If your therapist makes you wish you were dead,

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I think whatever therapist you see should accept and understand your ASD diagnosis and understand the unique challenges ASD causes otherwise they won't get the whole picture.

They should, but many times, they are still catching up. They also, unless they seek specialty training, tend to follow observational rules propogated by groups such as "Autism Speaks" and other organizations that promote the most cliched of ideas and focus only on children.

And, not all would be going full tilt so to speak to catch up on everything in the new criteria. Most of them do specialize in more 'accepted' areas and it's hard to find a match. Also, if you go through many threads here, you will find many, many people with whom cannot even find a specialist in their areas, let alone be able to afford them. And, many of those wienies do not really take this stuff seriously. I can't tell you how many times I got shined on by Psych. Docs and the levels of frustrations it created just trying to find someone to take me serious.

And, I am in NYC. The chances are much greater here of finding someone and it was not easy here.

Typically, here a therapist will suggest voluntarily checking yourself in. If you refuse it can become involuntary. It doesn't take much to be sent for observation. So say your therapist or whomever calls it in. Police arrive (ambulance if needed) assesses the situation. Officers are more likely to take your therapist word over yours. Assuming you don't need medical and this maybe specific to Orlando; the officer will escort you to a private facility that contracts with the hospital. Where the officer relays any information he receives. At this point you will be held for a 72-hour observation and if needed they build a case for continuation.

If they feel continuation is needed, they present your case and the court determines if your stay longer. At this point, your word against medical professionals… Your rights may have been violated and yourself possibly abused. But you will have a hard time getting an attorney to consider the case, unless you put up a large retainer that most don’t have. More so if they don't hold you past the observation period.

My experience was when my sister was admitted, whom also previously worked within the system as a mental health tech.

I don’t feel the OP is a danger to his self. He recognizes a problem and the source (good on him). He can either try and restore the relationship with the therapist, ask him why he feels your previous diagnoses was invalid. May have a good reason or not. You can disagree and hopefully he will understand. If not terminate his services because the relationship isn’t a good fit… But I probably would terminate if he literally laughs over a diagnoses; it’s unprofessional. I would only assume he may abuse his powers.

Therapists usually make me wish they were dead.

Sorry, but the VA thing says it all. These people are known for all sorts of really bad treatment. That's not the standard of care.

Actually, the standard of care is not that bad. I've been in several systems and it's really not that different. Of course, they are all not the same. But it's the majority of people seeking psych services have been in some really bad situations, so they are on the lookout. That's all.

I think I'd be a little more aware of things considering that the person in front of you may be a special forces PTSD sufferer. So, yeah, they do keep a closer eye on things.

If a therapist acts like a religious zealot by refusing to listen to alternatives or reason I dump them, and I also dump them if I can out think them and put them on the offensive, which I often can do because I have seen enough of them I know how they, due to their education and training and methods, think and what to expect enough to head them off and lead the conversations in the directions I feel comfortable with and can control, in otherwords if I feel I can screw with their minds to easy then their not the ones to work with me.

I had a therapist back around 2010 (after I aged out of my old one, I was too old to keep seeing her) who spent more time talking about her own problems than helping me with mine. She would go on and on about her back pain and how her back never hurt until she had kids. She didn't realize I was Autistic until about a year after I started seeing her. I don't understand that, because it says "Autism Spectrum Disorder" on nearly every document about me ever since I was little. I got a new therapist in spring of 2011 who is better. It took me a few months to warm up to him and open up about my life and my problems, but I still see him every week and most of the time, I like seeing him.