at making decisions, but then I watched a documentary that got me thinking. It was the fourth episode on David Eagleman's series 'The Brain' and was titled 'How do I decide.' It looked at how both logic and emotion are needed to work together for decision making and showed a case of a lady with a brain injury where these links had been compromised and how she now finds even the simplest decisions incapacitating and can get emotional over it. I wondered if it could be at all related to AS, thinking about how the brain works differently with emotions and things, so had a look on the internet, and it looks like I'm certainly not the only one.

More to follow on what I found!



Sunday, 7 February 2016

Sensory Issues

I have been asked to write about how I deal with sensory issues, and particularly with consideration that I don't disclose to most people.

I will start with a bit of a disclaimer. I consider myself very lucky that I don't have any really severe sensory issues that will send me into immediate meltdown or anything like that. Most of mine are preferences (albeit strong ones!) or things that will cause me distraction but not real distress or if they really are things I find it difficult to deal with they are mostly avoidable if I am aware.

Some examples of my sensory issues:

Textures/touch
I really hate ribbons, buttons and lace. I don't find them physically painful but rather disgusting and revolting. Usually it is possible to avoid touching. Some versions are worse than others: jeans buttons are OK (though not when I was little) but I would never wear a shirt. When they are loose that is the worse. It makes me shudder and flap a bit! The thought of pearly buttons that wobble on old lady cardigans makes me want to run a mile.

Thankfully I can choose my own clothes, being an adult, but looking after children I do occasionally run into button issues. Depending on the buttons sometimes I can grit my teeth and bear it. If not, I will send the child to someone else, explaining that I have a really weird thing about buttons and I just don't like them. People usually think it's a bit odd but accept it. Sometimes I explain it as being like when people hate cotton wool or fingernails on blackboards as a lot of the general population seem to have those particular issues.

Smells
Smells tend to register either very weakly or very strongly with me. I cannot stand the smell of air freshener: it makes me want to vomit. I'd rather smell the poo or whatever bad smell it is than air freshener. I deal with this by trying to explain to people I don't like it, but they usually spray anyway. I try and keep as far away as possible until the smell has dissipated. In fact I'm not too keen on most artificial scents - I have a perfume I can tolerate but I only wear it occasionally and it tends to bother me when I can smell it on my clothes afterwards. I can stand when Mr Peggy wears aftershave but I don't really like it and find it a bit distracting.

I also have an issue with laundry smells, probably because they are an artificial scent. I can tolerate one or two kinds but others distract me a lot: all I can think about when wearing clothes washed with them is that they smell wrong. It's generally fine on other people though and Mr Peggy is very understanding and lets me buy the washing powder I want even though I'm sure he thinks I'm a bit doolally. Occasionally children have really strong-smelling fabric conditioner and that makes me want to be sick too. To deal with this I just try and keep my distance!

Sounds
I don't like really loud noise (you won't catch me at any rock concerts!) and when I'm tired I find focusing in chaotic background noise difficult. To deal with these, most really loud noises are avoidable. If not I might cover my ears for a passing ambulance or similar brief and unexpected sound. People don't seem to find this too weird. In background noise I either tune out or try and watch people's lips to hear what they are saying, or just copy the body language of other people in the conversation.

Other than that I can get distracted by sounds, for example the humming of an item of technology or outside sound. I also find it very frustrating if a sound I know well is wrong: some music players can change the tempo of the music minutely, which also adjusts the pitch minutely. In a dance class this will drive me mad while nobody else has noticed, until I eventually tell the teacher, who says "I don't think we've changed it" then finds out it is wrong!

Sight
I don't really have any visual issues though I don't find it easy to deal with bright light and I have a tendency to get stuck in visual patterns, following them round and round when I notice them. I can also get distracted by anything unexpected or something happening outside the area I am supposed to be focussing on, eg. in training.

Taste
Again, not really a problem for me. There are foods I don't like but nothing that is an ASC-related sensory issue.


Solutions
Avoidance of the unwanted stimulus is my main solution. If this requires compliance from others often a brief "I know this is weird, but..." works.
Otherwise, I tend to get over the issue by indulging in sensory input that relaxes me. This varies according to setting, particular issue I want to get past and other variables but can include:


  • rubbing my index finger on my thumbnails or thumbnails on my face around mouth
  • letting my eyes lose focus and 'zoning out' for a while
  • wearing either loose, comfortable clothes or something that gives even pressure eg. leotard and tights, leggings etc
  • listening to music
  • walking outside in the breeze/wind/near water
  • having a shower or bath
  • watching TV

These things are methods I have noticed that help me to descale from impending sensory overload. I probably have more issues with brain overload (emotional/communicative) than physical sensory issues so can do a post on that if required.

Hope that answers some questions. Please ask as always for more details or things I have not covered.

On a Square Day

I've been having a lot of 'Square Days' recently. I'm rather chuffed with the description actually: the hunt for a word to explain these days is finally over!

The search began when I wanted to express that some days are different from others. We all have good days and bad days and ones where we just shouldn't have got out of bed, but I was struggling with the fact that some times I just seem to feel a lot more 'autistic' than others. But autism is most definitely not a feeling. I'm not sometimes autistic and sometimes not, so it seemed really strange to say I was feeling particularly autistic that day.

I asked a few other people what they thought on the matter. Everyone reported that they too felt more severely affected at times, especially when tired, stressed, ill or anxious. Perhaps I wasn't so far off the mark then! But I still didn't like the phrase (maybe because most people don't know of my diagnosis so it would seem rude and insensitive to people with autism to them if not just plain weird).

I decided to write about it anyway, as I think it's an important thing for people to understand, so I came to my blog to start writing and read my title 'Square Peggy'. It just fit perfectly.

I've just collected a few initial thoughts about what it's like to be me when I'm extra square.

On a Square Day I:
  • Image result for anxiety

    • feel very vulnerable
    • may be irritable
    • may not like talking, particularly answering questions
    • may get overwhelmed by a seemingly tiny task
    • am much more likely to shut down
    • need more sensory input to make me feel calm and safe, so I tend to stim more and seek comforting touch from someone I trust
    • take longer to process language and situations
    • tend to avoid risky/unsafe/scary things more, for example eye contact
    • may be very emotional
    • may seem not to care or be very responsive (usually due to being very emotional)
    • find it difficult to join in conversations and may be quieter than normal
    • need my own space
    I'll probably add to that list as time goes on - those are just thoughts off the top of my head. Please share your own experiences in the comments or send me a message. And please ask if you have any questions or would like more detail on any area. Thanks!