During a lifetime of searching for a name for what was “wrong” with me, I saw a number of therapists and assorted mental health professionals. The first one I saw as an adult yelled at me and called me a “spoiled little girl” (I was 20 at the time) because I wasn’t able to answer some of his questions. The second one yelled at me, too, for not talking. He took my silence as an intentional effort to “hide something” from him.
The one I worked with the longest was pretty good. As I struggled to change myself into a more acceptable version, she consistently told me that I was fine exactly the way I was. Until the day I couldn’t answer a question, something to do with feelings, I don’t remember. “I don’t think I have a word for that,” I told her. “I don’t believe you,” she said. She explained that I had an excellent vocabulary and that she had read some things I’d written and of course I could say this simple word. And with that, the trust we had established was broken.
I kept going back, for months after that, because stopping things, making changes, was harder than working with someone who thought I was a liar. One day I went into her office and couldn’t talk at all. After hello, how are you, I am fine, I sat in my chair and looked out the window. For forty-five minutes I sat there not saying a word. She did the same. It was a technique, I guess, meant to teach me something, I’m still not sure exactly what that would have been.
I can’t quite blame her for not understanding. Asperger syndrome wasn’t heard of in those days; autism was still considered very rare and generally associated with children who never spoke at all. People who behaved like I did had “personality disorders.” They needed a swift kick in the behind to get them motivated. How could it not be intentional and disrespectful for a person who has spoken (almost) fluently in the past to suddenly turn up mute? How could an intelligent adult fail to answer a question anyone who had seen a couple of Sesame Street videos would know? I couldn’t answer these questions myself.
This is one of the ways having a name for this helps me. I no longer question what unconscious mechanism or buried trauma might be driving this unpredictable loss of language. I don’t see myself as stubborn and difficult; just a few years ago, I thought they might all be right. I can explain to people that something like this might occur in the future, and that this will not be their fault or mine or a comment on the state of the relationship. Before, when I said it, without the benefit of the words autism or Asperger syndrome, this was always met with suspicion.
I do not condone the methods these professionals used to deal with their lack of information. I think they were wrong, regardless of the lack of a DSM category to properly describe me. I remember these experiences when I am tempted to write someone off as stubborn or to ascribe unconscious or conscious motivations to behaviors I have no real way of understanding. They helped me learn to be less judgmental. I understand that, though I may have arrived at a logical interpretation of someone’s behavior, one that is consistent with what I’ve seen before, I might be wrong.
Sometimes terrible things are done in the name of helping. In my case, the damage was minor, hardly worth mentioning. I got up from my chair and handed the silent therapist my check for the session. I never went back. As a non-institutionalized adult, I could make that decision.








21 comments:
Bev, this is incredibly powerful. I find myself getting frustrated and impatient sometimes with people (even my husband, who I think may be somewhere on the spectrum) and I need to stop, take a deep breath and give them the space they need to respond, process, or do nothing. And be ok with it. You are so right that sometimes we do hurtful things in the name of trying to help; I hope I don't ever do that to my son but I fear I will. Thanks for the reminder to be ever vigilant.
Chilling.
Best wishes
Wow. That is an intense post. I really like how you shared your experience. I am looking forward to reading your archives.
When we frist looked for help for our daughter her very first psychiatrist stared at her for a long time. I sat, patiently waiting. Then out of no where he yelled very loud, "Maizie! Stop!" Maizie looked at him and continued to run around the room wrecking havoc on everything. She was three at the time. I about fell out of my chair and then he did it again, louder. Maizie then looked at him and screamed right in his face at the top of her lungs defiantly. I can't blame her! I began to cry and he got real stern with me and said, "I have to see if she is paying attention to discipline!" Are you kidding me? I was furious! He gave me a prescription for ritalin and said your daughter is obviously ADHD, not Autistic.
We left and never went back and I refused to pay for the appointment. We saw another psychaitrist who would make Maizie stand in the corner if she did not cooperate and at one point told me to lock her in her bedroom. Foolishly, I followed her direction. But, only once. I cried so hard and then fired her too. When I think back I can't believe what various doctors have put us through.
One told us that Maizie was vomiting for attention! She was three! I confronted the doctor and said that was insane. She did not take to that lightly and told me I was spoiling her and she knew how to manipulate me. Manipulate me for what? So, I will clean up her throw up and watch her sleep all day to recover. Now, we know those are her seizures. It took until Maizie was six for those to be diagnosed. She was having up to ten a day before a doctor took me seriously and only because I begged her tutor to write a letter about what the seizure looked like and that she witnessed it. I then called the doctors office sobbing and insisted she be seen immediately.Once she was put on the proper meds. they slowed way down. I need professionals for our daughter and yet finding good ones has been one of the toughest things we have had to work on for her. I can't imagine the parents who don't have the time, the energy or the resources to travel to outside doctors like we do. What do they do? What do they settle for? What are those doctors saying to those kids over time? I shudder to think of it.
