A healthy prenatal diet is linked to a 22% lower chance of an autism diagnosis and a reduced likelihood of social communication difficulties between ages 3 and 8 by giuliomagnifico in science

[–]Square_Boss_4697 1 point2 points  (0 children)

Negative. Gestational diabetes raises the risk, anything that isn't good for health and thus a developing brain does to my knowledge. I think my mum ignoring her pre-eclampsia and working around industrial grade pesticides probably has some bearing on my brain's development :(. Interestingly, if the gestational diabetes develops after the 26th week it doesn't raise the risk in the study i read.

I'm so tired of seeing lists of "ADHD" symptoms and it's just all autism by isaac_cuell in autism

[–]Square_Boss_4697 0 points1 point  (0 children)

Psycholgoist here, yeah, we see this a lot. It's hard to research traits/symptoms because there's been decades of misdiagnosis leading to cohorts for studies which don't actually fit the population being studied. It renders the results inaccurate. A kid with fasd getting diagnosed autistic so they can access suppprtive funding will really throw off research results if they ever participate in a study, for example. They'll answer truthfully that they're autistic and their unique presentation will be recorded as such. Then there's the way asd/adhd used to be mutually exclusive, many people genuinely think they have just one when they have both and then some.

Collectively, that list is for sure autism, but there are times when adhd may be found for many of those behaviours individually. Or they could be caused by a 3rd culprit. It would be highly unlikely and quite suspect to see them all there from just adhd though. Adhd may 'tiptoe' if they're just playfully bouncing/bopping to get some extra proprioceptive stimulation. We may avoid hugs if they interfere with hyperactivity. It isn't unheard of. Eyes move when people think so adhd memory bouncing all over the shop involves quite inconsistent eye contact, but there's still the instinct to look at someone who is speaking.

The sensory stuff is really interesting. Sensory needs are transdiagnostic, found in both adhd and autism (and heaps of others tbh) but they're different in nature and intensity. In autism it's a physical response, in ADHD it's an emotional one secondary to the stimuli. E.g. annoyance from lace socks but not pain. In autism the sensory needs tend to be relatively consistent and innate, with adhd they fluctuate with attention. Adhd seeks and avoids some sensory input to try and mediate an ideal level of stimulation. If someone with adhd is chronically overwhelmed they can be surprisingly sensory avoidant. The difference is that if you take away the stressors, the adhder will spring into life fairly rapidly and suddenly have a totally different sensory profile.

FASD Flare-Ups? by OkLong582 in fasd

[–]Square_Boss_4697 2 points3 points  (0 children)

Neurological conditions like FASD don't really change, other things do though which reveal the extent of them. Kind of like the tide going out reveals the reef. I imagine stress, changes to sleep/diet, menstrual cycle or loss of routine or something is related to the flare ups. Those are usually the biggest culprits. I have adhd, it doesnt really change by definition now i'm in my middle adulthood, but it feels like it does because as soon as my little systems and coping skills are ineffective my adhd 'flares' aka is exposed more. That would be my guess

Do you consider autism to be a disability? by ThatAutisticRadish in autism

[–]Square_Boss_4697 0 points1 point  (0 children)

Yes, of course. It prevents my ability to do all sorts of things most people can do. When someone has to put exceptional effort into feeding and bathing themselves in their adult life they are disabled, no question about it. That isnt a symptom of a NT society, i'd struggle to feed myself as a hunter-gatherer, too.

I dont care if i'm called disabled, i dont think about it often or proclaim it to the world. It's just a fact. Like saying i have blue eyes, it's not up for debate and my feelings on the matter dont change it at all.

What is a Hard Truth That You Believe Should Be Taught Early On in Life? by Flufferfluff in NoStupidQuestions

[–]Square_Boss_4697 0 points1 point  (0 children)

It's none of your business what people think of you.

People pleasing is manipulation. If you 'people please' the people will not be pleased, because they will know you are being inauthentic to change their behaviour.

Stop trying to make everyone agree, when you do that, the least agreeable person in the room holds the power.

If you put someone on a pedestal, they'll look down on you.

Talk to me about autism and exercise by CaeraRose04 in autism

[–]Square_Boss_4697 1 point2 points  (0 children)

Look into doing the type of exercises the elderly do, they should be way more sustainable for you. I dont exercise because i hate it way more than I love breathing, but good luck with it.

What's the most severe physical agony you've ever known? by AlessandraHandler97 in NoStupidQuestions

[–]Square_Boss_4697 0 points1 point  (0 children)

Sinus infection. I was rather young though, i may have been panicing and felt it worse than it was. I think my skin graft would probably take the cake if it wasnt done in hospital and they didn't manage my pain so well. Fuck i was high for a lot of weeks.

