Are you an adult with High-Functioning Autism or Asperger's? Are you in a relationship with someone on the autism spectrum? Are you struggling emotionally, socially, spiritually or otherwise? Then you've come to the right place. We are here to help you in any way we can. Kick off your shoes and stay awhile...

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Counseling Adults with Asperger Syndrome and HFA: Musings from a Therapist

One of the more humbling things for therapists is realizing the cases where they missed the diagnosis of Aspergers (or high functioning autism) in working with their clients, and perhaps came up with something else like Narcissistic Personality Disorder because they didn’t have adequate training at the time.

Although named by Hans Asperger in 1946, Aspergers didn’t get codified in the DSM until 1994. For many years thereafter, it was seen as a childhood disorder and not something to consider when working with troubled grown-ups. But more and more, therapists are finding – and diagnosing – Aspergers adults who fell through the cracks as a child (i.e., they would have been diagnosed earlier if we knew then what we know now).

Fortunately, training in the treatment of adult Aspergers is becoming more prevalent in graduate programs and professional in-service opportunities. The diagnosis has now become part of professional discourse and the popular culture. Also, books and materials are emerging to help the experienced therapist (as well as the novice) become familiar with diagnostic issues and treatment options.

While many therapies are appropriate for Aspergers adults, treatment really depends on the person’s response to the diagnosis (and responses can run the gamut from joy to anger and everything in between). Some people are overjoyed, because finally everything makes sense to them (e.g., why they can't hold a job, tolerate noisy children, stay in a relationship, etc.). They have blamed themselves - or others - all their lives. Now they have a framework in which to understand their weaknesses – and their strengths. For a lot of adult “Aspies,” it's a relief!

Of course, there is no obligation to do anything about an Aspergers diagnosis, and some adults simply stop the diagnostic process and walk away. Conversely, for those individuals who are interested in exploring their Aspergers further, the therapist does a debriefing and exploration focused on what the client feels now that he knows about the condition. The therapist (a) does a diagnostic “life mapping,” (b) explores the life map, (c) talks about how all Aspergers adults are different from one another, and (d) creates a treatment plan (e.g., “You came to therapy for a reason. Where would you like to go next?”).

Some of the issues that are explored in treatment include "quality of life" concerns (e.g., leisure interests, social activities, health, employment, family, etc.). The therapist will look at all the different areas that make up quality of life, see how the client is doing, and where the client wants to make some changes.

In addition to working on personal goals, “family work” is often indicated. For example, there are often rifts that have occurred where siblings are no longer talking. The therapist explores questions like, “What do you want to tell your family?” “How would you like to repair relationships?” Sometimes the family members come in to work on issues together.

Beyond cognitive-behavioral therapy, adults with an Aspergers diagnosis have a number of other treatment options. They can request that their therapist write a report that clearly outlines diagnostic issues, IQ, adaptive behaviors, etc. With that report, the Aspie can often qualify for services provided by state and/or federal agencies. Such services range from cognitive therapy to vocational training, job placement, health insurance, and, in some cases, housing.

Some of the therapies that are useful for children are also helpful for adults. For example, sensory integration therapy can be helpful in alleviating hypersensitivity to sound and light, and social skills therapy (often in the form of life-coaching or job-coaching) can improve job situations, friendships, marriages, etc.

Perhaps most important is a "do it yourself" therapy. Aspergers adults have access to books, support groups, conferences and other resources that provide insight, ideas and information on all aspects of life with Aspergers.

==> Living With Aspergers: Help for Couples

55 Ways to Beat Depression: Tips for Adults with Aspergers and HFA

Many, if not most, adults with Aspergers (or High Functioning Autism) will experience some significant bouts of depression from time to time. So if that has happened to you – you’re not alone. Depression drains your energy, hope, and drive, making it difficult to do what you need to feel better.

But while overcoming bouts of depression isn’t quick or easy, it’s far from impossible. You can’t beat it through sheer willpower, but you do have some control—even if your depression is severe and stubbornly persistent.

You can make a huge dent in your depression with simple lifestyle changes (e.g., exercising every day, avoiding the urge to isolate, challenging the negative voices in your head, eating healthy food instead of the junk you crave, carving out time for rest and relaxation, etc.). Feeling better takes time, but you can get there if you make positive choices for yourself each day and draw on the support of others.



Recovering from depression requires action. But taking action when you’re depressed is hard. In fact, just thinking about the things you should do to feel better (e.g., going for a walk, spending time with friends, etc.) can be exhausting. It’s the Catch-22 of depression recovery. The things that help the most are the things that are most difficult to do. But there’s a difference between difficult and impossible.

