Anger, anxiety and dissociation

How do people deal with these 3 emotions? I wake up with them every morning and, though they do subside a little after a while, they are negatively affecting my university work, relationships with others and self-esteem. I was diagnosed with Asperger's roughly 15 years ago, but I'm still under the care of the Community Mental Health Team for other symptoms, which other psychiatrists have given various names for (bipolar, psychotic depression, schizophrenia, EUPD...). I want to do well in life, but I don't seem to have control over anything. I am on medication and I changed antipsychotics July last year (2025). The new meds really seemed to help, but my ASD is now more pronounced and I also have alexithymia. In addition to this, the dissociation/depersonalisation/derealisation I experience is getting worse. How on earth do I change things for the better?

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  • Hi there. I have experienced all these symptoms, my diagnosis is PTSD + ASC. I found anti psychotics numbing and killed my creativity and cognitive skills, ultimately did way more harm than good. I have been off them for four years now and those skills have returned. They tried to nail a personality disorder in me at one time, which autism absolutely isnt. Things which do work for me are skills learnt in CBT and DBT, an anti depressant (which I started for fibromyalgia but which very much helps me mentally), my special interests which are largely focused on reading non fiction, especially poetry, and organising things, I love turning chaos into order (we have an impeccably organised garage now), and occasional use of diazapam (legitimately prescribed). Maybe you could investigate trauma as an alternative to bipolar and the related psychosis type conditions? PTSD UK is a good place to start and it includes articles about trauma in autistic people. Good luck. AnA 

  • trauma in autistic people

    That sounds promising - as I have experienced my local NHS services appear to have a blindspot on this aspect of trauma.

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