New to site - carer of partner with Aspergers & ADHD
Posted by
Josie Barnshaw
on 7th July 2010
at 16:34
Hi Bek
Welcome to the forum :)
I am a parent of three kids, all teenagers and the youngest is the only one with a diagnosis of Aspergers although I suspect my oldest is also on the spectrum at roughly the same level.
I really think the best people for you to speak to would Sara and Damian who are also Community Champions and both on the spectrum themselves.
You will find both of them here:
http://www.talkaboutautism.org.uk/discussion-forums/autism/speak-someone...
As for DLA and carers allowance that proves to be a difficult one for all of us and usually necessitates an appeal (even when it comes to the four yearly renewal!!).
Does JJ receive any therapies or input from professionals?? Usually some support from them as far as applying for DLA can be helpful. Is he medicated for his anxiety and panic attacks; if so, perhaps his medication needs reviewed?
As far as campaigning is concerned a good place to start would be e-mailing all your local and regional MPs, including MEPs and setting your concerns and any suggestions you have for improving the system. There are numerous campaigns running just now where that is exactly what carers and those on the spectrum are doing and hopefully when the MPs receive all these e-mails they will take some steps to address the issues raised in them. At least that's the objective.
Josie - Community Champion
Posted by
asteroids
on 7th July 2010
at 16:42
Hi Bek,
Welcome to the forum.
I can fully appreciate your concerns and difficulties with GPs. I think Robbie (Treehouse) is asking for people's stories about GP services in preparation for a new campaign. Look in the General Autism section.
The Autism Bill published earlier this year will hopefully bring about some improvements in services for adults with autism, including health and employment services.
I was diagnosed with Asperger Syndrome a few years ago, at the age of 39. I was a full time teacher but found it too difficult due to my autism. I now run my own autism consultancy which gives me time to do other things including this forum. I don't claim any benefits.
Please feel free to ask any questions.
Asteroids Sara - Community Champion
Posted by
Bek
on 7th July 2010
at 19:09
Thanks for the welcome.
At the moment, he is not receiving any input from professionals at all. We travelled back to his previous home town in March so that he could attend a long-arranged appointment with his (then) psychiatrist as I felt it would probably be easier to get some support here with her help than by approaching our GP directly. The psychiatrist sent a letter to our GP explaining that she could no longer follow up as JJ had moved so far away, briefly outlined his issues and asked for an appropriate referral.
JJ began to suffer from fainting fits earlier this year, and our GP was more interested in finding out the cause of those (and we still have no idea yet, JJ is due to see a neurologist later this month). The issue of psychiatric referral was neatly sidestepped with "We can deal with that once we find out what's causing his fainting fits."
After the DLA claim was rejected and the DWP failed to contact JJ's previous psychiatrist for a report, I wrote to her myself and explained what was happening and asked for her help. I also wrote to our GP, who had supplied a very general medical report which made almost no mention of JJ's mental health issues beside the fact he does have Aspergers and ADHD and made it clear how difficult our lives are and how much carering JJ needs and why. The psychiatrist wrote to our GP (and to me) and is not happy because JJ is not receiving the help she requested, and the outcome of all this is that we have a meeting with our GP tomorrow. I doubt this will have changed his views, and I expect I will be told off for contacting the psychiatrist.
JJ is not on any medication other than for his asthma. He was on Ritalin as a child, and then when he changed school the new school refused to have the Ritalin on the site and his medication was changed to something else. The new medication had some very unpleasent side effects including paranoia, signs of which remain with him to this day. He was then given an anti paranoia drug and that made him suicidal. Eventually he was placed back on the Ritalin, and although he was still taking it infrequently when we first met, he no longer takes it anymore. I am glad of this as he also had problems with side effects whilst on that, also he was on a very high dose and turned into a different person altogether when he'd taken the tablets. I do not consider medicating someone to the point of suppressing their natural personality to be ethical or humane.
His experiences have made him deeply suspicious of all medications, and even getting him to use his preventative asthma medication can turn into a battle of wills. He has said that if he is offered any more medication he will refuse to take it, and I can fully understand his viewpoint on this.
JJ has an extremely poor short-term memory and poor concentration. He cannot even remember our own telephone number. He likes cooking, but has no concept of common household dangers, he has turned on the gas cooker while it had a plastic tray on it and has even tried to take a tray out of a hot oven without oven gloves. He will leave things on the heat or under the grill, get distracted by something else and forget about the cooking. Having been prompted to check on what he's cooking, he will then forget to turn off the cooker when he's finished, and I have to go around after him and make sure everything is switched off. I am sure he would have set something on fire by now if I wasn't here to supervise him in the kitchen.
