Can I be low functioning and people not reakize

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IsabellaLinton
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18 Jun 2019, 9:24 am

skibum wrote:
Isabella, I am so glad that you wrote this. I also have selective mutism, I prefer to call it situational mutism. I get hell for it from my mom and from ER staff. My mom thinks it's personal and ER staff accuse me of faking when my functioning levels change. I also become like a four year old child sometimes or even younger and bullied for that as well sometimes. Just this past Monday, I was not only bullied and accused of faking in the ER because my functioning levels were changing so dramatically, but after I was discharged and they had to wheel chair me outside because I could not walk, they bullied me and accused me so much that I became catatonic. That also happens to me under extreme duress. I froze literally in mid step and could not move or talk. And because I could not move or talk, they bullied me more and said that because I refusing to talk and refusing to get off the premises after being discharged, they were going to have me arrested for trespassing and have me put in jail. They eventually put me in a van and drove me to my car. Buy then, with help, I got some mobility and speech back. They put me in the car and told me to get out. It took me 30 minutes to drive two miles home. When I got home, I could not parallel park near my house so I parked in the company parking lot next to my house. I managed to get out of the car and it took me 20 minutes to walk five feet. I managed to call 911 and they sent two police officers. By now I had some speech back. They arrived and said they would call an ambulance. I showed them the hospital bracelet still on my wrist and said no, I was afraid that if they sent me back to the hospital I would be arrested and put in jail like they security guard had said. The police officers told me that they were not trained to help me across the parking lot in case I should fall. I told them, "You don't have to be trained, you just have to care." When I said that I could tell they felt it. So they each took one of my arms and helped me walk across the parking lot. It took almost a half hour. I was so grateful because cops are not always nice to me.


Again, so true. I'm very sorry and very empathetic about what you experienced, because I know first hand how that can occur. In 2015 I suffered a stroke, but at hospital the receiving doctor wanted to discharge me because of my peculiar contradictions. He read my educational and employment history in my hospital notes from previous health care providers, and kept asking me about my work and abilities while ignoring my obvious medical emergency. I couldn't reply. Despite my obvious symptoms of stroke (inability to control my limbs, drooped eye, garbled speech, falling on the floor), he was also rude and condescending because some of my stroke symptoms were atypical, such as the fact I was laughing hysterically. He actually said to me "you got it wrong, people don't laugh during strokes..." He thought I was intoxicated and ordered tox screens rather than sending me for an immediate MRI, or administering life-saving clot breaking medication (Ideally given in the first "golden hour"). The tox screen was negative and another doctor rushed me to MRI immediately, where a large embolic stroke was found in the second most dangerous area of my brain. I could have / very possibly would have died if the first doctor was left responsible for my care.

I was admitted to hospital for stroke recovery and underwent a year of PT / OT / Speech Therapy for rehabilitation. During my first week in hospital I was left alone with my chart, where I was able to read the first doctor's notes. He had written "faking it", and then crossed this out when diagnostics proved him wrong.

I later learned that laughter is indeed a sign of stroke, because it is triggered by brain damage. There is a phenomenon called Pseudo-Bulbar Affect which causes stroke patients to laugh and cry at inappropriate times, or without cause. Additionally, cerebellar strokes such as mine present with atypical signs, which most stroke prevention / recognition campaigns don't identify. Apparently, my first doctor knew nothing of cerebellar stroke or its manifestations.

At some points in my 14 month rehabilitation, as my autistic traits began to be apparent with the neurologist and other doctors, they second-guessed my behaviour again, saying that my mannerisms weren't consistent with stroke recovery. They weren't "stroke mannerisms", they were autistic mannerisms, but I wasn't allowed to have both. Not every part of my behaviour was affected by stroke, but the doctors were often perplexed by my autistic traits and tried to pigeon-hole them into stroke, where they didn't fit. It was very frustrating to self-advocate for my autism and to teach the professionals which traits belonged to which category, and to accept my fluctuations in speech and ability on top of this all.

If I didn't have PTSD when the stroke happened, I certainly would have had it afterward because of the poor care I received by many (but not all) of my health care team.


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Last edited by IsabellaLinton on 18 Jun 2019, 9:37 am, edited 2 times in total.

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18 Jun 2019, 9:35 am

kraftiekortie,

I probably fit the description of "low functioning" you describe. While I am not, in the true sense of the term, "low functioning," I am behind my peers of equal intellect in the attainment of life skills. While I am doing things and living an active, well-rounded, life, my friends have done things with their lives. They were teachers, parents, spouses, all regular adult human beings. I work, but not full time, I play tennis, have a rewarding social life but still behind the curve in accomplishing adult milestones. I am working hard to catch up. I hope that I can become fully independent and life well into old age in a happy and healthy fashion.