When I first went away to college, I briefly saw one of the university's counselors because I was nervous about being away from home for the first time. He mocked something I was talking about, and I decided he was a clueless jerk. After taking a few introductory psych courses, I revised my opinion a bit and decided that the entire profession was clueless.
I've posted the Wall Against Hate in my sidebar and linked it to your store. :)
A terrific post. We don't need counselors to be prosecuting attorneys. Kudos to you for getting up and walking away.
Good for you, for not going back.
This makes me incredibly sad and I'm really sorry you and many others have had to endure such treatment and lack of understanding.
I think it's important to remember that not all therapists are bad, though. Like all professions, there are good ones and bad ones. I know there are now therapists who specialize in helping people with certain disabilites which was probably not the case when you were younger, Bev.
I also agree w/ Niksmom -- this post is a good reminder for me to be patient when it's taking Pete longer than I desire to process something. Thanks for that.
karen in ca
I've said it many times...but the BEST (the only) Psychiatrist I had for Ben was severely ADHD himself. He knew how hard Ben worked in school, and never was there to judge us, but encourage us.
When he left after 3 years (and many kids made the 90 mile trip to see him at his new office), we found a general pediatrician who prescribed Ben's drugs, who also encourages us.
Life is hard enough without being judged or blamed for things beyond our control.
Powerful post, Bev!
I think anyone who has been through encounters with different counselors has similar stories. This is especially true from when when people were not familiar with Asperger's, which is probably anything more than a few years ago -- and many people still are not very familiar with the reality of it!
Good counseling is kind of like good art, or pornography: hard to define, but we know it when we see it.
Sadly, a lot of people have more experience with bad counseling or psych care. Bad counseling tells clients what their problems are and what the counselor is going to do to or for them to solve that. At its worst, Bad counselling is disempowering, denies self-advocacy, self-understanding, and self-help, and turns help into a passive process for the client.
The problem with many people working in the “helping professions” is how “helping” is viewed. Bad helping is about ensuring the status quo of the client as the dependent recipient of help given by the service provider. Good helping is about making the counselor “unemployed” as it were, of being a temporary resource to the client, rather than a permanent fixture that is necessary to keep a “broken” person working.
Good counseling helps the client to determine problems they are facing, and what they need to solve them, and how they can acquire the tools needed to do so. The counselor works with a person, not for them or to them. It’s about respecting the client, and presuming competency on the client’s part, including the client as the local expert on their self. In other words, good counselling is empowering.
I have a couple of very diffferent stories, "Whining from another hysterical female" and the much more positive, A most dangerous question".
I hope you have also had the opportunity to find more useful people with whom to work! Such people are out there; it's just that bad counselors, like plane crashes, are more "newsworthy" in many ways than are the good ones.
Marla,
It's bad enough to be yelled at and accused of "manipulative behavior" as an adult. To do this to a child is unconscionable. I hope you reported these people to the appropriate boards. You've had some REALLY bad doctors to deal with. I'm glad things are better for you and Maizie now.
Andrea,
Thanks. I really enjoyed the story of Dr. S. What a #$*@!
Niksmom and Karen,
Yes, patience is hard. It's something I always appreciate in a person and it's still so hard to remember to use it myself!
Thanks to all for the comments!
Thanks for this post - it's very timely in our world right now. My son seems to be losing some of his vocab and I am not sure what to do (other than to be patient and help him out if he really can't get the word out). The lack of vocab seems to come and go.
Bev, was there any reason for your losing a word/speech i.e stressors? Just trying to figure out how to help my 14y/o...thanks Kate
What a powerful post. That last line was like a punch in the gut.
We've been mostly lucky with the professionals we've met. The original team to diagnose Patrick was hurtful though. They said he was difficult to engage, when I felt the same about them. They didn't interest him because they were, well, un-engaging. *sigh* After they told us all the bad things for 1 1/2 hours I started asking questions like "well, ok, will he be able to go to school?" They grugingly said "yes". It was like they wanted me to be devestated by the news. They couldn't understand why we were so calm. But we just wanted to know what was going on. We'd already been through grand mal seizures so what was this in comparison? Peanuts. Sorry for rambling.
I've had very similar experiences. When I was in college I went to see a psychiatrist, because I was having massive meltdowns daily and not sleeping at all, and she told me every single time (the 6 times I went) "I can't help you unless you talk, you HAVE to talk." As I sat there in silence. I didn't know what to say. I've had so many top drs in this area(neurologists, PCPs, disease specialists, etc) tell me I must be imagining everything, that it never happens the way I am reporting it, that I must be seeking attention (Um, NO!).