For all you Aspies out there, below are some very important tips for dealing with – and ridding yourself of – depression. Pick one or more (preferably several) of these techniques. Some will work – others won’t. So you can expect a short trial-and-error period until you find the right combination of techniques that work for you.

Let's go...

1. Accompany someone to the movies, a concert, or a small get-together.

2. Aim for 8 hours of sleep. Depression typically involves sleep problems. Whether you’re sleeping too little or too much, your mood suffers. Get on a better sleep schedule by learning healthy sleep habits.

3. Allow yourself to be less than perfect. Many depressed people are perfectionists, holding themselves to impossibly high standards and then beating themselves up when they fail to meet them. Battle this source of self-imposed stress by challenging your negative ways of thinking.

4. Ask a loved one to check in with you regularly.

5. Avoid all-or-nothing thinking: Looking at things in black-or-white categories, with no middle ground (“If I fall short of perfection, I’m a total failure.”)

6. Avoid diminishing the positive: Coming up with reasons why positive events don’t count (“She said she had a good time on our date, but I think she was just being nice.”)

7. Avoid emotional reasoning: Believing that the way you feel reflects reality (“I feel like such a loser. I really am no good!”)

8. Avoid jumping to conclusions: Making negative interpretations without actual evidence. You act like a mind reader (“He must think I’m pathetic.”) or a fortune teller (“I’ll be stuck in this dead end job forever.”)

9. Avoid labeling: Labeling yourself based on mistakes and perceived shortcomings (“I’m a failure; an idiot; a loser.”)

10. Avoid overgeneralization: Generalizing from a single negative experience, expecting it to hold true forever (“I can’t do anything right.”)

11. Avoid 'shoulds’ and ‘should-nots’: Holding yourself to a strict list of what you should and shouldn’t do, and beating yourself up if you don’t live up to your rules.

12. Avoid the mental filter: Ignoring positive events and focusing on the negative. Noticing the one thing that went wrong, rather than all the things that went right.

13. Boost your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To get more, take a B-complex vitamin supplement or eat more citrus fruit, leafy greens, beans, chicken, and eggs.

14. Call or email an old friend.

15. Challenge negative thinking. Depression puts a negative spin on everything, including the way you see yourself, the situations you encounter, and your expectations for the future. But you can’t break out of this pessimistic mind frame by “just thinking positive.” Happy thoughts or wishful thinking won’t cut it. Rather, the trick is to replace negative thoughts with more balanced thoughts.

16. Confide in a counselor, therapist, or clergy member.

17. Consider taking a chromium supplement. Some depression studies show that chromium picolinate reduces carbohydrate cravings, eases mood swings, and boosts energy. Supplementing with chromium picolinate is especially effective for people who tend to overeat and oversleep when depressed.

18. Cultivate supportive relationships. Getting the support you need plays a big role in lifting the fog of depression and keeping it away. On your own, it can be difficult to maintain perspective and sustain the effort required to beat depression. But the very nature of depression makes it difficult to reach out for help. However, isolation and loneliness make depression even worse, so maintaining your close relationships and social activities are important. The thought of reaching out to even close family members and friends can seem overwhelming. You may feel ashamed, too exhausted to talk, or guilty for neglecting the relationship. Remind yourself that this is the depression talking. You loved ones care about you and want to help.

19. Do something spontaneous.

20. Do things you enjoy (or used to). While you can’t force yourself to have fun or experience pleasure, you can choose to do things that you used to enjoy. Pick up a former hobby or a sport you used to like. Express yourself creatively through music, art, or writing. Go out with friends. Take a day trip to a museum, the mountains, or the ballpark. Push yourself to do things, even when you don’t feel like it. You might be surprised at how much better you feel once you’re out in the world. Even if your depression doesn’t lift immediately, you’ll gradually feel more upbeat and energetic as you make time for fun activities.

21. Don’t skip meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every 3-4 hours.

22. Eat a healthy, mood-boosting diet. What you eat has a direct impact on the way you feel. Aim for a balanced diet of protein, complex carbohydrates, fruits and vegetables.

23. Expose yourself to a little sunlight every day. Lack of sunlight can make depression worse. Make sure you’re getting enough. Take a short walk outdoors, have your coffee outside, enjoy an al fresco meal, people-watch on a park bench, or sit out in the garden.

24. Focus on complex carbohydrates. Foods such as baked potatoes, whole-wheat pasta, brown rice, oatmeal, whole grain breads, and bananas can boost serotonin levels without a crash.

