SAD and/ or Meltdown.

Although not diagnosed, I have been through 6 months of assessments with the final step believed as Autism and my assessment to commence from August.

Many years ago I was diagnosed with SAD and it was my yearly GP contact for medication that raised the potential for a misdiagnosis.

I have read through a lot of information over the last six weeks but what I cannot get a satisfactory explanation for is, could my SAD actually be a Meltdown.

Have you been in a position where you were misdiagnosed?

The similarities are very close:

3 months duration (January-March for me).

Loss of interest in what I love (conflict with Autism and huge interest in subject).

Increased sleeping.

Confusion and inability to concentrate.

Always late (complete reversal of always early to avoid walking into a crowd)

This year I am attempting to sleep 6-8hrs/ night to see if I suffer this Winter. Normally Summer and Autumn are so frantic and I end up sleeping 4-6 hours bar Sunday where it is 10 hours.

It can be classed as research but it will be interesting if my additional rest now prevents the January-March 'crash'.

It is something that I can;t get an understanding on.

Thank you.

Parents
  • I think maybe you are getting the terminology mixed up. 

    A meltdown is a short lived thing, an explosion of emotions which normally has at least one trigger. I would say a few hours at the most, although the exhaustion afterwards can last a few days. There is an explanation here https://www.autism.org.uk/advice-and-guidance/topics/behaviour/meltdowns/all-audiences

  • Thank you - I hope posters read this and change Meltdown to Burnout.

  • Burnout would make more sense. However if it is something that happens every year I think that suggests that the SAD diagnosis is likely correct. Have you tried one of those artificial daylight lamps or taking vitamin D supplements in the winter?

    I just posted this link on another discussion https://theautisticadvocate.com/2018/05/an-autistic-burnout/ It's one of the best articles I've found on autistic burnout. Towards the end of the article it gives a list of the key symptoms, which I'll copy below:

    • A growing lethargy
    • An increase in irritability
    • An increase in anxiety
    • An increase in over-sensitivity to sensory information
    • A dramatic decrease in sensitivity to sensory information
    • Heightened Auditory processing disorder
    • A decrease in verbal language
    • A decrease in text language
    • An increase in Shutdowns and heightened withdrawn state
    • An increase in the frequency and severity of Meltdowns
    • A diminished ability for the person to self-regulate their emotional state
    • The slowing down of the thought processes
    • Brain fog
    • Memory loss 
    • A decrease in your ability to effectively communicate what you want 
    • A decrease in motivation
    • An inability to generate momentum of body and of action
    • An increase of rigidity, narrowing of thinking
    • A feeling like your vision is tighter or narrower
    • Extreme forgetfulness
    • Extreme overwhelm
    • A massive increase in guilt
    • An increase in Executive Dysfunction
    • An increase in Demand Avoidance
  • Thank you... I have a lightbox which seems to help me as does Fluoxetine (although that perhaps treats me over the condition if you know what I mean). I attempt to get out on an early afternoon but it is so much like running through treacle.

    The list is so similar to SAD which, from the NHS, are:

    • a persistent low mood
    • a loss of pleasure or interest in normal everyday activities
    • irritability
    • feelings of despair, guilt and worthlessness
    • feeling lethargic (lacking in energy) and sleepy during the day
    • sleeping for longer than normal and finding it hard to get up in the morning
    • craving carbohydrates and gaining weight
    • difficulty concentrating

    From your list and hopefully more for me rather than attempting a diagnosis ...

    • A growing lethargy (Demonstrated over years from fitbit info).
    • An increase in irritability (Yes - as per SAD)
    • An increase in anxiety (Yes - Linked to tiredness and guilt. Overly anxious anyway)
    • An increase in over-sensitivity to sensory information (Lights are worse but in Winter they exist more).
    • A dramatic decrease in sensitivity to sensory information (dont know)
    • Heightened Auditory processing disorder (Dont know)
    • A decrease in verbal language (Slur but linked to tiredness).
    • A decrease in text language (Terrible at texting anyhow and a generation where one message evry 3d is acceptable haha)
    • An increase in Shutdowns and heightened withdrawn state (Avoid house parties more)
    • An increase in the frequency and severity of Meltdowns (Dont believe so)
    • A diminished ability for the person to self-regulate their emotional state (Ties into SAD symptoms)
    • The slowing down of the thought processes (Yes but linked to tiredness)
    • Brain fog (as above)
    • Memory loss (as above)
    • A decrease in your ability to effectively communicate what you want
    • A decrease in motivation
    • An inability to generate momentum of body and of action
    • An increase of rigidity, narrowing of thinking
    • A feeling like your vision is tighter or narrower
    • Extreme forgetfulness (not exactly)
    • Extreme overwhelm (Not particularly)
    • A massive increase in guilt (yes as per SAD)
    • An increase in Executive Dysfunction
    • An increase in Demand Avoidance

    Thank you on the article... I will read when have time to digest  Slight smile

    My plan is to try and 'look after' myself as opposed to normal Summers and see if the Winter pattern remains.

Reply
  • Thank you... I have a lightbox which seems to help me as does Fluoxetine (although that perhaps treats me over the condition if you know what I mean). I attempt to get out on an early afternoon but it is so much like running through treacle.

    The list is so similar to SAD which, from the NHS, are:

    • a persistent low mood
    • a loss of pleasure or interest in normal everyday activities
    • irritability
    • feelings of despair, guilt and worthlessness
    • feeling lethargic (lacking in energy) and sleepy during the day
    • sleeping for longer than normal and finding it hard to get up in the morning
    • craving carbohydrates and gaining weight
    • difficulty concentrating

    From your list and hopefully more for me rather than attempting a diagnosis ...

    • A growing lethargy (Demonstrated over years from fitbit info).
    • An increase in irritability (Yes - as per SAD)
    • An increase in anxiety (Yes - Linked to tiredness and guilt. Overly anxious anyway)
    • An increase in over-sensitivity to sensory information (Lights are worse but in Winter they exist more).
    • A dramatic decrease in sensitivity to sensory information (dont know)
    • Heightened Auditory processing disorder (Dont know)
    • A decrease in verbal language (Slur but linked to tiredness).
    • A decrease in text language (Terrible at texting anyhow and a generation where one message evry 3d is acceptable haha)
    • An increase in Shutdowns and heightened withdrawn state (Avoid house parties more)
    • An increase in the frequency and severity of Meltdowns (Dont believe so)
    • A diminished ability for the person to self-regulate their emotional state (Ties into SAD symptoms)
    • The slowing down of the thought processes (Yes but linked to tiredness)
    • Brain fog (as above)
    • Memory loss (as above)
    • A decrease in your ability to effectively communicate what you want
    • A decrease in motivation
    • An inability to generate momentum of body and of action
    • An increase of rigidity, narrowing of thinking
    • A feeling like your vision is tighter or narrower
    • Extreme forgetfulness (not exactly)
    • Extreme overwhelm (Not particularly)
    • A massive increase in guilt (yes as per SAD)
    • An increase in Executive Dysfunction
    • An increase in Demand Avoidance

    Thank you on the article... I will read when have time to digest  Slight smile

    My plan is to try and 'look after' myself as opposed to normal Summers and see if the Winter pattern remains.

Children
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