low support needs does not mean NO support needs
I know not all autistics consider their autism to be disabling, and I suppose it's fair that they get to define their own condition.
But for myself, I absolutely consider both my ADHD and autism to be disabling. Even though I'm low support needs, that does not mean NO support needs. I feel like because people see that I can clearly hold down a job, they assume that means I don't really struggle with stuff. And I feel like because I'm not visibly disabled, people will tend to pile blame on me when I eventually crash and burn after losing supports, rather than trying to sympathize. I think the only reason I'm not on the street is because I live with my mom
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He/him or they/them pronouns, please.
ASD level 1 & ADHD-C (professional dx), dyscalcula (self dx), very severe RSD.
Currently in early stages of recovering from autistic burnout.
RAADs: 104 | ASQ: 30 | CAT-Q: 139 | Aspie Quiz: 116/200 (84% probability of being atypical)
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But for myself, I absolutely consider both my ADHD and autism to be disabling. Even though I'm low support needs, that does not mean NO support needs. I feel like because people see that I can clearly hold down a job, they assume that means I don't really struggle with stuff. And I feel like because I'm not visibly disabled, people will tend to pile blame on me when I eventually crash and burn after losing supports, rather than trying to sympathize. I think the only reason I'm not on the street is because I live with my mom
That is the common conundrum of what they now call low support needs. Not autistic enough to be obvious. Too autistic for others not to notice pass as an NT well.
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Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity
“My autism is not a superpower. It also isn’t some kind of god-forsaken, endless fountain of suffering inflicted on my family. It’s just part of who I am as a person”. - Sara Luterman
There's a misconception that having "support needs" means we require caseworkers or caregivers in order to leave our homes or function productively in society.
"Support" doesn't have to be provided by other humans. As we all know that level of service is difficult to find even if we have more needs, and most of us wouldn't want a caregiver following us around 24/7 anyway.
"Support" can mean we benefit from any of the following (and more):
- sensory aids like tinted glasses, ear defenders, earplugs, dental guards, etc.
- sensory / stimming items like fidget rings or other calming products
- assistive communication devices
- service animals or emotional support animals -- sometimes just in the home (not public)
- psychologists and other therapists for comorbids (depression, anxiety, EF)
- accommodations at school or work (extra time, quiet spaces for exams, softer lighting etc.)
- living with parents longer or having parents represent us past age 18
_________________
I never give you my number, I only give you my situation.
Beatles
"Support" doesn't have to be provided by other humans. As we all know that level of service is difficult to find even if we have more needs, and most of us wouldn't want a caregiver following us around 24/7 anyway.
"Support" can mean we benefit from any of the following (and more):
- sensory aids like tinted glasses, ear defenders, earplugs, dental guards, etc.
- sensory / stimming items like fidget rings or other calming products
- assistive communication devices
- service animals or emotional support animals -- sometimes just in the home (not public)
- psychologists and other therapists for comorbids (depression, anxiety, EF)
- accommodations at school or work (extra time, quiet spaces for exams, softer lighting etc.)
- living with parents longer or having parents represent us past age 18
I actually didn't mean to imply that. I wouldn't say my mom is my caretaker, just that for me living with my mom mitigates a lot of the areas I struggle with and I sincerely doubt I could function without living with her.
_________________
He/him or they/them pronouns, please.
ASD level 1 & ADHD-C (professional dx), dyscalcula (self dx), very severe RSD.
Currently in early stages of recovering from autistic burnout.
RAADs: 104 | ASQ: 30 | CAT-Q: 139 | Aspie Quiz: 116/200 (84% probability of being atypical)
I didn't think you implied your mother is your caretaker. I empathise with what you're experiencing though. "Low support needs" doesn't mean "no support needs", and many of us have needs others can't or don't see. It's very easy for us to burn out when others assume we're not struggling, or when they don't take it seriously if we say that we are.
_________________
I never give you my number, I only give you my situation.
Beatles
Thanks
I am currently talking with my workplace's HR about getting more accommodations at work, too. Mostly for sensory problems. I was able to get all previous accommodations just by talking to my boss (such as being allowed to wear noise reduction stuff), but I'm not sure how seriously I will be taken for my most recent needs without going through official channels.
_________________
He/him or they/them pronouns, please.
ASD level 1 & ADHD-C (professional dx), dyscalcula (self dx), very severe RSD.
Currently in early stages of recovering from autistic burnout.