25. Get regular exercise. When you’re depressed, exercising may be the last thing you feel like doing. But exercise is a powerful tool for dealing with depression. In fact, studies show that regular exercise can be as effective as antidepressant medication at increasing energy levels and decreasing feelings of fatigue. Scientists haven’t figured out exactly why exercise is such a potent antidepressant, but evidence suggests that physical activity triggers new cell growth in the brain, increases mood-enhancing neurotransmitters and endorphins, reduces stress, and relieves muscle tension—all things that can have a positive effect on depression.

26. Go for a walk with a workout buddy.

27. Have lunch or coffee with a friend.

28. Help someone else by volunteering.

29. Join a support group for depression. Being with others who are dealing with depression can go a long way in reducing your sense of isolation. You can also encourage each other, give and receive advice on how to cope, and share your experiences.

30. Keep a “negative thought log." Whenever you experience a negative thought, jot down the thought and what triggered it in a notebook. Review your log when you’re in a good mood. Consider if the negativity was truly warranted. Ask yourself if there’s another way to view the situation. For example, let’s say your boyfriend was short with you and you automatically assumed that the relationship was in trouble. But maybe he’s just having a bad day.

31. Keep stress in check. Not only does stress prolong and worsen depression, but it can also trigger it. Figure out all the things in your life that are stressing you out. Examples include: work overload, unsupportive relationships, taking on too much, or health problems. Once you’ve identified your stressors, you can make a plan to avoid them or minimize their impact.

32. Know when to get additional help. If you find your depression getting worse and worse, seek professional help. Needing additional help doesn’t mean you’re weak. Sometimes the negative thinking in depression can make you feel like you’re a lost cause, but depression can be treated and you can feel better! Don’t forget about these self-help tips, though. Even if you’re receiving professional help, these tips can be part of your treatment plan, speeding your recovery and preventing depression from returning.

33. List what you like about yourself.

34. Listen to music.

35. Meet new people by taking a class or joining a club.

36. Minimize sugar and refined carbs. You may crave sugary snacks, baked goods, or comfort foods such as pasta or french fries. But these “feel-good” foods quickly lead to a crash in mood and energy.

37. Omega-3 fatty acids play an essential role in stabilizing mood. Foods rich in certain omega-3 fats called EPA and DHA can give your mood a big boost. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, and some cold water fish oil supplements. Canned albacore tuna and lake trout can also be good sources, depending on how the fish were raised and processed.

38. Pets can make you happier and healthier. While nothing can replace the human connection, pets can bring joy and companionship into your life and help you feel less isolated. Caring for a pet can also get you outside of yourself and you a sense of being needed—both powerful antidotes to depression. And the research backs it up. Studies show that pet owners are less likely to suffer from depression or get overwhelmed by stress.

39. Practice relaxation techniques. A daily relaxation practice can help relieve symptoms of depression, reduce stress, and boost feelings of joy and well-being. Try yoga, deep breathing, progressive muscle relaxation, or meditation.

40. Read a good book.

41. Schedule a weekly dinner date with someone special.

42. Socialize with positive people. Notice how people who always look on the bright side deal with challenges, even minor ones, like not being able to find a parking space. Then consider how you would react in the same situation. Even if you have to pretend, try to adopt their optimism and persistence in the face of difficulty.

43. Spend some time in nature.

44. Start small and stay focused. The key to depression recovery is to start with a few small goals and slowly build from there. Draw upon whatever resources you have. You may not have much energy, but you probably have enough to take a short walk around the block or pick up the phone to call a loved one. Take things one day at a time and reward yourself for each accomplishment. The steps may seem small, but they’ll quickly add up. And for all the energy you put in to your depression recovery, you’ll get back much more in return.

45. Take a long, hot bath.

46. Take care of a few small tasks.

47. Take care of yourself. In order to overcome depression, you have to take care of yourself. This includes following a healthy lifestyle, learning to manage stress, setting limits on what you’re able to do, adopting healthy habits, and scheduling fun activities into your day.

48. Talk to one person about your feelings.

49. Think outside yourself. Ask yourself if you’d say what you’re thinking about yourself to someone else. If not, stop being so hard on yourself. Think about less harsh statements that offer more realistic descriptions.

50. Try to keep up with social activities even if you don’t feel like it. When you’re depressed, it feels more comfortable to retreat into your shell. But being around other people will make you feel less depressed.

51. Turn to trusted friends and family members. Share what you’re going through with the people you love and trust. Ask for the help and support you need. You may have retreated from your most treasured relationships, but they can get you through this tough time.

52. Watch a funny movie or TV show.

53. Write in your journal.

54. Pray (if you’re a spiritual person) for guidance, peace, joy and prosperity.

55. Be patient with yourself as you try these “depression-busting” techniques. Experiment. Dump the ones that don't work. Keep the ones that do!

Good Luck!

==> Living with an Aspergers Partner: Help for Struggling Couples

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

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