CBT (cognitive behavioural therapy)

Hi everyone my names Scott busby I’m 32 and I was diagnosed with slight Asperger syndrome yes “slight” I don’t know what that means either, I’ve struggled  with anxiety, panic attacks and depression, I have trouble having conversations and understanding people, I’ve been having CBT for the past 3 weeks now every Monday and becoming more difficult every time as I’m having to complete the questionnaires every time about mood, emotions, feelings, I get homework every session and we go through what situations I've experienced, it’s got to the point I think that I’d be better off speaking to the nas (national autistic society) I’m not sure where to go. Just wondering if anyone else with AS has been through CBT. 

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  • becoming more difficult every time as I’m having to complete the questionnaires every time about mood, emotions, feelings

    Do you know what is difficult about it?

    I've found things don't fit in the boxes and get far too complicated.  And I don't think mood, emotions, feelings are very apparent even to me and may be different from what the therapist expects.  I have had to explain 'alexithymia', not knowing what you're feeling to several therapists.  Plus getting around to the forms or remembering to do them when distressed.

    The basic ideas of CBT, Five Areas model and so on, makes sense to me, and reading CBT books wasn't time wasted. For example it can explain why ruminating is unhelpful and forcing yourself to do activities you should enjoy is worthwhile for energy and motivation.

    I do think there should be CBT that is more flexible for autistic people, but there isn't in my area, and you just have to hope the therapist understands or ask for another one.

  • I’ve been given these sheets to do called “thought diary” and underneath in boxes along the page are -

    SITUATION. EMOTIONS/MOODS. PHYSICAL SENSATIONS. THOUGHTS/ IMAGE ABOUT SELF. THOUGHTS/ IMAGE ABOUT OTHER PEOPLES EVALUATIONS OF MYSELF 

    The other page has in boxes 

    SITUATION  >  THOUGHTS/IMAGES >
    BEHAVIOURS>            PHYSICAL SENSATIONS >EMOTIONS 

  • Autistic individuals perceive and understand the world different. 

    Thought might be primary, situation might be a behaviour (going through a motion but head somewhere else). Tied to that might be assumed behaviours or a trial of behaviours to try to mimic others. followed by more thought. Many times the emotion for all of this can happen 2 weeks to 2 years later. so:

    THOUGHT / IMAGES (not a 'then' symbol, but one that implies a random event) SITUATION+BEHAVIOUR. THOUGHT. [very long pause] EMOTION? 

    Can you identify your emotions and describe them? Has anyone ever asked why you perform or say a thing and what it is supposed to mean? If neither of these two have been sorted CBT won't work as it assumes a different ordering of thoughts/actions/being. A Neurotypical one, which doesn't work the same (thus why ABA is traumatising and never helpful).

    I can't fill out surveys unless I'm given half a day to have a proper think and even then it's difficult if I don't have a pool of knowledge on each question. 

Reply
  • Autistic individuals perceive and understand the world different. 

    Thought might be primary, situation might be a behaviour (going through a motion but head somewhere else). Tied to that might be assumed behaviours or a trial of behaviours to try to mimic others. followed by more thought. Many times the emotion for all of this can happen 2 weeks to 2 years later. so:

    THOUGHT / IMAGES (not a 'then' symbol, but one that implies a random event) SITUATION+BEHAVIOUR. THOUGHT. [very long pause] EMOTION? 

    Can you identify your emotions and describe them? Has anyone ever asked why you perform or say a thing and what it is supposed to mean? If neither of these two have been sorted CBT won't work as it assumes a different ordering of thoughts/actions/being. A Neurotypical one, which doesn't work the same (thus why ABA is traumatising and never helpful).

    I can't fill out surveys unless I'm given half a day to have a proper think and even then it's difficult if I don't have a pool of knowledge on each question. 

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