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Showing posts sorted by relevance for query anxiety. Sort by date Show all posts

Poor Stress-Management in Adults on the Autism Spectrum

Unfortunately, it is very common for adults with Asperger’s (AS) and High Functioning Autism (HFA) to experience more than their fair share of stress – and to make matters worse – many of these people also lack the ability to manage their stress effectively.

Poor stress-management (PSM) occurs when the person is unable to cope with a particular stressor. Since individuals with PSM normally have symptoms that depressed individuals do (e.g., general loss of interest, feelings of hopelessness, crying, etc.), this condition is sometimes referred to as “situational depression.”

Unlike major depression, PSM is caused by an outside stressor and generally resolves once the person is able to adapt to the situation. PSM is different from anxiety disorder (which lacks the presence of a stressor), or post-traumatic stress disorder and acute stress disorder (which usually are associated with a more intense stressor).



Some emotional signs of poor stress-management are:
  • anxiety
  • crying spells
  • depression
  • desperation
  • difficulty concentrating
  • feeling overwhelmed
  • hopelessness
  • lack of enjoyment
  • nervousness
  • sadness
  • thoughts of suicide
  • trouble sleeping
  • worry

Some behavioral signs of PSM are:
  • reckless driving
  • performing poorly at school or work
  • ignoring important tasks (e.g., doing homework, paying bills)
  • hibernating in one’s bedroom or home
  • excessive time spent doing a particular "comfort activity" (e.g., playing computer games)
  • avoiding school or work
  • avoiding family or friends
  • arguing and fighting



 ==> Living With Aspergers: Help for Couples

The recommended treatment for poor stress-management is psychotherapy. The goal of psychotherapy is symptom relief and behavior change. Anxiety may be presented as "a signal from the body" that something in the persons’ life needs to change. Treatment allows the AS or HFA adult to put his/her anxiety and anger into words rather than into destructive actions. Therapy can help the person gain the support he/she needs, identify abnormal responses, and maximize the use of personal strengths.

Sometimes small doses of antidepressants and anxiolytics are used in addition to other forms of treatment. In people with severe life-stresses and a significant anxious component, benzodiazepines are used. Tianeptine, alprazolam, and mianserin were found to be equally effective in people with anxiety. Additionally, antidepressants, antipsychotics, and stimulants (for people who became extremely withdrawn) have been used in treatment plans.

In addition to professional help, moms and dads can help their AS/HFA teens and adult children with their distress by:
  • having them engage in a hobby or activity they enjoy
  • involving their educators to check on their progress in school/college
  • letting them make simple decisions at home (e.g., what to eat for dinner, what show to watch on TV)
  • offering encouragement to talk about their emotions
  • offering support and understanding
  • reassuring them that their reactions are normal



==> Living With Aspergers: Help for Couples

=> Skype Counseling for Struggling Individuals & Couples Affected by Asperger's and HFA


Comments:

•    I find this extremely helpful. I would love to talk to the person who wrote this or other people dealing with these issues themselves or with their adult Aspie child. We are trying to get some medication to help with this, but I would also like to help my child (age 21) learn some coping skills.
•    Im 25 and mostly everything on this page rings true. Ive never been diagnosed but recently a psychologist said I might have aspergers but that they dont officially diagnose that anymore.
•    As an Aspie, I lose it under stress. I resort to covering my ears and reciting "I'm sorry," over and over again. When someone screams at me, my palms sweat and my hands are clammy. I shake and I hyperventilate, my thoughts race into a garbled jumble, and I avoid communication altogether. I simply cannot think.
•    This is also me. Most of us, due to our condition, have anxiety/depression and all sorts of other nasties because we have had to work so hard at getting along with others, etc. I am currently hibernating to recover my equilibrium after what was a very pleasant time visiting family interstate. The cruel part is that even happy times are stressors to us! Anything which is out of the expected routine, unexpected outcomes, changes in plans, all stressful as we mentally work thru all the details of what will be NOW expected of us (to appear 'normal') It's a helluva situation, and I applaud you for your honesty and sharing. BTW I also say 'I'm sorry' way too much when not on top of things. We are so very used to being 'wrong' and 'odd' that our very existence seems some colossal reason to be apologetic to the world. Keep going,

Post your comment below…

I think my boyfriend may have Asperger's...

