What happens after diagnosis in the UK?

Page 1 of 1 [ 12 posts ] 

ElsaFlowers
Snowy Owl
Snowy Owl

User avatar

Joined: 11 May 2014
Age: 54
Gender: Female
Posts: 171
Location: Manchester UK

16 Jan 2015, 11:52 am

I’m wondering if things will be any different after I get a diagnosis. I’m really struggling with my life at the moment. I’ve been working full time since September after working part time for 5 years and not working at all for the 10 years previous to that. It’s hard and in particular my boss is hard to deal with . Some days she is ok but other days she talks to herself constantly which makes it hard for me to concentrate and sometimes she gets annoyed with me over trivial things, which causes me anxiety.

When I worked part time I could have several hours alone which I needed to gather my thoughts. I didn’t realise at the time but this was making life bearable. Now my life is unbearable. I cannot even look forward to weekends either because every other weekend my stepson is here and this causes me anxiety because I don’t like people in my home touching things and sitting on my furniture. This is an OCD thing which started about a year ago and is getting worse. I don’t mind people who I know practice good hygiene but if I find out they don’t then I don’t want them in my home. I know it would be unfair of me to expect my partner not to have his family round or for his son to make him a cup of tea but this causes me massive amounts of anxiety and because I’m having to work full time now I don’t get time to clean the house to a standard I’m happy with. I just don’t see a way out of this situation because I only have my partner, I don’t have any other family who would help me. I’m constantly worrying now what will happen to me if my partner decides to end the relationship. I split up from my childrens father a month before the millennium and since then I’ve made a total mess of my life and my childrens. My children have a very bleak future because I couldn’t cope with motherhood and I’m too childlike myself to make adult decisions.

I am looking for a part time job but because I cannot bear to travel more than a couple of miles this seems unlikely that I’ll find anything else. Even if I did chances are there would still be difficult people to deal with which causes me anxiety.
I’m looking forward to getting more support with my issues after my diagnosis but I wonder if I’m living in dreamland and nothing will change? Can anyone advise please what happens in the UK after diagnosis?



Tawaki
Veteran
Veteran

User avatar

Joined: 30 Sep 2011
Age: 60
Gender: Female
Posts: 1,439
Location: occupied 313

16 Jan 2015, 2:19 pm

What do you think your diagnosis would change?

It won't stop your boss from being weird or quirky.

It won't address the issue with your partner and his kid. Infact, if you are as bad as you say you are, I wouldn't want my child over there. I'm sure you are in continous near melt down mode from the OCD. That isn't healthy for anyone. The stress vibes coming off your body must be incredible. I feel horrible for you. Your whole post felt like dread and panic.

I live in the states, a diagnosis for you would get you work accommodations (maybe). You wouldn't get disability because you are actually working. It wouldn't even get you any services, since it assumed you have something under your employer (mental health). And I'm guessing you have your own place, so no housing help there.

You need help for the OCD. You partner may or may not leave, and he will ways have his son in his life. That means holidays, life events, maybe grand kids, and who knows what else. Unless you totally check out of all of that, you need some coping skills more than just white knuckling it.

When I felt how you do right now, I went inpatient psych for help with my issues. Nothing slams the brakes quicker on life than that, which it sounds like you want the diagnosis to do. I don't think being diagnosed will solve any of your problems. You boss doesn't sound horribly abusive by average boss standards, the stuff with your partner...whether it is OCD or Aspergers, none of that will magically change short of him visiting his child somewhere else.

Are you in some kind of therapy?

Don't misunderstand, getting a diagnosis leads to insight, which is wonderful. My husband felt better understanding why he did things, but it the diagnosis didn't do much for his day to day living. Especially when the things weren't overt. Like you boss isn't singling you out for abuse. You knew your partner has a kid, and usually most people don't go, "Yeah me! I get to entertain someone else's kid, who I have no real relationship with every other weekend." Believe me NT's hate weird bosses and dealing with their SO's kids. It's life.

My husband has severe OCD and anxiety, until he worked on those, the Aspergers diagnosis was on the back burner. I hope your diagnosis leads you to get help for the OCD and anxiety, because who wants to feel like they are always looking for life rafts?