RAADs: 104 | ASQ: 30 | CAT-Q: 139 | Aspie Quiz: 116/200 (84% probability of being atypical)
Double Retired
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Posts: 6,352
Location: U.S.A. (Mid-Atlantic)
"Support" doesn't have to be provided by other humans. As we all know that level of service is difficult to find even if we have more needs, and most of us wouldn't want a caregiver following us around 24/7 anyway.
"Support" can mean we benefit from any of the following (and more):
- sensory aids like tinted glasses, ear defenders, earplugs, dental guards, etc.
- sensory / stimming items like fidget rings or other calming products
- assistive communication devices
- service animals or emotional support animals -- sometimes just in the home (not public)
- psychologists and other therapists for comorbids (depression, anxiety, EF)
- accommodations at school or work (extra time, quiet spaces for exams, softer lighting etc.)
- living with parents longer or having parents represent us past age 18
Before retirement I used to keep windup toys and fidget toys in my desk at work. I used to play ambient background music through headphones. Even at home my minimalist tastes were apparent (until I married) and even now my office at home is adjusted to my physical and psychological comfort. But I would not have thought of these as "support", I would've thought of them as me modifying my environment to suit my tastes.
So, like I said, I'm slightly confused. Are you saying I'm providing "support" for myself?
_________________
When diagnosed I bought champagne!
I finally knew why people were strange.
My co-morbids seem to be more disabling than the ASD in my case. Agoraphobia has become top of the list with me, which is the only thing I think I need to inform work about, as there is one task that involves going off the premises and it's the only task I find daunting because of my agoraphobia (it involves going out in public, dressed in a way that makes me stand out and get stared at).
Also my anxiety is high, higher than the average Aspie I think. So I automatically start overthinking things and can't move on until I have sorted it out (gotten reliable advice, reassurance, facts, comfort, a solution, or sympathy). Well I can move on but the thought will weigh me down and distract me from thinking straight about more important things. But it doesn't affect my daily functioning or communication.
I think communication is important and the more your communication capabilities are affected (even just temporarily) the more support you may need. My communication abilities are never affected ("never" is the keyword here and is not exaggerated), and I think it helps an awful lot to get through life. I'm glad I don't experience autism shutdowns. That must be quite scary at times.
_________________
Female
"Support" doesn't have to be provided by other humans. As we all know that level of service is difficult to find even if we have more needs, and most of us wouldn't want a caregiver following us around 24/7 anyway.
"Support" can mean we benefit from any of the following (and more):
- sensory aids like tinted glasses, ear defenders, earplugs, dental guards, etc.
- sensory / stimming items like fidget rings or other calming products
- assistive communication devices
- service animals or emotional support animals -- sometimes just in the home (not public)
- psychologists and other therapists for comorbids (depression, anxiety, EF)
- accommodations at school or work (extra time, quiet spaces for exams, softer lighting etc.)
- living with parents longer or having parents represent us past age 18
Before retirement I used to keep windup toys and fidget toys in my desk at work. I used to play ambient background music through headphones. Even at home my minimalist tastes were apparent (until I married) and even now my office at home is adjusted to my physical and psychological comfort. But I would not have thought of these as "support", I would've thought of them as me modifying my environment to suit my tastes.
So, like I said, I'm slightly confused. Are you saying I'm providing "support" for myself?
Another example is in how people talk to me. I need to be psychologically protected in how people talk to me and socially interact with me. Because of a specific disability that I have, it's not Autism, the way that people talk to me and interact with me can have extremely traumatic and even potentially life-threatening effects and can even damage me neurologically. So, this is a support that I need. It's not an object or a caretaker, it is a consideration by the people who interact with me in taking extreme care to protect me psychologically in those interactions. Again, this type of support for me, is as critically important as a caretaker might be for someone else. It's not a kind of support that most people think of but nevertheless, it is extremely important to my ability to function.
Another example of support that I need is I need people to make phone calls for me. It is impossible for me to call government agencies like social security or welfare or many companies because their phone hold music can make me have huge meltdowns or neurological collapses. So I have no way to get certain needs met unless I have a case worker who is willing to make phone calls for me. Hope this helps you understand.
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"I'm bad and that's good. I'll never be good and that's not bad. There's no one I'd rather be than me."
Wreck It Ralph
There just isn't enough support to go around I guess. Back when I got support in school, nobody seemed to know what to do to help, but that was in the 90's so there wasn't a lot of awareness even among professionals. Now my autistic wife and adult autistic kids all chip together to help each other. I'm sad because as much as I try and support my kids, they need more and I can't seem to get them that help. All I can really do is let them sleep as long as they need to recharge.