“I’m currently dating a guy who is a very quiet and gentle person, but a bit odd in some ways. I’ve told some of my friends about how he acts, and a couple have suggested he has Asperger syndrome. What are some of the traits? How does it affect relationships? I would like to make this work, so I want to learn more about what to expect (and not expect). Thanks in advance!”

Although there are many possible symptoms related to Asperger’s and High-Functioning Autism in adulthood, the main symptom is usually “difficulty with social situations” regardless of the age of the individual. The individual may have mild to severe symptoms, or have a few or many symptoms. Because of the wide variety of symptoms, no two people with the disorder are alike.

Symptoms in adulthood may include the following:
  • sometimes have an inability to see another person's point of view
  • often lack of emotional control, particularly with anger, depression, and anxiety
  • often excel because of being very detail-oriented
  • may have problems engaging in "small talk"
  • may find it frustrating and emotionally draining to try to socialize
  • may feel "different" from others
  • may be naive and too trusting, which can lead to workplace teasing/bullying
  • may appear immature for their age
  • have difficulty with high-level language skills (e.g., reasoning, problem solving, being too literal, etc.)
  • are typically uninterested in following social norms, fads, or conventional thinking, allowing creative thinking and the pursuit of original interests and goals
  • are focused and goal-driven
  • have a preference for rules and honesty may lead them to excel in their job
  • talk a lot about a favorite subject
  • speech may be flat and difficult to understand because it lacks tone, pitch, and accent
  • one-sided conversations are common
  • most are very honest, sometimes to the point of rudeness
  • may not understand a joke or may take a sarcastic comment literally
  • may have an awkward walk
  • are unable to recognize subtle differences in speech tone, pitch, and accent that alter the meaning of others’ speech
  • are preoccupied with only one or few interests, which he or she may be very knowledgeable about
  • are overly interested in parts of a whole or in unusual activities (e.g., designing houses, drawing highly detailed scenes, studying astronomy, etc.)
  • internal thoughts are often verbalized
  • may have an unusual facial expression or posture
  • have heightened sensitivity and becomes over-stimulated by loud noises, lights, strong tastes, certain textures, etc.
  • have a formal style of speaking (e.g., may use the word "beckon" instead of "call" or the word "return" instead of "come back")
  • do not pick up on social cues (e.g., being able to read others' body language, start or maintain a conversation, taking turns talking, etc.)
  • dislikes any changes in routines
  • have difficulty with transitions
  • difficulty regulating social/emotional responses involving anger, or excessive anxiety
  • difficulties associated with this disorder can cause them to become withdrawn and socially isolated and to have depression or anxiety
  • may avoid eye contact or stare at others
  • may appear to lack empathy
  • may appear to be "in his/her own world"

Many of these individuals find their way to psychiatrists and other mental health providers where the true, developmental nature of their problems may go unrecognized or misdiagnosed (30-50% of all adults with Asperger’s are never evaluated or correctly diagnosed).

Many adults with Asperger’s have been able to utilize their skills, often with support from loved ones, to achieve a high level of function, personally and professionally – and some represent a unique resource for society, having the single mindedness and consuming interest to advance our knowledge in various areas of science, math, etc.

Their rigidity of style and idiosyncratic perspective on the world can make interactions difficult, both in and out of the family. There is a risk for mood problems (e.g., depression, anxiety). They are often viewed by others as eccentric, and they can be challenged by the social and emotional demands of marriage (although many do marry). 

Many also have coexisting conditions, such as anxiety disorder, ADD or ADHD, depression, OCD, and social anxiety disorder.


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