I'm hoping you get something like CBT/DBT which can really help with the OCD.

Wishing you the best outcome....



KateCoco
Raven
Raven

User avatar

Joined: 6 Jun 2014
Age: 43
Gender: Female
Posts: 109
Location: England

17 Jan 2015, 12:32 pm

I'm really sorry to read about everything you're going through.

I live in England and there's a three year waiting list for a diagnosis where I am; the adult diagnosis service has only recently been set up and it's hugely oversubscribed already. I've been waiting for a year. From what I understand, there is little post-diagnosis support so I wouldn't hold out for any miracles.

Are you able to afford private therapy? If so, I'd recommend contacting the national autistic society and asking them for details of therapists near you. Or as you're unable to travel, ask for details of therapists who can do therapy over Skype.

It is possible to see your GP and ask for CBT or counselling, but the way it works where I am you only get six sessions and if you don't get someone who understands autism than it's more stressful than helpful. At least, that is my experience. I would recommend seeing your GP so he/she knows you're going through this; he might be able to get you referred for CBT/counsellor with someone who knows about autism, or he might be able to write to the diagnostic team and speed up your diagnosis appointment.

Are you able to listen to music at work? Maybe you could say to your boss that if you could plug in earphones and listen to music, you think that this would help you in your work. If your boss is reluctant, you could ask if you could just try it for a week. When you get your diagnosis - and this is a good reason for your GP to get things sped up for you - you could say, due to my autism I have difficulties and listening to music will help. Under UK law, employers have to make reasonable adjustments for disabled employees and being permitted to listen to music would certainly help.

Best of luck and please let us know how you get on xx



Data001
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 11 Sep 2014
Age: 45
Gender: Male
Posts: 53
Location: South East England

17 Jan 2015, 3:55 pm

Hi,

I live in the South east of the UK and I was diagnosed in October so I can offer you some helpful advice. The first to note is that in the UK there is not much support for Adults with Autism. But, there is support out there if you spend time looking for it.

Once you get the diagnosis you might feel depressed, angry, and start to think about what would my life be like if I didn't have ASD. However, it also feels like your life make sense and you understand yourself better.

There are several support things you can do after you get your ASD report.

Once you have your report then you can talk to your employer and ask them to make 'reasonable adjustments' such as moving you to an office away from everyone else, dimming the lights, getting special software to help you do your work. Whatever it is that they can do to help make your life more comfortable at work.

Note: This is part of the UK Equalities act.

The next thing you can do, after getting diagnosis, is you can look at getting financial help by applying for PIP (Personal Independence Payment). PIP can be paid to you if you are employed or not. The PIP form is quite complex so you might need help to fill it in by going to your local NAS branch or going to one of the information hubs that have popped up all over the UK. These hubs have advisers to help you fill in the form.

Note: PIP replaces the Disability Living Allowance.

The last thing is to see is to join your local branch of the National Autistic Society in your area. The Surrey Branch has talks and group for Aspies of all ages and for parents of children who are Autistic.

Below are a links to the NAS and for information about PIP.

The National Autistic Society
Personal Independence Payment (PIP)

Hope it helps and good luck with your assesment.

Regards

Data001



ToughDiamond
Veteran
Veteran

User avatar

Joined: 15 Sep 2008
Age: 72
Gender: Male
Posts: 12,183

17 Jan 2015, 4:52 pm

I was diagnosed in the UK with Aspergers a few years ago. I was working for a university, so I went to Occupational Health to hand in the diagnostic report. They weren't very proactive at organising adjustments for me. The seasonal part of my job that was the most stressful (and had motivated me into getting tested for AS) was about to start, but nothing was happening, so I divulged my diagnosis by email to the people running that part of the work, and finally a meeting was arranged to look into adjustments. The meeting seemed rather blurred to me, and no minutes were ever produced, but I found the hard part of the job got reduced to a small number of specific tasks, and my lunch breaks were respected (previously there had always been pressure on everybody to put the work first) thanks to a supervisor there who seemed to understand a bit about autism. The rest of my job didn't change, except for a general feeling that I'd be fairly immune from disciplinary trouble if I had to take an unofficial break because of (social) fatigue.