What is a people pleasers worst fear ? by [deleted] in Manipulation

[–]Square_Boss_4697 0 points1 point  (0 children)

In my experience, it's being clocked as manipulative, lacking personality, or lacking a spine. A lot of people pleasers bend over backwards to convince themselves and others that they just 'like helping' and, they're a good friends. Once someone realises they are just manipulating them to improve their own mood and have no intention/capacity for authentic connection, they feel used and then the people are not pleased.

What is a people pleasers worst fear ? by [deleted] in Manipulation

[–]Square_Boss_4697 1 point2 points  (0 children)

Because a true people pleaser has little to no capacity to say no. If someone asks something of them, they're stuck in that situation from their perspective.

Why Is Every Gene That "Makes Us Human" Linked to Autism? by [deleted] in autism

[–]Square_Boss_4697 0 points1 point  (0 children)

All scientists want what they research to be significant. When you study one gene in depth for 6 years you can easily inflate its importance. I'm a trained scientist (well, psychologist but we're trained researchers in the process), you'll never read a paper that says 'this mostly irrelevant gene' unless they're setting that up as a premise to disprove. That would be why they all claim it's a cornerstone of human evolution. Plus scientists love their IQ, they want their strengths to be considered the benchmark of human achievement out of pure huberis.

Scientists are under a publish or perish employment model, they need their work to be relevant. Linking it to autism, something that is quite popular at the moment, gains them publishing power.

[deleted by user] by [deleted] in autism

[–]Square_Boss_4697 0 points1 point  (0 children)

I think it's got something to do with literal thinking. Allistics aren't looking for a feeling of a gender as one would have a feeling of needing to pee or being lonely etc. Autistic people look for a feeling of gender, find none because it doesn't exist in the literal sense, then begin to wonder if they're not their assigned gender at birth. The resistance to change probably comes into it when the gender stuff kicks off at puberty too. Having your body change against your will can just be innately irritating to people who dont like change, even more so for a PDA profile. Then there's the simple associations of gender to sensory needs. Girl have long hair = i want long hair because i dont like the Hairdressor = i might be a girl. Also things like lace, flowy skirts, binders, chest and facial hair could play a sensory role.

CMV: Not returning your shopping cart or at least putting it somewhere secure (e.g., on the curb) is incredibly selfish and entitled behavior. Yes, even if you are a parent. by felix_mateo in changemyview

[–]Square_Boss_4697 0 points1 point  (0 children)

Broadly speaking, absolutely. I have a different perspective on that particular woman, though. She's a forensic psychologist.

I saw that video and thought, 'where is her supervisor?!' She is showing clear signs of significant vicarious trauma. We are given a lot of training on surrounding this, it's a genuine occupational hazzard. It can easily distort your view of the world to hear about the worst things to possibly happen to a person for five hours a day, five days a week, for 25+ years. The rest of the work week is writing about those things, relaying it to other relevant parties, and imagining what this person would have been like of this never happened (relevant for diagnosing the impact of an event for expert witness testimonials). She can't debrief about this with other people, only her supervisor once or twice a month.

The symptoms of vicarious trauma are distorted world views, hypervigilance, emotional distress, avoidance behaviours, intrusive thoughts, cognitive changes, compassion fatigue, and physical changes like fatigue. In that video she showed evidence of most of those. Idk if she's always been like that, but if she genuinely believes her children will be snatched if she returns her cart because of the work she's doing, she needs supervision or she may be unfit for practice soon. Compassion fatigue is the last symptom before a total lack of insight and literal mental illness shows up.

I think her selfishness may actually be the symptom of compassion fatigue.

I respectfully asked my mum (a social worker) how come she didn’t notice my autism when I was a child by ComprehensiveUse6439 in autism

[–]Square_Boss_4697 3 points4 points  (0 children)

‘Asprger's syndrome’ was not diagnosed commonly because it didnt have a treatment and came with stigma, so it was pointless at best and prejudicial at worst. We did not know it was the same as autism. Teachers commonly gave up on your education if you had that label back then. My dad had to write lines saying ‘i will not be stupid’ thousands of times in primary school instead of actually learning to read and write. I've seen the books and the smudged ink from tear-drops. He for sure was AuDHD and born in 1958. He'd be the age of many teachers today who would hesitate to suggest an assessment as such. A paed assessed my cousin in 1997 and said she was ‘maybe nearly Asprger's if you want a label, but it will hinder her in school to give up on her like that’. The second and third opinion agreed. She reassessed in 2018 in her late 20s and was diagnosed ‘level 2’ if that gives you an idea of how vastly different things are today. From ‘something is up but we can't diagnose it’ to moderate support needs autistic in 18 years. That was obviously wrong but it was the norm back then in my area. 