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18 Jun 2019, 10:01 am

Isabella, that is so horrible. I am so sorry you had to go through that. And so glad that the other doctor realized what was happening. I often get mistreated in the ER and accused of faking. It is also well documented in my chart by my neurologist that I have these types of issues and become unresponsive and can become catatonic but no doctor or nurse ever reads the chart. I have to tell them I am Autistic because they refuse to read it on the chart. Two years ago I was mistakenly 302'd. I was mistakenly 302'd again almost two weeks ago. The first time I told the hospital that rather than suing them for bullying me so incredibly badly in the ER for over eight hours that I would personally come in and, for free, train their entire staff on Autism. We had emails and meetings about all this for months and finally they decided that no, they did not want me to teach them anything. And none of the suggestions I gave them have been implemented at all. No weighted blankets, no letter sign boards, no education on how Autism can appear, nothing. So you can imagine how furious I was to be so badly bullied in the same ER and accused of faking again. I talked to one of my counselors about it and she said that in that ER, every single person that they go there with who has a mental illness or who is a high functioning Autistic gets bullied there.

But because of other issues that happened over the past three weeks, along with the four trips to the ER in three weeks, I was so overwhelmed that I started getting chest pains and chest tightening. So I went to the other hospital where I have also been badly bullied for "faking" loss of functionality in the past.

Because there, they ask you a bunch of suicidal yes or no questions in triage, and because I have suicidal thoughts all the time and have had since I was ten, like many Autistics, it's just normal life for me like breathing to have suicidal thoughts because I am constantly so overwhelmed, so I don't even mind them, they just come and go as they need to, and because I can't lie on the spot at triage, I immediately got put into a crisis room. I didn't care because it's actually a pretty nice room and more sensory protected. But the doctor came to see me and said, my EKG was normal. I said, "What??? How is that possible since no one took an EKG at all?" Then he said, "Oh sorry, I just assumed they had taken one." Then he said that he saw one on my chart from last year and he thought that was the one from today. I was like, wow, he gets paid more than I do at my job? If I had made a mistake like that at my job, I would no longer have my job. But at least he apologized which is more than I can say for a lot of doctors.

Then he discharged me and gave me the summary printout of my visit. The first thing I saw was that he had diagnosed me with Anxiety Disorder. I do not have anxiety disorder. When I challenged him on it, he said that he diagnosed me with this mental illness because I seemed a little anxious when I came in and because Autism makes people anxious. I was livid!! ! So he removed the diagnosis from my record.


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IsabellaLinton
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18 Jun 2019, 10:16 am

skibum wrote:
Isabella, that is so horrible. I am so sorry you had to go through that. And so glad that the other doctor realized what was happening. I often get mistreated in the ER and accused of faking. It is also well documented in my chart by my neurologist that I have these types of issues and become unresponsive and can become catatonic but no doctor or nurse ever reads the chart. I have to tell them I am Autistic because they refuse to read it on the chart. Two years ago I was mistakenly 302'd. I was mistakenly 302'd again almost two weeks ago. The first time I told the hospital that rather than suing them for bullying me so incredibly badly in the ER for over eight hours that I would personally come in and, for free, train their entire staff on Autism. We had emails and meetings about all this for months and finally they decided that no, they did not want me to teach them anything. And none of the suggestions I gave them have been implemented at all. No weighted blankets, no letter sign boards, no education on how Autism can appear, nothing. So you can imagine how furious I was to be so badly bullied in the same ER and accused of faking again. I talked to one of my counselors about it and she said that in that ER, every single person that they go there with who has a mental illness or who is a high functioning Autistic gets bullied there.

But because of other issues that happened over the past three weeks, along with the four trips to the ER in three weeks, I was so overwhelmed that I started getting chest pains and chest tightening. So I went to the other hospital where I have also been badly bullied for "faking" loss of functionality in the past.

Because there, they ask you a bunch of suicidal yes or no questions in triage, and because I have suicidal thoughts all the time and have had since I was ten, like many Autistics, it's just normal life for me like breathing to have suicidal thoughts because I am constantly so overwhelmed, so I don't even mind them, they just come and go as they need to, and because I can't lie on the spot at triage, I immediately got put into a crisis room. I didn't care because it's actually a pretty nice room and more sensory protected. But the doctor came to see me and said, my EKG was normal. I said, "What??? How is that possible since no one took an EKG at all?" Then he said, "Oh sorry, I just assumed they had taken one." Then he said that he saw one on my chart from last year and he thought that was the one from today. I was like, wow, he gets paid more than I do at my job? If I had made a mistake like that at my job, I would no longer have my job. But at least he apologized which is more than I can say for a lot of doctors.