So what happened was that I felt safer, but I was dissatisfied with the vagueness of the adjustments, and didn't feel I was truly being included. I asked for things to be looked at in better detail, but nobody lifted a finger to help. Luckily I was quite close to retirement age, so I could afford to quit, and that's what I did. I wouldn't dream of going back into the jobs market. University science jobs are supposed to be a good choice for Aspies, as everybody's so nerdy, and they've got web pages by their own autism awareness teachers, but they seem to be only for the students.......so I reckoned if that was the best the world of work has to offer me, I was better off without it. If I had to work for money, I'd only work part-time, and one sniff of a horrible boss would be enough to put me off. I've had enough of those.

Apart from the workplace adjustments and the decision to retire early, nothing else much has happened. The hospital wrote to my GP explaining how to deal with Aspies, but I've seen no change. The GP said that sedatives and antidepressants were pretty much all they had. I tried to get the cooking component of the Disability Living Allowance but was turned down and couldn't be bothered to appeal. Socially, nobody but my partner (who also seems to have AS) seems remotely interested in any details about my condition. Previous partner did a runner a couple of days after my diagnosis, but it's hard to be sure of her motives for leaving.

What else happened after diagnosis? I joined Wrong Planet, which was very helpful socially. I had some feeling of being in an identity crisis, with so many of my assumptions about myself being suddenly open to a new interpretation. A lot of things became clearer. It also got me down, knowing what my likely weaknesses were. Getting shut of the stress of the workplace has been very useful, but I'm still struggling with independent living - I can do it, and always have been able to, but with executive function issues it's still a struggle.



Ukguy
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 12 Jan 2015
Gender: Male
Posts: 63

17 Jan 2015, 5:08 pm

Data001 wrote:
The next thing you can do, after getting diagnosis, is you can look at getting financial help by applying for PIP (Personal Independence Payment). PIP can be paid to you if you are employed or not. The PIP form is quite complex so you might need help to fill it in by going to your local NAS branch or going to one of the information hubs that have popped up all over the UK. These hubs have advisers to help you fill in the form.

Note: PIP replaces the Disability Living Allowance.


I just wanted to comment on this issue because in my experience PIP is very difficult to claim. The benefit is supposedly given on the basis of how your disability or health problem affects you, not just the type of diagnosis alone. However the questions they ask and the points system they use to decide if you get the benefit or not means it is very difficult to get an award unless you are severely disabled. I think DLA awards were perhaps a bit less strict and more more people with mild-moderate disabilities could get an award.

If the OP has any mental health diagnoses (sounds like depression/anxiety?) she would be entitled to ask for reasonable adjustments in the workplace and claim PIP anyway. Although having the diagnosis of Aspergers might strengthen the case for specific reasonable adjustments in the workplace, a decent employer should do these anyway really.

I'm looking to get diagnosed and for me it is more about trying to find some insight into myself and some acceptance maybe of the way I am. I wouldn't expect a load of services or help to suddenly become available or for my life to drastically improve (unfortunately).

As is often the case I think the GP is the best place to start. Some are better than others so if get an unhelpful one try another.



ElsaFlowers
Snowy Owl
Snowy Owl

User avatar

Joined: 11 May 2014
Age: 54
Gender: Female
Posts: 171
Location: Manchester UK

19 Jan 2015, 2:19 am

Thanks for the replies everyone, I now have a clearer picture in my head of what I can expect after diagnosis :)

Tawaki wrote:
What do you think your diagnosis would change?

It won't stop your boss from being weird or quirky.

It won't address the issue with your partner and his kid. Infact, if you are as bad as you say you are, I wouldn't want my child over there. I'm sure you are in continous near melt down mode from the OCD. That isn't healthy for anyone. The stress vibes coming off your body must be incredible. I feel horrible for you. Your whole post felt like dread and panic.

This is absolutely true about the dread and panic. Also the weekends my stepson is here I am in continuous near meltdown mode and have had meltdowns whilst he was here, its not good :(

I don't think much if anything will change in my life after diagnosis, my question was more about what support would be available to me through the NHS because at the moment I've not getting anything. They did offer me 6 sessions of CBT therapy over the phone put in my opinion it was not CBT. At first the therapist was very sympathetic but after a while she seemed to be getting fed up with our sessions and she wasn't being helpful. I missed the last session because I was out when she called and I never heard from her again. All the doctor wants to offer me is antidepressants, which I have now decided that I will take after my assessment just to be able to get through this horrible life. I don't want to jeopardise my assessment by taking them now as I worry I won't be myself and therefore won't get the diagnosis I want.