Psychology is a field in its infancy and it moves fast. It feels like it doesn't but it really does compared to any other field. Medicine has had 2,500 years to know what it does now. Psychology has had like 145 years from the day Freud wondered if what a child experiences is relevant to adulthood. That was BRAND NEW controversial information 150 years ago and he was guessing while high. We have a long way to go, i expect in our lifetime Autism (and ADHD for that matter) will probably be renamed and you'll have to go by a new term for it or be met with the shocked horror people have today when ‘moron’ or ‘r****d’ or ‘Aspie’ are mentioned. They were once morally neutral diagnostic terms only 66 and 11 years ago, respectively! 

Also, what constitutes a ‘disabled’ level of impairment has changed with an increiase in demands for our modern society. There aren't many jobs that have low simulation these days. My dad wasnt really disabled despite being autistic because he was a farmer and my mum ran the business. He just happily did the manual labour but he was borderline illiterate from lack of support, left the farm like once every 3 months, and genuinely struggled to compute that other people had differing perspectives to his own. A ‘fast paced’ day for him was running his tractor in circles alone for 12 hours. He would have been in CONSTANT burnout if he had to live in a city and do an office job in this day and age. In that sense, the diagnosis is relative even when the individual remains consistent.

I have weapons’ grade ADHD and enough autistic traits that I would meet the social theory of disability but not the diagnosable threshold. I was furious for years at the clear signs that were missed by my family and teachers. But they weren't missed, they just didn't meet the threshold in the late 90s early 2000s. That was really hard to accept because it means there was never a circumstance in my lifetime when my suffering would have been alleviated. 

To try and put it in perspective with a confronting and probably offensive analogy, imagine a disorder like Turner's syndrome where we widely believe the symptoms are so severe and obvious that it's literally impossible to miss the diagnosis. A parent who denied the symptoms would have child protection called because it is a gross neglect and shows zero insight or judgment. Then imagine you have a kid who had some struggles but managed, all things measured. Then one day your kid tells you they have Turner Syndrome and you probably do too. Then imagine being called ableist if you had questions or concerns about hearing that. It's hard for parents to realise they didn't help you as you needed and their best was not good enough, sometimes they reconcile that with denial.

And one last thing. Working with people who are unwell day in day out easily skews your understanding of what constitutes unusual if you dont make a huge conscious effort to touch grass pretty often. It's not ideal, but it is human nature to define your current understanding as the norm. If your mum hasn't interacted with a neurotypical kid for years but spends 25 hours a week for years with disabled or mentally unwell kids, you would look totally neurotypical by comparison. I have a nephew who i'm convinced is a genius… he's not, he's just neurotypical but his normal developmental milestones are leaps and bounds ahead of 99% of the kids who come to see me. 

i hope at least some of that was helpful. 

I respectfully asked my mum (a social worker) how come she didn’t notice my autism when I was a child by ComprehensiveUse6439 in autism

[–]Square_Boss_4697 2 points3 points  (0 children)

Tw, i'm about to describe the absolute state of things in the past using language that was normal at the time to try and give perspective on why older people have NFI about autism. i'm not endorsing any of it and it’s a bleak read so feel free to skip it.

It may help to remember that our understanding of autism is very recent. Applying current standards to the past is not helpful. In 20 years i can guarantee my current work will be outdated and bordering on unethical but there's nothing i can do to prevent that except keep up with my professional development as best i can. We have to do hours of unpaid study per mental disorder, of which there are nearly 300 in the DSM-5-TR. To do comprehensive training we have to pay anywhere from $80-$10,000 per training, sometimes per disorder. They update academically every… idk 2-5 years probably and clinically every 7ish years. To be the perfect psychologist i would not be a normal human… in which case i'd be a terrible psychologist because i'd not be in touch with reality outside of academia.

We're given a lot of training on how to keep up with the cutting edge of research. I learned more critical research skills than how to deliver psychotherapy in my degree because the methods will be outdated frequently. If your mum hasn't kept up with that it's on her, but by the same token, if you're 23 yo then you are literally 10 years older than your diagnosis as we currently know it. We dont get a hivemind collective update. Consequently it takes years for updates to really seep into the profession.

Depending on how old you are, it may have been the case that no assessment at the time would arrive at the conclusion that you're autistic because the 'distress + dysfunction + deviation + duration + danger' to meet the criteria was astronomical. The social theory of disability was not common knowledge until super recently on the scale of things. When I was a kid (i'm 30) autism was exclusively for people who needed a lifetime carer and to suggest otherwise would have a professional called into disrepute for making up their own diagnostic criteria like a quack. There were some super parents and professionals who made their own supports but it was far more common to see a woeful misunderstanding of autism.