His anxiety and panic attacks are often triggered by something as trivial as a loud noise outside (and we live on a main road, so there are a lot of those). When he panics, if I cannot calm him quickly he ends up self harming by repeatedly beating himself around the head with his fists... and I mean beating. At times I fear he will knock himself unconcious or worse. When he does this, I have to attempt to restrain him until I can calm him down, this is not easy at all as he's stronger than I am, and I often end up getting hurt. This then upsets him all the more because he doesn't mean to hurt me, and it becomes a vicious circle. I worry that his fainting fits are the result of him having caused himself some sort of brain damage.
Bek
Posted by
Elena - former Community Manager
on 7th July 2010
at 20:33
Hi Bek, just wanted to say hello and welcome!
Posted by
Josie Barnshaw
on 7th July 2010
at 21:16
Hi Bek
Sounds like life is rather stressful for both JJ and yourself. I asked about medication because my ex-husband was diagnosed late in life (in his late 40's) with Aspergers and just prior to diagnosis suffered really badly from panic attacks and anxiety. This was probably brought about because of some quite dramatic changes in his life. He had served in the Army and worked with BT for almost 20 years before the redundancies in the early 90's and then found it impossible to find employment and just went downhill from there. The signs had always been there that he saw things differently from most other people. Anyway, I digress, he was put on anti-depressants following his diagnosis (and told he would be on these for life) and they have had a really good effect in that he his mood swings are much less severe and he has more control over his previously volatile temper and of course although he still can have attacks of anxiety, they are nowhere near as severe or as frequent. Of course, this wont work for everyone but it was just a thought.
Have you tried any herbal/homoeopathic remedies? Dont know what facilities are available where you are, we have a Homoeopathic Hospital here in Glasgow (the waiting lists are understandably quite long); it might be worth investigating this possibility.
The faintings fits may be as a result of severe anxiety; do they occur when he is extremely anxious? My 16 year old daughter's best friend has suffered fainting spells for a couple of years now and despite numerous investigations they can find no medical reason for them, but they seem to occur during high anxiety times (during school exams, etc) and they have put them down to anxiety or possibly a subconscious way of dealing with her anxieties. It must be quite worrying not to know the cause of them but hopefully his GP will arrange extensive investigations to get to the bottom of it.
You mentioned the dangers when he cooks; just a suggestion but how about using a simple kitchen timer and setting it when he starts cooking for the time when the cooking should be finished (or even every ten minutes to remind him to check on the cooking). My youngest uses this system to remind himself that his food is ready (he likes to make himself snacks to eat and I do encourage him to fend for himself as much as possible .. he is 15). I cant take credit for his system..... he thought of it himself and uses the timer on my microwave so that it reminds him that whatever he is making should be ready. My ex-husband set fire to countless cookers when we were married, burnt countless meals and melted a radio cassette player that he left on top of the eye level grill when he was using it ... he, too would get distracted and forget all about the cooking. Fortunately we had smoke alarms or goodness knows what would have happened!!
I do hope your meeting with the GP tomorrow bears some fruit and that he makes some referrals for JJ to access some therapies and some support for both JJ and yourself. Of course, you know you can always come in here to chat or exchange ideas.
Do let us know how you get on.
Josie - Community Champion
Posted by
Bek
on 8th July 2010
at 19:55
Hmm, well, the meeting could have gone better, but it wasn't as bad as it might have been. Our GP is now going to refer JJ to a local Psychiatrist, but there is apparently a long waiting list. Once he eventually sees the psychiatrist, it will take him a long time to actually trust them and speak to them frankly about his difficulties. I read that many people with Asperger's have the problem that they are too trusting of other people. JJ is completely the opposite, he is so afraid of being taken advantage off that he doesn't trust people at all. (For those of you now wondering how on earth we ever started a relationship, we'd known each other over the internet for eighteen months before we finally met in real life).
However, one thing that concerns me about the meeting with the GP is that he seemed very interested in JJ's ability to work, and said to me that I don't seem the sort of person happy to live on benefits. I'm not, I had a good job for ten years (I'm older than JJ, I'm 33) and was made redundant last year before JJ moved in with me, but how can I carry on looking for a new job when JJ needs a carer and there's no one else to do it? (His family live about 180 miles away).