One of the reasons my life is so hard is that not only do I have to deal with executive dysfunction on a daily basis, I have to deal with the fact that nobody who is supposed to care about me understands how hard this is. My partner is supportive to an extent but he is the only one. Everyone else is dismissive, doesn't believe I have AS and my partners mother said I'm using it as an excuse for my failings and to stop being lazy! :( Even my partner doesn't understand the full extent of how this effects me and constantly creates situations that cause me anxiety. I am hoping that the diagnosis will make them realise I do have issues and I'm not making things up for an excuse to be lazy, I doubt it will change their expectations of me though or if they will even believe my diagnosis.

I guess I am lucky compared to what others have described of getting a diagnosis. My appointment for assessment is 19/03/15, approximately one year after I first told my GP that I feel I have AS. I'll be assessed at an autism clinic so I imagine these people will be knowledgeable and experienced with adult autism. There is very little doubt in my mind they will agree with my self diagnosis. I won't feel comfortable asking for adjustments at work until I have an official diagnosis

Data001 wrote:
Once you get the diagnosis you might feel depressed, angry, and start to think about what would my life be like if I didn't have ASD. However, it also feels like your life make sense and you understand yourself better.

I don't think I will feel like this. I feel that I'll be happy about getting the diagnosis because then no one can tell me I don't have AS. I feel more angry that health professionals haven't spotted this in the past. I've been on and off antidepressants since I was a teenager. No health professionals have ever looked into why I struggle to deal with life, they just fob me off with these pills :x I guess there are no other solutions sometimes though.



Data001
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 11 Sep 2014
Age: 45
Gender: Male
Posts: 53
Location: South East England

19 Jan 2015, 4:51 am

ElsaFlowers wrote:
Thanks for the replies everyone, I now have a clearer picture in my head of what I can expect after diagnosis :)

Tawaki wrote:
What do you think your diagnosis would change?

It won't stop your boss from being weird or quirky.

It won't address the issue with your partner and his kid. Infact, if you are as bad as you say you are, I wouldn't want my child over there. I'm sure you are in continous near melt down mode from the OCD. That isn't healthy for anyone. The stress vibes coming off your body must be incredible. I feel horrible for you. Your whole post felt like dread and panic.

This is absolutely true about the dread and panic. Also the weekends my stepson is here I am in continuous near meltdown mode and have had meltdowns whilst he was here, its not good :(

I don't think much if anything will change in my life after diagnosis, my question was more about what support would be available to me through the NHS because at the moment I've not getting anything. They did offer me 6 sessions of CBT therapy over the phone put in my opinion it was not CBT. At first the therapist was very sympathetic but after a while she seemed to be getting fed up with our sessions and she wasn't being helpful. I missed the last session because I was out when she called and I never heard from her again. All the doctor wants to offer me is antidepressants, which I have now decided that I will take after my assessment just to be able to get through this horrible life. I don't want to jeopardise my assessment by taking them now as I worry I won't be myself and therefore won't get the diagnosis I want.

One of the reasons my life is so hard is that not only do I have to deal with executive dysfunction on a daily basis, I have to deal with the fact that nobody who is supposed to care about me understands how hard this is. My partner is supportive to an extent but he is the only one. Everyone else is dismissive, doesn't believe I have AS and my partners mother said I'm using it as an excuse for my failings and to stop being lazy! :( Even my partner doesn't understand the full extent of how this effects me and constantly creates situations that cause me anxiety. I am hoping that the diagnosis will make them realise I do have issues and I'm not making things up for an excuse to be lazy, I doubt it will change their expectations of me though or if they will even believe my diagnosis.