Then he discharged me and gave me the summary printout of my visit. The first thing I saw was that he had diagnosed me with Anxiety Disorder. I do not have anxiety disorder. When I challenged him on it, he said that he diagnosed me with this mental illness because I seemed a little anxious when I came in and because Autism makes people anxious. I was livid!! ! So he removed the diagnosis from my record.


Oh my gosh. That's all beyond belief. Again I'm sorry.

My Neurologist ordered a test involving multiple needles in my forehead. I can't for the life of me remember what it was called, but it was to measure neurological conductivity for a condition called MG. It was the most painful medical procedure I've ever had. I never heard results from the test and I when I inquired, repeatedly, I was finally told that I hadn't done the test. They wanted to schedule it because apparently, it hadn't happened. I had a full-on meltdown because I was already stressed and upset, and the doctor was doubting that I had done this exam, then judging me for being upset. The medical system is whacked, and unfortunately autistic and / or mute individuals who can't self-advocate are caught in the middle. I applaud your attempts to educate the hospital staff, but I'm not surprised they cancelled on you after so much hard work. After all, our feelings and best efforts are seldom recognised.


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skibum
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18 Jun 2019, 10:26 am

Thank you. And my heart goes out to you so much as well. I honor your courage especially after such life threatening experiences.

I even went to the police station of the officers who 302'd me the second time and offered to teach them a class on Autism. They said they would be happy to have me teach them but I had the to present a curriculum and then they would have to have a doctor look at it and I would only be allowed to teach them if the doctor felt like the topics I wanted to cover were relevant to enough people in the community. So I am going to start some threads about the specific topics here and hopefully there will be tons of people here saying that the topics are relevant to them. I can't believe how hard it is for Autistics to be able to teach about our own condition in order to be understood and not be bullied and abused and have out lives threatened by ignorant and arrogant people.


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18 Jun 2019, 10:28 am

I also in that three week traumatic period, taught a class at my own expense to a group of camp counselors that does camps for disabled and Autistic people. They were so rude to me and pretty much jut dismissed everything I said. We have to fight tooth and nail to educate people about our condition and they refuse to let us do that and then they use ignorance as a justification to bully and abuse us. And they justify it by saying that they were trained in Autism most likely by some Autism Speaks protocol or that they worked in a facility that served Autistics, or like they say at the ER, we get Autistics in here all the time so we know everything about Autism so you must be faking because you are not like what we know.


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18 Jun 2019, 10:36 am

asalem wrote:
skibum wrote:
We have to create a system so that people can get their needs met. Functioning labels are sometimes used to determine whose needs get me and whose don't, who gets help and who does not. There has to be a better way.


One thing I find is that the ones who do receive help are the lower end of the spectrum but people on the mild or higher end are expected to meet the expectations of NTs when we can't. Everybody deserves the help they can get. I think it has to do with the current business model that medical institutions operate. There isn't much money to be made on autistic people as there are on people with adhd. We, the autistic, people should stand together on these issues.
You are absolutely right. And I know that I personally make it point to advocate for the rights of lower functioning people on the spectrum and I speak very strongly and publicly all the time to anyone who will listen about protecting lower functioning people and making sure that they are not abused as well as for the rights of higher functioning people. I am hoping that our lower functioning brothers and sisters will also fight for us. We need to stand together as a spectrum and never have a high functioning vs low functioning mentality. We are equally struggling, we are equally gifted, we need to fight for each other and support each other. If we don't no one else will.


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18 Jun 2019, 10:56 am

skibum wrote:
Thank you. And my heart goes out to you so much as well. I honor your courage especially after such life threatening experiences.

I even went to the police station of the officers who 302'd me the second time and offered to teach them a class on Autism. They said they would be happy to have me teach them but I had the to present a curriculum and then they would have to have a doctor look at it and I would only be allowed to teach them if the doctor felt like the topics I wanted to cover were relevant to enough people in the community. So I am going to start some threads about the specific topics here and hopefully there will be tons of people here saying that the topics are relevant to them. I can't believe how hard it is for Autistics to be able to teach about our own condition in order to be understood and not be bullied and abused and have out lives threatened by ignorant and arrogant people.


Please bring the threads to my attention, and I'd be happy to contribute experiences or anecdotes which could help.


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18 Jun 2019, 10:57 am

With the GAF I'd fall into the 41-50 category .