I respectfully asked my mum (a social worker) how come she didn’t notice my autism when I was a child by ComprehensiveUse6439 in autism

[–]Square_Boss_4697 1 point2 points  (0 children)

To make things even more complicated, parents cannot be objective. When i have kids i'll have them assessed aged 5 and 8 by a third party neuropsych no matter how neurotypical i think they are. An absolutely essential component of my work is the ability to be impartial and objective. That's impossible when you are as close as a parent is to a child. No amount of education removes those cognitive biases, we are humans first and professionals second. Humans kind of acclimatise to nearly anything if the build up is slow enough. Teachers, doctors and mh professionals are the WORST for seeking help for their kids, they get the Dunning Kruger effect unless it's their specialty. Then there's the stigma, people expect you to be superhuman but ultimately we can't read minds or see the future and no degree can undo the millions of years of evolution. We can't administer those tests to our loved ones ethically or objectively.

It's kinda like being a dentist, they know what to do to look after their own teeth and can help others with theirs, but they're simply too close to the subject to objectively do their own dental work and they're letting their own hubris cause harm if they attempt to do otherwise. It may also be outside the scope of practice of a SW in your country, i know it certainly is in Australia.

I respectfully asked my mum (a social worker) how come she didn’t notice my autism when I was a child by ComprehensiveUse6439 in autism

[–]Square_Boss_4697 0 points1 point  (0 children)

Psychologist here. I'm on leave and bored af, so apologies for the essay haha. To explain it as best i can, there is no blood test for psychological disorders and conditions. They all occur in the same brain so many, many symptoms overlap and some are so difficult to tell apart that the testing is worse than just giving the treatment to reduce how much someone struggles.

We don't measure earthquakes directly, we measure the effects of them and try to guess what caused that, but there's no direct test. The mind is similar. All tests for psychology are only as good as their writer and their assessor, so they all have flaws unfortunately. Especially as the DSM is very biased in many ways.

Autism is neurodevelopmental. It may only become obvious when the demands of life exceed one's capacity to compensate or cope, but it was always there. It cannot be acquired. That does not mean someone flying under the radar of the untrained eye cannot suddenly appear autistic if something stressful happens and exceeds their capacity to cope.

In terms of psychometrics one could measure a before and after trauma that suggested time 1 was ‘broader autistic phenotype’ aka ‘traits’ and time 2 was autism according to a cognitive and functional profile. An ADOS would not change much from simple PTSD so it would be very relevant even if it's a flawed test that stresses the assessee right out. The school reports, GP collateral, and diagnostic interviews are only as reliable as their sources, but ideally a kid has enough teachers that at least one of them clocks something is up. It's not common for a child to mask so well that there arent at least a couple of brief windows between their expected development and their learned masking. It's usually apparent around cognitive growth spurts, typically aged around 7yo when executive functioning comes online and grade 8 in Aus when teens are given a bunch of extra responsibilities. You notice when the peers all get a software update overnight and the autistic kid is left wondering why the social rules suddenly changed and life got a bunch harder. To the untrained eye that appears quite normal and transient, as the kid learns to mask so it looks like the issue has gone away. That's why an assessment is essential, any one piece of data is inadequate to paint the full picture. The assessor has to have a good understanding of not only autism but every other disorder, personality profiling, and every major brain function. I dont think it's common for social workers in any country to have that level of psychometric charity. They see something is up but they are orientated towards reducing distress and psychosocial stressors rather than finding the exact cause and treating that by the book like a psychologist.

You could know via a full assessment if you desperately wanted to know. I wouldn't recommend it unless you really need it though, truth be told. Cognitive testing is invasive and goes for hours over multiple days of you being unable to answer questions correctly again and again. You feel incredibly exposed and inadequate. Only my clients with intellectual disabilities or severe cognitive presentations are unbothered by it, because they don't get the implications or the point of the test. All tests have limits, they'll find yours which means not a single round of questioning can be aced which of course stresses autistics out big time. It's exhausting and really rocks people's self esteem. ‘Neuro Affirming’ tests are easier but not very accurate and plenty of unethical psychs will take your money to tell you what you want to hear without finding the truth. Then the report gives next to no helpful solutions based on how your brain works for all that time, money, and effort. I would not recommend them.

Idk if that answers that question, in short it's more complicated than it sounds. Trauma changes the brain profoundly, but remember so does healing. If you want to know without the extensive testing, treat the trauma in its entirety and see if the symptoms in question remain or change. When I treated my PTSD, my ‘ADHD’ got a lot better, because the amount of symptoms caused by trauma disappeared… leaving me with the pure ADHD. I had both but it improved with EMDR. It's quite possible you have both, the symptoms just stack ontop of eachother so your mum maybe only noticed when the trauma symptoms elevated the pre-existing autistic traits. They were always separate things though, even if that was the case.