I guess I am lucky compared to what others have described of getting a diagnosis. My appointment for assessment is 19/03/15, approximately one year after I first told my GP that I feel I have AS. I'll be assessed at an autism clinic so I imagine these people will be knowledgeable and experienced with adult autism. There is very little doubt in my mind they will agree with my self diagnosis. I won't feel comfortable asking for adjustments at work until I have an official diagnosis

Data001 wrote:
Once you get the diagnosis you might feel depressed, angry, and start to think about what would my life be like if I didn't have ASD. However, it also feels like your life make sense and you understand yourself better.

I don't think I will feel like this. I feel that I'll be happy about getting the diagnosis because then no one can tell me I don't have AS. I feel more angry that health professionals haven't spotted this in the past. I've been on and off antidepressants since I was a teenager. No health professionals have ever looked into why I struggle to deal with life, they just fob me off with these pills :x I guess there are no other solutions sometimes though.


Hi,

Well, first great news in getting the date for your assessment and if it's an Autism clinic then they will know more about ASD then anyone else. Also, the people who do the assessment are not judgmental and only go by what you tell them and what the results of the questionnaires.

I do suggest that you take someone who has know you for most of your life such a close friend, sibling, or parent as they will ask about what you like when you were 2 to 3 years of age.

It varies on how people view the diagnosis as some will accept it and want to know about you and how Autism affects you and others will ignore the diagnosis and won't accept it because you do not appear in their eyes to have Autism. Most NT's have the Hollywood view of ASD in films like 'Rainman' or Sheldon from 'Big Bang theory'.

Trying to do CBT over the telephone doesn't work. The thing with Anti-depressants can mess around with body chemistry. However, antidepressants may help if you also get some counseling so you can get tools to help you learn to your depression and anxiety issues.

Here is a link to counselors within the Manchester area.

I saw counseling and he taught me self-hypnosis techniques to take me to place of clam so I stay in control at all times and he used EMDR to help overcome a few issues in past that was holding me back.

Regards

Data001



ElsaFlowers
Snowy Owl
Snowy Owl

User avatar

Joined: 11 May 2014
Age: 54
Gender: Female
Posts: 171
Location: Manchester UK

20 Jan 2015, 2:31 am

Data001 wrote:
I do suggest that you take someone who has know you for most of your life such a close friend, sibling, or parent as they will ask about what you like when you were 2 to 3 years of age.

There's only my mum and aunt who knew me at this age and we're not speaking. My mum displays many traits of ASD to a greater extent than myself but she has no special interests and is of below average intelligence, so I'm not sure if this would rule out ASD for her. Before we fell out she kept saying she hopes I'm not diagnosed with ASD and I kept telling her I want to have it because otherwise there's no reason for my weirdness. She isn't interested in my wants and needs and she told me I mustn't tell anyone about having ASD because "it's embarrassing" 8O When I tried to talk to her about the possibility of her having this too she freaked out and said she doesn't want to talk about it and insisted there's nothing wrong with her.

We finally fell out because I asked her if I could come back to live with her after my partner and I had a row. She reluctantly agreed but then said I wouldn't be allowed to have an Internet connection. She knows I would not go without the internet so I feel she said this because she doesn't want me living with her. I hung the phone up on her when she said this because I was shocked that my own mother wouldn't want me there, especially when I'd been saying I'm going to end my life. She wouldn't care if I did. I know that if my children had talked about ending their life I'd do everything in my power to prevent this because that is what you do when you care about someone. My mum hasn't contacted me since this and neither has her sister because they always side together :(

Do you think it will affect my assessment to not have someone there who knew me as a child? I cannot contact my mum because I'm sure she will say things that will make me angry and cause me to have a meltdown, she is so frustrating to deal with :?

Also thanks for the list of local councillors. Unfortunately I'm not in a financial position to pay for private therapy :(



Data001
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 11 Sep 2014
Age: 45
Gender: Male
Posts: 53
Location: South East England

20 Jan 2015, 6:03 am

ElsaFlowers wrote:
Data001 wrote:
I do suggest that you take someone who has know you for most of your life such a close friend, sibling, or parent as they will ask about what you like when you were 2 to 3 years of age.

