Anxiety: How Autism Explains Everything · Anxiety: How Autism Explains Everything Sarah Hendrickx...

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Anxiety: How Autism Explains Everything Sarah Hendrickx hendrickx associates training. consultancy. support. www.asperger-training.com info@asperger-training.com

Transcript of Anxiety: How Autism Explains Everything · Anxiety: How Autism Explains Everything Sarah Hendrickx...

Page 1: Anxiety: How Autism Explains Everything · Anxiety: How Autism Explains Everything Sarah Hendrickx hendrickx associates training. consultancy. support. info@asperger-training.com.

Anxiety: How Autism Explains

Everything

Sarah Hendrickx

hendrickx associatestraining. consultancy. support.

www.asperger-training.com [email protected]

Page 2: Anxiety: How Autism Explains Everything · Anxiety: How Autism Explains Everything Sarah Hendrickx hendrickx associates training. consultancy. support. info@asperger-training.com.

It is entirely to be expectedthat autistic people will be

anxious

- understanding and accepting this isthe first step in providing the right

sort of help

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Page 3: Anxiety: How Autism Explains Everything · Anxiety: How Autism Explains Everything Sarah Hendrickx hendrickx associates training. consultancy. support. info@asperger-training.com.

• High levels (40%-50%):– Stress

– Anxiety

– Depression

• Feel ‘different’ or ‘odd’

• ‘It’s all too much’

• Struggling with ‘basics’

• Sense of failure – negativeexperiences & messages

• Socially excluded/isolated

• No hope for future change

Mental Health in Autistic Individuals

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Why aren’t you anxiousnow?

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Page 5: Anxiety: How Autism Explains Everything · Anxiety: How Autism Explains Everything Sarah Hendrickx hendrickx associates training. consultancy. support. info@asperger-training.com.

Why You Aren’t Anxious Now:

• Understanding what is going on and filling in gaps

• Generalising from past similar events

• Picking up signals – seeing that other people are OK

• Identifying your own feelings

• Putting things into perspective/bigger picture – cost/benefit

• Filtering out sensory data

• Being able to ACCURATELY ‘guess’/predict what is likely to happennext?

• Knowing that whatever happens, you can think of an EFFECTIVEstrategy to resolve

THESE ARE ALL IN THE DIAGNOSTIC CRITERIA FOR AUTISM

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What makes you anxious?

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Social Language &Communication:

people

Self, feelings andthe Sensory World:internal & external

Non-Social World:imagination, context,

abstracts

Behaviour:

Processing / Thinking – making sense of:

Consequences:

Potential Outcome:

Adapted from Gaus, V.L.

Communication difficultiesRelationship difficulties

May avoid peopleSolitude

Routines, samenessStruggles with change

Unexpected eventsDecision-making

Self-care

IsolationNo social support

Daily hasslesStruggles with independence

AnxietyDepression

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Global Stability (Beardon)

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Autism & Anxiety – InvisibleConditions

• Autism may:– be invisible

– be hidden/masked

– manifest as an anxiety response

• Anxiety response may:– be invisible

– be hidden/masked

– manifest as a physical healthcondition

• Do not presume extent ofimpact by behaviour orpresentation

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‘Challenging Behaviour’??

• Autism and/or anxietyresponse may manifest asperceived ‘challengingbehaviour’

• It’s not ‘challengingbehaviour’; it’s ‘the only toolin my toolbox right now’

• ASK: What else could theyhave done with what theyhad to work with?

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Other People Have a Bigger Choiceof Tools

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Anxiety Management

• Avoiding anxiety teaches the brain

that it is correct to be afraid

• Anxiety is normal and useful

• Zero anxiety is unrealistic

• Thoughts & feelings are not

fact/truths - ‘Smoke alarm and toast’

• Teach to recognise signs, manage,

minimise & live with

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Teach Social Context

• Autistic people tend to apply same solution to

all problems

• Explicitly teach social understanding

• Teach to generalise – supports prediction

• Teach to problem solve

• Teach to develop multiple responses – what

could I do instead?

• Visual flowcharts easier than words

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Break the Cycle

Increase support and understanding of effects of autism

Better able to cope with anxiety & increased self-efficacy

Decrease in anxiety response

Decrease in stress-related health issues / behaviour

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