I'm wondering if the new government has already been leaning on GPs about getting people off benefits and back into work. Considering I'd provided our GP with an eight page document detailing how difficult our day to day lives are and how much care and attention JJ needs throughout the day, I can't believe he could even contemplate someone with JJ's issues being able to even get a job, let alone keep it. He's tried hard enough in the past and used to be signed up with an agency that was supposed to help disabled people gain employment, but most of the jobs they pushed him to apply for were totally inappropriate for someone with his issues. Let's face it, it's hard enough for "normal" people to get jobs in this economic climate, let alone someone who cannot express themselves and communicate clearly in an interview. Furthermore, JJ is paranoid around people he doesn't know/like, has screaming panic attacks when he feels overwhelmed or threatened or is startled by a loud noise, and has a tendancy to self harm. If by some miracle he got a job, I don't think he'd even keep it for a week.
JJ ended up having a panic attack in front of the GP when he was pressed to talk about how his Asperger's affects his life. I started to say how difficult it is for him to explain that when it's all the life he's ever known, but the GP shushed me, so I just thought "Okay, you asked for it" and sat quietly whilst JJ got into a hell of state trying to express himself. I guess that sounds terrible, but I figured if the GP actually saw how easily JJ can work himself into a frenzy of panic, it might actually help our cause. Anyway, we got the GP to agree to a referal to a new psychiatrist, which is a start. He was unwilling to get drawn into any futher contact with the DWP, so I seem to be left on my own with that problem. Oh joy...
On that front, I telephoned them to ask for a reconsideration of their decision as we're running out of time. I really was not impressed with the staff member I spoke to. When I said I was not happy about how they had consider the claim and mentioned about them not asking JJ's previous psychiatrist for a psychiatric report, her response was, literally "We don't have to do that, it's not our job." I was speechless (luckily for her). So they can ask our GP for a general medical report, but they can't be bothered to write one more letter? Seriously, I used to be a complaints investigator in the finance industry, and if I'd done a half-arsed job like that my boss would have had my guts for garters, and rightly so.
Anyway, sorry for the rant... oh yes, you asked about herbal stuff, Josie. My mother suggested that... I got something that I thought would help, and he won't take it - comes back to the distrust of medication again. He won't touch anything that he thinks might mess with his mind.
Bek
Posted by
Josie Barnshaw
on 8th July 2010
at 21:19
Hi Bek
I think as far as the DWP and DLA are concerned you should seek the assistance of an advocate for JJ. If you have a local Autism Society or a branch of NAS they will be able to point you in the direction of an advocate who specialises in autism related matters. They should be able to guide you through (and even attend with you/JJ if you want) a DLA appeal tribunal. Another option is speaking to an Employment Advisor at the local Job Centre and seeing if maybe they could do a home visit which might suit JJ better and assess his suitability or otherwise for employment. My ex-husband has been assessed as now "unemployable" by the Job Centre because of his Aspergers particularly his poor social skills and difficulties with language processing and communication.
I hope you dont have to wait too long for the psychiatric referral to produce an appointment.
Josie - Community Champion
Posted by
Bek
on 9th July 2010
at 01:15
Well... JJ had to go to a DWP appeal tribunal over his incapacity benefit a while back (18 months - 2 years ago I think) and they decided then that he has a lifelong condition that wasn't likely to improve and they pay him his incapacity without the need for sick notes or anything. Is that what you mean as classed as unemployable?
Just remembered, you asked if his fainting fits were linked to his panic attacks. I don't think so. He can have the fainting fits when he's panicking, but most of them seem to happen when he isn't. The pattern that I have noticed is that the fainting fits seem to happen when he's been still for a while and then starts moving around, such as when he gets out of bed. I originally thought maybe it was caused by low blood pressure, but it turned out that although his blood pressure is lower than normal, it's not low enough to be the reason behind the faints.
I have no idea if we have any kind of autism support locally. I doubt it, as I'm sure the GP would have mentioned it. I've been on the NAS website to get one of those cards explaining about autism for JJ to keep in his wallet. He had a major screaming and headbeating meltdown one night and I was expecting next door to call the police, he was making so much noise. It's not the first time I've worried that his panick attacks might lead to him being arrested, so I thought one of the cards would be a good idea just in case. I'll check back on their website and see what I can find.
Thanks for all the help and advice, it's great to have someone I can talk to about all this.
Bek
Posted by
Josie Barnshaw
on 9th July 2010
at 09:37
Hi Beks
Whereabouts are you located? I will see if I can find any local support groups and also find the nearest one in case its within reasonable travelling distance.
It's just typical that one area of the government recognise his "incapacity" and the other does not .... a case of the left hand not knowing what the right hand is doing. As usual it's up to us (the carers) to supply them with the information they need. I think it would be a good idea (if you are not already doing it) to keep a journal of everything in JJs life that requires your input and support, all his anxiety/panic attacks, etc. From what you are describing it seems to me that JJ needs a high level of care from yourself and it's just a case of getting that across to the powers that be.
