Aspie meltdown or something else??

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I don't know if this is the right section to post this question, so if you see it in another section, please pardon....

I'm the mother of a 20 year old son that I think has AS, but I'm not entirely certain, as he refuses to go to any doctor unless it's in the midst of a crisis/meltdown. School professionals while he was in grade school through high school have suggested he might have AS. All the website info I find leads me to believe it likely is that he's got AS, as do conversations with people in various AS support services...... all but one problem....

When any of your loved ones with AS have been in the middle of a meltdown, have they seemed, for lack of a better term, delusional? Talking odd stories or about concepts and fears that do not make sense to anyone but a science fiction writer or him?? For instance, last night, I had to call 911 for an ambulance for him... When his friends drove him home, he began to act "weird, as if he was on lsd" according to them, and they were having a difficult time talking him into getting out of the car. When he got inside, he started to tell me how "everything was right with the world, and you were supposed to pick me up from her house, but then they just brought me home"...then proceeded to tell me something about saving the world, and time being interconnected with the roads in town and now I "have to drive back to his friend's house then back here to make it all right again"...when the answer was no, he escalated into a full on panic and some very odd ramblings about his father not being real, the character from The Ring, completing some unspecified supernatural task, ...and some other unintelligible things . Of course when speaking with the EMT's, he was aware of time and date and answered them with no troubles.......

I really need to know if this is at all heard of within the AS spectrum...if it is part of an AS meltdown. If so, in hindsight, I could see how this might have been avoided... I feel as if I'm flying blind.

Interesting that you should mention the delusional thing. My son, age 15, with an AS diagnosis for 4 years, talks about "the way things are supposed to be" when he gets angry, and he gets into a trance-like state. When I have explained his meltdowns to psychiatrists they all mention "psychosis"! But, unfortunately these are people with little or no experience treating people on the spectrum. I think, based on my son's behavior, my reading and my own thought-processes (I am self-diagnosed aspie) that a lot of thinking of people on the spectrum looks like delusional behavior, or maybe schizophrenia, or psychosis. Maybe it is for a neurotypical person, but not for an AS person. This issue is very important to me at the moment because I am trying to get my son some better meds but do not want him diagnosed with one of those conditions simply because the doctors are clueless about sutism.

EXACTLY!! ! I've spoken with experts in other parts of the country and up north in the state I live in. They say the most common misdiagnosis is psychosis, then schizophrenia.... I won't count those out, but when he fits the description of a high functioning Aspie so well, I don't want him to be harmed by wrong treatment.
He spent a week in a facility this past February which seemed to enhance his panic responses to stress.
I'm in a rural area, and the resources here are so limited. May I ask what information you read about AS looking like delusional behavior, or maybe schizophrenia, or psychosis? I need all the help possible in order to get proper care for my son.
The fact he's 20 makes things so very complicated!! but that's another issue....

Sounds like it's definately worth investigating. Has he seen a Dr or psychologist of some type about it? psychosis, schizophrenia Could be several things. They would need to do a proper analysis to get this type of diagnosis correct.

Sounds like it was scary though. Was it scary for him?

The only doctors he's seen were for the first episode that was alarming enough to have to call for emergency help, then in the hospital, and a couple of times as follow-up care. He refuses to go to anyone on a regular basis long enough for a proper diagnosis or therapy, but had to be taken to the hospital twice since.

The first time was terrifying for him and for the rest of the household. We had no idea what was actually happening.... we didn't know if what was going on within him was drug related, stress related, brain injury related ... and at that time, we had long forgotten that anyone considered he be evaluated for AS in grade school.

Had I remembered that, and done as much research as I have since, I'd probably been able to deflect the entire situation better and spare the entire family such trauma. Even still, these latest meltdowns are frightening and frustrating to all of us... I'm learning to help them not escalate so badly as that first series.

What amazes me is how the day after these meltdowns, he seems fine, like nothing has gone on or upset him, yet everyone else is still a nervous wreck!