There's only my mum and aunt who knew me at this age and we're not speaking. My mum displays many traits of ASD to a greater extent than myself but she has no special interests and is of below average intelligence, so I'm not sure if this would rule out ASD for her. Before we fell out she kept saying she hopes I'm not diagnosed with ASD and I kept telling her I want to have it because otherwise there's no reason for my weirdness. She isn't interested in my wants and needs and she told me I mustn't tell anyone about having ASD because "it's embarrassing" 8O When I tried to talk to her about the possibility of her having this too she freaked out and said she doesn't want to talk about it and insisted there's nothing wrong with her.

We finally fell out because I asked her if I could come back to live with her after my partner and I had a row. She reluctantly agreed but then said I wouldn't be allowed to have an Internet connection. She knows I would not go without the internet so I feel she said this because she doesn't want me living with her. I hung the phone up on her when she said this because I was shocked that my own mother wouldn't want me there, especially when I'd been saying I'm going to end my life. She wouldn't care if I did. I know that if my children had talked about ending their life I'd do everything in my power to prevent this because that is what you do when you care about someone. My mum hasn't contacted me since this and neither has her sister because they always side together :(

Do you think it will affect my assessment to not have someone there who knew me as a child? I cannot contact my mum because I'm sure she will say things that will make me angry and cause me to have a meltdown, she is so frustrating to deal with :?

Also thanks for the list of local councillors. Unfortunately I'm not in a financial position to pay for private therapy :(


Hi ElsaFlowers,

Sorry about your issues with your mother and Aunt. My mum did go throght a period of time when she thought she did some wrong in raising me but I and Howard, the person who did the assesment, told her she didn't do anything wrong it just the way it was. The same is ture for your mother and she doesn;t want to belive there is anything wrong with her.

Your mother and Aunt are most likey feeling guilty and think they did something wrong in raising you. Once you have the bit of paper in your hand you can tell them you do have ASD and here is the reason why.

It might affect the assessment if you go alone and makes harder for them make a diagnosis as most of the traits or signs happen when you are around 2 or 3 years of age. When I went to my assessment my mum explained that when I was 2 I hated the feel of sand or grass on my feet or I cried when the hoover was turned on or that when I went to playgroup I never played with any other children unless they come over to me to play with me . I didn't remember those things but they happened.

Also, in the assessment Howard asked me and my mum if there was anyone in our family that might be autistic and we told them that my Mum's dad and my Dad's dad both had little quirks that could be down to them being Autistic. So, if you think your mother is then say so at the assessment as there maybe a genetic link with people who are Autistic.

All I can say is then think back to when you were in primary school/secondary school and other things that has happened to when you were younger.

As for the counselling, give some of them a ring as they might not be able to give it to you for free but they might lower the prince for each session. Just reach and give some of them a ring to see if anyone of them can help you or they might be able to refer you to someone who can. It takes no effort at all to ring up to talk to them to see if they can help even if they can give you a few sessions on free. Also, some of the private ones will give free sessions or reduce rates if you are any sort of benefits.

I do hope thinks go well for you and if you want PM any time you want to rant, let off steam, or just talk about your issues.

Regards

Data001



ElsaFlowers
Snowy Owl
Snowy Owl

User avatar

Joined: 11 May 2014
Age: 54
Gender: Female
Posts: 171
Location: Manchester UK

29 Jan 2015, 1:22 pm

Thank you Data001 and apologies for not replying sooner, I've been feeling quite overwhelmed by the whole work situation so unable to think straight and feeling sorry for myself :( I have an interview for another job next week which I feel will be more suited to me and shorter hours so fingers crossed :)



Data001
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 11 Sep 2014
Age: 45
Gender: Male
Posts: 53
Location: South East England

30 Jan 2015, 4:58 am

ElsaFlowers wrote:
Thank you Data001 and apologies for not replying sooner, I've been feeling quite overwhelmed by the whole work situation so unable to think straight and feeling sorry for myself :( I have an interview for another job next week which I feel will be more suited to me and shorter hours so fingers crossed :)


Hi,

That's OK. I know most people are busy with real lives and that can get in the way.

Don't feel sorry for yourself as I used to feel that way and that I was a "failure" but that is where getting diagnosis for ASD helps and seeing a coucenlor for to help you understand yourself and get tools to help you cope better when things aren't going well.

Anyway, good luck with your job interview and hope things improve for you. If you need to talk to me then send me a PM.

Regards

Data001