Before JJ moved in with you, who looked after him? It might be worthwhile enlisting their support as well.
I dont suppose JJ would entertain an assessment by Social Work Dept? Their assessments are very detailed and usually set out all the needs of the person they are assessing. This would also be helpful for getting some support in place for both JJ and yourself. I had one of these done for my son and this allowed us to access respite and supports that we otherwise would not have received.
Josie - Community Champion
Posted by
Bek
on 9th July 2010
at 17:46
We are located in Northwich, Cheshire. Do you think it would help if we dug out the papers about the outcome of his incapacity benefit hearing and sent them a copy of those? Or would it result in them trying yet again to take even that off him? I have written an eight page document about what our lives are like and all the things I need to help him with, as well as what I put on the DLD form, and judging from their decision letter it looks as though they didn't even read it.
His mother looked after him before he moved in with me, I've already asked her to write about her experiences caring for him so that we can send that in with for them to do the reconsideration. I am desperate to avoid putting JJ through the stress and trauma of the appeal tribunal, but it's starting to look as though it will be unavoidable. We now also have the hassle of them having turned down the request for backdated income support, we asked gor
I rang the NAS helpline earlier today and they suggested the social services assessment. I don't know if I can get him to agree to it or not yet, he was very agitated when one of the early letters from the DWP said they might make a home visit and when I said I was going to request a home visit during their reconsideration process so they can see what he can be like, he became very distressed. He's very territoral about the house, I invited the Avon lady in last week because it was raining when she called, and he didn't look very happy about that. She's lovely though, I think the only reason she calls is she knows I barely get out since JJ moved in and she comes for a chat, becuase I never buy anything these days, money is too tight now.
On that subject, really starting to get scared we're going to lose the house if the DWP don't sort things out soon. I own it subject to mortgage and the unemployment cover on my mortgage runs out this month. We're trying to live solely on JJ's incapacity benefit and we can't afford to eat and pay all the other bills, let alone the mortgage. They haven't even started paying out on the income support claim we've had to make, all we've heard on that front is a letter refusing to backdate it. (JJ was given the run around about it for weeks and couldn't cope, and it ended up with me having to step in and insist that they dealt with me, but they are refusing to take that into account). The really funny thing (well, it's not funny, but you reach the point where you'd have to laugh or you'd cry) is that they enclosed a sheet of circumstances for appeal against the decision not to back date the claim, and one of those is "The claimant has difficuiting communicating" - and they knew DAMN WELL he has Aspergers because we had to declare why he was unfit to work. How stupid are they, really?
I was really happy when JJ and I became a couple, but now I feel as though my entire life has become a battleground and I am in utter despair. I'm about to lose my car because it's going to fail its MOT and I cannot afford to have it repaired, and even our home is at risk. I've been told we can possibly claim the interest payments for the mortgage from the DWP (but they won't help with the capital repayments), with their current track record of dealing with us, how long is it going to take them to start paying even that, and how hard are we going to have to fight for it? I wish I could have some brilliant idea of a small business I could do from home that would make enough for us to live on, but I've been racking my brains over that for months and I can't think of anything at all.
Bek



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Posted by
Bek
on 7th July 2010
at 13:19
Hi folks.
I am carer for my partner JJ who has Aspergers, ADHD, and serious
issues with anxiety and panic attacks. Whilst obviously looking forward to
chatting with all of you, I am particularly interested in hearing from the
partners and parents/carers of adults with autistic spectrum disorders. I’d
like to share experiences and find people who understand our situation.
I often come across many people (and this unfortunately
includes members of the medical profession) who seem to think that autism and
ADHA are childhood conditions and magically disappear once the age of eighteen
is attained. When JJ moved in with me and registered with our local GP
practice, at his first appointment with one of the doctors he was asked what he
did for a living. When we tried to explain that in JJ’s case, his conditions
mean that he’s completely unemployable, the GP’s response was “I thought people
grew out of that.”
We are currently fighting the DWP for DLA and carer’s
allowance, and this is proving to be very frustrating. Life as a carer is tough
enough, without the “powers that be” refusing to recognise that the person you
care for actually does have some serious mental health issues and really does
need a carer. I hope they come to their collective senses soon, as I have
concerns about the effect on JJ if he has to attend a yet another tribunal.
(There was a previous one when they tried to stop his incapacity benefit).
I would possibly be interested in campaigning for better
recognition of autistic spectrum disorders in adults, but I am sure you will
appreciate that I don’t have a lot of free time on my hands at the moment.