Newly diagnosed ASD – Should I report change for Daily Living? PIP England

Hi, I’m looking for advice on whether to report a change of circumstances for PIP.

Current award:
Standard Mobility
0 points Daily Living
Award runs July 2024 – October 2027

Background: I originally scored 4 points for engaging socially (needs support), but was refused Daily Living overall. I took it to tribunal. A few days before the hearing DWP offered standard Mobility if I dropped the appeal, which I accepted.

I have now received a formal Autism Spectrum Disorder diagnosis (DSM-5 Autism Spectrum Condition – Level 1) through NHS Right to Choose. The assessment included ADOS-2, questionnaires and collateral information from my mother.

Key findings:
AQ10: 9/10
HADS Anxiety: 14 (abnormal range)
CAT-Q: 154 (high camouflaging)
Emotional Quotient low across domains
Lifelong social communication difficulties
Significant anxiety and shutdown after social interaction. 

My functional reality:
I avoid all social contact unless essential (doctor/Jobcentre).
I cannot attend appointments alone.
My mother accompanies me and sometimes speaks on my behalf.

If she cannot attend, I cancel.
After appointments I am extremely drained and sleep for hours.
Without her support I would stop attending entirely.

I can cook and take medication independently, but my mother collects prescriptions and helps monitor side effects.
My situation hasn’t worsened I just now have formal diagnostic evidence that clarifies the severity of my social impairment. I also feel I can explain my difficulties more clearly now.

My question:

Is this sufficient grounds to report a change of circumstances for Daily Living (Activity 9), or would DWP likely argue “no change”.

Thank you.

  • The shutdown and need to sleep afterwards you would probably need to be able to get a psychologist to link that to Psychological Distress, rather than the need to recharge 

  • You have described being able to engage with support, not that you don't engage at all, not going without your mum is saying you do go with her support, I think for the next up they would be looking for evidence you don't engage around other people regardless of support being there

  • Needs Social Support

    4

    You need help from someone trained or experienced (like a support worker or a family member who has "learned" how to assist you) to manage the interaction.

    Overwhelming Psychological Distress

    8

    The distress is so severe that you cannot engage at all. This often includes symptoms like panic attacks, meltdowns, breakdowns, or "shutting down" to the point of being unable to function.

  • I think they would likely look at it that you have that support already and so therefore don't need money to gain that support. 

    I don't think they'd count needing to sleep as overwhelming psychological distress unfortunately. I think they'd be expecting visible meltdowns.

    Your assessment report would be good evidence but you'd probably need more than that I think.

    It is really hard to get pip for autism.

  • Thanks for the responses.

    Just to clarify, I scored 4 points for engaging previously, but I cannot attend appointments alone, cancel if my mother cannot attend, and would stop attending entirely without her. After appointments I shut down and sleep for hours.

    Would this meet 9d (overwhelming psychological distress), or do tribunals usually expect panic attacks or visible meltdowns? I attempted a training course recently but suffered a panic attack and burn out. My report mentions this and high camouflaging and the effects.

    Also is my assessment report good evidence? 

  • Unfortunately if you can engage they give no points for communication, 

    From what you've said 

    Preparing food - zero points 

    Taking nurtion - zero points 

    Managing therapy - possibly 1 point

    Washing and bathing - zero points 

    Managing toilet - zero points 

    Dressing and undressing - zero points 

    Communication - unfortunately they won't give you points - which is irritating if you go non verbal and can't communicate, they say you can understand 

    Reading - zee points 

    Making budgeting - do you handle your own budgeting if not have much support do you need?

    Where you got four points already engaging with others people - does engaging with others cause 

    Cannot engage with other people due to such

    engagement causing either –

    (i) overwhelming psychological distress to the

    claimant; or

    (ii) the claimant to exhibit behaviour which would

    result in a substantial risk of harm to the claimant or

    another person.

    if not you would only get 5 points if 1 point for medication - you need minimum of 8 points 

  • Personally I’d leave it alone, and mention it when you reapply. Countless stories of people contacting them to notify them of a new condition etc…only for them to lose everything, even if it’s worse than the condition/s they got PIP for. If they can find a way of not paying, they will. I’d leave it personally. 

  • As  said - PIP isn't going to award on Autism diagnosis alone, you can submit it as supporting evidence

    As far as I know you'll have to be fully reassessed - so that means your mobility may be reviewed again and you'll have to complete that as before.

    Good luck - and probably expect to go through to mandatory reconsideration and tribunal (appeal)

  • PIP can be hard to get with autism. Unfortunately, the criteria are very specific. You've filled in before so you know what they are. It doesn't take into account areas like not being able to collect prescriptions etc. It very much goes on whether you are capable of taking the medication. 

    It is absolutely your decision as to whether to report a change but I'd be surprised if they did award you the PIP based on my own and the experience of others on here.

    I would also be slightly wary as I've heard about people that have reported a change like this, have been reassessed and have actually had the money they already received stopped as well. It isn't necessarily just a case of them deciding to up it or just say no change.