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advice? maybe, im not sure

irxnicc

the most context i can give is that i’m 20, i’ve had diagnosed depression since 16, more or less (suspected before by doctors, but never officially diagnosed or medicated, only medicated for anxiety with propranolol at 15 because i refused to leave my house).

im really struggling at the moment, horrendously, but my doctor seems to never listen to what i say, and only say what they seem to think i either way to hear — or whatever is just the easiest option for them.

i’ve been told, previously, in therapy that i might have a personality disorder (i do not want to specify), obviously as well as my autism (late diagnosis, around 15). i’ve mentioned this to my doctor, but they’ve never seemed to really listen. i’ve been through several medications between 16-20 (4 i think now? possibly 5???) and none have worked, none have even made a dent.

i think i need advice on to how to try convince my doctor to listen to me. im really struggling, i am not doing well at all, but i can’t go to her if i don’t know what to say, maybe there’s some answers here????

i don’t know if it’s the autism that makes her treat me like a child, but i need to be spoken to like im an adult - i am an adult, i really don’t know how to go about this and i am really unwell. please help. if anyone can.

another topic, technically in the same post, but i don’t know if this is autism or just me being anxious — does anyone else struggle with horrendous low periods when their friends seem less interested in them? not maliciously, but just hanging out less while still speaking to each other? am i paranoid or is it something i should mention? i really don’t know.

sorry for such a long post, it’s early in the morning, i haven’t slept properly in days, i think i just really need advice with all of this, if anyone is willing. thank you for reading.

  • irxnicc said:
    i’ve been told, previously, in therapy that i might have a personality disorder (i do not want to specify), obviously as well as my autism (late diagnosis, around 15). i’ve mentioned this to my doctor, but they’ve never seemed to really listen

    I would recommen getting the professional who was providing the therapy to write to your GP advising that they seek a formal diagnosis.

    Ask them to give you a copy of the letter as well so you now have a paper trail and can escalate if the doctor continues to deny it.

    You can also ask to change GP if you believe you are being treated poorly. It really helps to have specific symptoms to discuss as things they are quite likely to ignore terms like "low mood" or "struggling" unless you can give them something to identify as a symptom.

    irxnicc said:
    only medicated for anxiety with propranolol

    We are not allowed to offer medical advice here but I see that propranolol is a blood pressure medication that is sometimes used to treat anxiety in autists.

    Medication and autism are tricky things and if you have other issues as well then it gets even more complicated.

    In your shoes I woule be asking for a consult with a psychiatrist to review the medication as you are concerned it may be having side effects. Do this in writing to them so you have a bit more of a paper trail. I would then list the symptoms, for example:

    - Significant difficulties in sleeping (1-2 hours a night only) due to (add details here, eg rumination, anxiety over future etc)

    - Feelings of paranoia

    - etc

    I think this format is most likely to get them interested in helping you more.

    irxnicc said:
    i don’t know if this is autism or just me being anxious — does anyone else struggle with horrendous low periods when their friends seem less interested in them?

    It is just people in general - this time of year they will have a lot more going on with year end parties, christmas shopping, bad weather etc so I would expect contact to reduce.

    It could also be connected to your state with sleep deprivation - do you find it makes you behave out of character? If so there are a few things to try such as the advice on here:

    https://www.autism.org.uk/advice-and-guidance/topics/physical-health/sleep/autistic-adults

    There are also a few threads on the discussion board about tips for improving sleep hygiene that can be worth looking up.

    Good luck