With Whodas 2 I'd get :

Understanding and communicating 14
Getting around 5 *
Self care 4 *
Getting along with people 20
Life activities - household 16
participation in society 19

*With getting around . It was hard to choose re getting outside. I can physically do it , but don't go very far by myself because of my poor sense of direction.

*With self care. Also difficult. Can physically do it , but if left to my own devices can be prone to self neglect re hygiene etc .



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18 Jun 2019, 11:09 am

IsabellaLinton wrote:
skibum wrote:
Thank you. And my heart goes out to you so much as well. I honor your courage especially after such life threatening experiences.

I even went to the police station of the officers who 302'd me the second time and offered to teach them a class on Autism. They said they would be happy to have me teach them but I had the to present a curriculum and then they would have to have a doctor look at it and I would only be allowed to teach them if the doctor felt like the topics I wanted to cover were relevant to enough people in the community. So I am going to start some threads about the specific topics here and hopefully there will be tons of people here saying that the topics are relevant to them. I can't believe how hard it is for Autistics to be able to teach about our own condition in order to be understood and not be bullied and abused and have out lives threatened by ignorant and arrogant people.


Please bring the threads to my attention, and I'd be happy to contribute experiences or anecdotes which could help.
Thank you so much. I will definitely do that as soon as I start them. And I will mark the titles with asterisks.


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18 Jun 2019, 11:16 am

firemonkey wrote:
With the GAF I'd fall into the 41-50 category .

With Whodas 2 I'd get :

Understanding and communicating 14
Getting around 5 *
Self care 4 *
Getting along with people 20
Life activities - household 16
participation in society 19

*With getting around . It was hard to choose re getting outside. I can physically do it , but don't go very far by myself because of my poor sense of direction.

*With self care. Also difficult. Can physically do it , but if left to my own devices can be prone to self neglect re hygiene etc .


Other than observations and notes, I had like 18 tests in my diagnosis. I don't see Whodas but I have some results that are kind of similar. In my GARS, I had two areas that showed non significant, those were social interaction and social communication. I can struggle a lot with those but compared to the Autistic mean, I do really well. The other four categories, Restrictive/repetitive behaviors, maladaptive speech, cognitive style, and emotional responses, I got significant in all of those and in fact so much so that I actually showed more severely impaired than the highest differential from the mean, thus making me a level 3 requiring substantial levels of support.


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18 Jun 2019, 11:46 am

I had an interesting conversation with my coworker today. She is wonderful. She is very loving and supportive of me and loves how I teach her about Autism because she has an adult Autistic relative that she is extremely close to and I help her understand him better.

Today I told her what happened to me at the ER with the doctor and the EKG and him giving me a mental illness diagnosis or Anxiety Disorder after just knowing me for all of 20 seconds. She asked me why it would be so bad for me to have that diagnosis because I am Autistic. I was pretty taken aback by that question but I explained to her the potential dangers in having a mental illness diagnosis for a mental illness that you don't actually have. Once I explained this to her, she understood and agreed. Then I came back and asked her a question. I asked her how she would feel if that had been done to her and what impact it would have on her to have an erroneous mental illness diagnosis on her medical record. She took a step back and said, "Wow, good point!" Obviously, she had not thought of it from that perspective.

It was amazing to me how she could think that it was ok for me to have an erroneous mental illness diagnosis on my medical record just because I am Autistic but it would not be ok for her as an NT. Now I don't mind having a mental illness diagnosis at all as long as I actually have that mental illness. But I will not tolerate having some doctor put that on my medical record just because he feels like it. But it blew me away that she thought that me being Autistic made it ok for me to be treated that way.

And when I told one of my counselors what happened she said, oh, we should look into that because that could explain your chest pains. I told her that if I had a mental illness, the neuropsyche who diagnosed me with Autism four and half years ago and who has been seeing me regularly ever since, and my trauma therapist would have both picked up on that and diagnosed me themselves. And I also told her that the three weeks of unrelenting bullying and trauma and massive never ending sensory overload and emotional overload would be just cause for heart pains as well. And if she had been through what I had been through in the past three weeks, she would be having chest pains also. So no, it does not mean that I have a mental illness. If I truly had one, I would admit it gladly but I just don't. But it is amazing to me that people think it's ok to do that to people just because they are Autistic.


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19 Jun 2019, 3:05 am

asalem wrote:
One thing I find is that the ones who do receive help are the lower end of the spectrum but people on the mild or higher end are expected to meet the expectations of NTs when we can't.


How many people do you know who meet your criteria of being on the "lower end of the spectrum"?

Just because they receive some help (often token) doesn't mean they (and their family) don't require more assistance as well.