"Support" doesn't have to be provided by other humans. As we all know that level of service is difficult to find even if we have more needs, and most of us wouldn't want a caregiver following us around 24/7 anyway.
"Support" can mean we benefit from any of the following (and more):
- sensory aids like tinted glasses, ear defenders, earplugs, dental guards, etc.
- sensory / stimming items like fidget rings or other calming products
- assistive communication devices
- service animals or emotional support animals -- sometimes just in the home (not public)
- psychologists and other therapists for comorbids (depression, anxiety, EF)
- accommodations at school or work (extra time, quiet spaces for exams, softer lighting etc.)
- living with parents longer or having parents represent us past age 18
Before retirement I used to keep windup toys and fidget toys in my desk at work. I used to play ambient background music through headphones. Even at home my minimalist tastes were apparent (until I married) and even now my office at home is adjusted to my physical and psychological comfort. But I would not have thought of these as "support", I would've thought of them as me modifying my environment to suit my tastes.
So, like I said, I'm slightly confused. Are you saying I'm providing "support" for myself?
When doctors evaluate our support needs it's so there will be a legal record on file for risk management. If we commit suicide or harm someone in a meltdown they want to be able to say we were advised of our support needs. It doesn't seem to matter that they don't provide those supports in terms of support personnel alongside the report, since support personnel don't really exist.
Skibum and I have very high needs and we have no one assigned the duty of our care. We both live alone (I raise kids) but for all the medical institutions care, they've done their part by saying we need support. No one can sue them if we off ourselves because they identified the risk and rubber stamped it. The support we need can be anything on my list and more. Again that's their way of saying "we told you what you need - now go get it somehow."
Did you get a list of recommendations with your report? My recommendations section is several pages long, saying I should have psychologists and OT help (which I did get, but it costs me thousands of dollars a year). It also talks about me retrofitting my house to be a sensory haven with bubble tubes and a sound system to calm my nervous system. That's a "support" they've identified and since I couldn't afford to do it, the onus is on me if I snap one day and hurt someone in public. They told me so, and nothing else matters. My report says I'm at extremely high risk of suicide. Has anyone ever followed up? Nope. For all they know I killed myself right after being identified, but so long as no one sued them they've done their part in addressing all my needs.
_________________
I never give you my number, I only give you my situation.
Beatles
Before retirement I used to keep windup toys and fidget toys in my desk at work. I used to play ambient background music through headphones. Even at home my minimalist tastes were apparent (until I married) and even now my office at home is adjusted to my physical and psychological comfort. But I would not have thought of these as "support", I would've thought of them as me modifying my environment to suit my tastes.
So, like I said, I'm slightly confused. Are you saying I'm providing "support" for myself?
Yes the support can be provided by yourself. If you were still working and you had a HFA identification, you would be allowed accommodations to use your "supports" at work. I know most employers wouldn't care if you needed a fidget ring or some headphones, but other people need supports which might inconvenience the company. Maybe your support is that you need a special kind of lighting, or an office with a door for privacy. Maybe you need special air filters (I do), so you don't smell chemicals or other products at work. Maybe you need your office to be scent free.
These things all "support" you even though it doesn't mean you need a caregiver. Think of support as meaning "allowable" or "required" accommodations to keep you alive, sane, and functioning in your daily life even if you're at home. I wasn't working when I was diagnosed L2 and I haven't worked since, but I'm still listed as needing substantial support. That means I can't function even in my own home without the aids suggested for me (earplugs, ear defenders, Irlen glasses, tinted windows, my dog, etc.)
All HFA reports say the person needs "some support". Otherwise the person wouldn't be considered autistic at all. It stands to reason that all HFA people aren't expected to have a caregiver follow them around. Didn't you ever wonder why your report says you need support but you don't have or need a person? You at least have your wife and I'm sure they knew that. skibum and I live without partners and don't even have that type of assistance from day to day.
In my case even though I need substantial support, I'd likely go loco if I had an NT stranger invade my personal space or tell me how to be. I need supports like skibum described. I don't do phone calls either, so I use a service called "Relay" where they'll phone companies for you and you just have to tell them in written form via computer. It's replaced TTY for hard-of-hearing people and anyone can use it, even if it's needed because of a processing delay or social anxiety disorder.
_________________
I never give you my number, I only give you my situation.
Beatles
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Is there an official, written definition of "Support" as it relates to Autism Severity?
With Respect to Me...