I now am lucky enough to have a good therapist, who will go outside of his 'box' to try to help me figure things out. He didn't know anything about autism when I started going to him about 4yrs ago (I didn't have an autism diagnosis yet either) but since then has gone to conferences, talked to people who specialize in it, read all sorts of stuff, etc. He tries. I've got to give him credit for that. And he doesn't tell me I'm stupid, or making things up, or "have to talk" or that he doesn't believe me, etc.
So they are out there. I don't know how to find them though, I got lucky.
some years ago I Had a psychologist evaluating P. (3 at the time) for waiver(what sort of child psych has no toys???) who had nothing in the room but lots of knick knacks on his desk. P. was very interested in them. He asked me if P. followed directions- I said no. He screamed at the top of his lungs STOP TOUCHING MY STUFF! P. jumped back about six feet.
"looks like he follows directions to me"
P. then left the desk alone and started opening and shutting the office door...
this Dr. said...
"you 're not fooling anyone you know!!!
what an idiot.
added your wall to my blog and linked back!
thank you!
Unconditional acceptance of others.....much less ourselves.....is the topic of many faiths for a reason. It is very difficult to attain.
Many people get into psychiatry because they themselves are very much broken.
I am trying in my own life to treat those who are at a disadvantage....for whatever reason....better than I was treated when I was weak and easily preyed on. I survived that phase of my life to become a brutal negotiator-I get to do the jobs the other staffers cannot or will not do. My team says.....we have done so much for so long with so little we can do almost anything with nothing.
In doing that job I meet all kinds of folks. I refuse to kick a man when he is down. I remember how being kicked felt.
~Sarah
Re, how to find doctors that are "AS friendly" --
Transsexual people often face their own set of challenges finding service providers who are suitable to their needs (have the appropriate knowledge/understanding) or who are even comfortable serving transgender patients or clients.
(For example, a male to female TS may need electrolysis to clear their facial hair; both F to M and M to F transexuals need to see an endocrinologist for hormone prescriptions; etc. But not all specialists know how to deal with TS-specific issues or are comfortable working with TS patients.)
What some orgs do in some metropolitan areas is that they pool recommendations from people in the region ("Go to specialist X, he seems to know what he's doing; Go to professional Y, she's new to the issue but seems willing to learn" etc) and use them to compile a list of "transgender-friendly" service providers.
Maybe something similar would be helpful here? A volunteer-compiled guide to AS/autistic-friendly service providers in various regions.
This would take on-going volunteer commitment, though, because any listing of service providers and contact information can go out of date VERY quickly (doctors move, change phone numbers, or simply cease practice). So it takes on-going work (checking and double-checking all contact information on a periodic basis) to keep them up-to-date.
Anonymous,
Thank you. That's an excellent suggestion which might work well for metropolitan areas. We have a LGBTQ friendly guide where I live, but I hadn't thought about this possibility for AS.
The more I read, the more I want to cry. Obviously, I'm not going to see myself in everything. Other symptoms, if you will, will not be present in myself. I am very much aware of this. But there is so much that I am reading that puts words to what I have had trouble describing to my b/f.
I have to stop myself from crying often, so as to not arouse unwanted attention from anyone who may be near. I get silent. Not out of hate, or giving the cold shoulder. It becomes hard for me to speak, I can't verbalize what I feel. My arms come up in front of my chest and hold there, shaking. I have gotten so used to 'trying to hold it in' that I can sometimes stifle movements. It's even more difficult for me to look at anyone, much less initiate eye contact. And it is not only with crying that I get that way.
And there are other things as well, but that would make this comment incredibly longer than it should be. As it is, I fear I have already hit that point.
Bev - your blog is great - you describe things with such accuracy.
My situation with a psychiatrist was this: After months and months of visits, he finally said to me, 'You're not like my other patients. All the things you're describing - I believe are really there - it's not that there's something wrong with you, on a psychological level - it's that I think you experience things differently than most people. Look up Autism, read Temple Grandin's book.I think that if you took high-functioning autism - and took the extreme 1% or so end of that - it describes exactly how you are."
This was over 10 years ago - and it was a life-changing revelation. Not in a million years would I even tell someone (in person) about this - I am far too much on the NT spectrum to say I have any form of autism. Reading about autism, though - and following some of the ways to minimize responses to stimuli, and manage social interactions - have helped me tremendously. And I don't even HAVE autism - just a slight and basic framework of it, in some respects.
I'm hearing impaired, among other things, so I've started learning Auslan. (Australian sign language)
An odd thing started happening. When I can't verbalise, sometimes I can still sign.
It's not a panacea, it's not a miracle, I still have times when neither method of communication is doable.
But sometimes, signing routes around whatever part of my brain isn't functioning at that moment.
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