>- 1994 - I turned 40 and Asperger's was first added to the DSM.
>- 1997 - I retired from my "side" job.
>- 2011 - I retired from by primary job.
>- 2013 - The Autism Spectrum replaced Asperger's in the DSM.
>- 2019 - I first suspected and then got my diagnosis (age 64).I long suspected something, just not Autism.
My diagnosis is Autism Spectrum Disorder, Level 1 (Mild).
There was also a note that I satisfy the criteria formerly associated with Asperger's Syndrome.
Now that we know what to look for, my bride and I both think the diagnosis is correct.
But, I think for apparent reasons, most of my life I was not diagnosed. I muddled through as best as I could (and I was unhappy a lot). People just thought I was quirky (they might've used less polite adjectives). I got some adjustments to make me more comfortable but I did not get accommodations because of a diagnosis.
I do not think in terms of I got "support" so much as I got "tolerated" and/or "lucky".
P.S. I was in IT, a career field where it is not unusual for good employees to be unusual and sometimes suggested as a good career field for Aspies.
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When diagnosed I bought champagne!
I finally knew why people were strange.
I get it.
I am Twice Exceptional (2e). Think the absent-minded professor. Mostly I was admired or jealously scorned. Either way when I had a meltdown for something "simple" there was little understanding or help. I write that in the past tense b/c it feels better, but it continues in the present. I'm figuring out how to assert myself in a productive way. In today's world it's hard to stay in a "Can we..." zone without ending up in a defensive "I can't..." zone.
The "invisible" disability applies to me --- a person looks at me, I seem capable, they dismiss my needs and requests outright. My (NT) sister resented me as she saw my successes and had no idea --or refused to see-- how much I struggled and suffered. People don't want to see it, don't want to believe it- they can't relate. My (NT) dad, who is generally a sensitive caring person, considered me lazy for not cleaning well, rather than congratulating me on my amazing efforts to work full-time and care for children (leaving little energy for anything else). Come to think of it, my (ASD) mom never judged me that way; she'd simply helped me clean up. Apparently she understood.
My husband is my "support" person. It's mutual support: I fund the household and he runs the household, for the most part. I have moments of relaxation, but overall the concept is alien to me. To relax would be amazing... but there are demons there, related to this very topic...
The more stress I am under (sensory, mentally), the more support I need.
It's kind of interesting how support needs/support levels generally replaced functioning levels and yet the same misunderstanding happened.
People would think someone with high-functioning autism didn't need any support because 'they're high-functioning', just like people would think someone with low support needs doesn't need any support because they're 'low support needs'.
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Remember that it is never too late to accept God's love into your heart and to believe the truth that Jesus Christ died for your sins, was buried, and rose from the dead after three days. Christ's sacrifice was unconditional and it is never too late to invite Him into your heart as your personal Savior!
Let's see...
One would class me as 'low support'. Solely because I can blend and pass, I also don't have any trouble being on my own.
Or that I don't have any academic issues at all. I can survive university levels alone if only I have the financial support for that.
However; it's like a color wheel than a gradient like levels do.
Minimal to no support in my case: sensory issues (no serious intolerance/insensitivities), mental health (unless it's hormonal), learning and studying (no learning disabilities), self care and self help, gross and fine motor, independent navigation in public, etc...
It's something I can definitely do alone, or don't have to think about.
Moderate to minimum: communication, language, socialization, productivity; time management, decision making (specifically when working for someone), prioritization, change and transitions...
Sometimes I can do alone and do it with effort and be mindful of, sometimes in need of intervention (non-professional).
"Moderate" and yet in absolute need: stress management (I need something beyond just the ability to relax), anything related to emotional regulation alone.
Sometimes in need of nonprofessional intervention to manage it, and possibly in need of professional help.
I don't have a 'severe' need. Unless something must've gotten really wrong.
Nothing that says 'always in need of X dependently' or 'in need of X professionally and in long term'.
It's like...
Yeah, I can make do alone and I don't struggle with a lot of day to day independence.
I can do chores, clean, cook, do laundry, run errands on my own.
But not much whenever someone's involved, or if there's a change outside my control -- like how I don't know which task to do first if I want to save time, or how to say stuff for others.
Or that whenever my body changes every other week.
If I get hormonal, my behaviors change, my mood changes, how I react with I consume and exposed to changes.
Yeah anything mental health related would just pass, but that doesn't change the fact that I'm going to be a fricking nuisance for weeks every several weeks.
Sounds like I need more support as a female autistic than just being an autistic alone.
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