Autistic shutdown or depression?

Hello, I'm new here and would really appreciate some help or advice.  My daughter is 15 and we've just started the process of diagnosis for ASD.  Over the years when she has struggled to cope with life she has had chronic tummy problems, pulled her hair and cut herself. She is currently controlling those urges but has recently displayed new behaviour which I have not seen before.  As she finds it hard to be around many people, lockdown suited her fine and the return to school has been overwhelming.  In the last few days, once home she has become very upset (sobbing, hitting herself, saying she can't go on) and then going into a trance-like state where she is unable to speak and barely move, after which she is exhausted, even the next day. Up until today she has made it into school, but this morning she managed to get up and dressed then stood at the top of the stairs, weeping and looking almost asleep, so I told her to go back to bed and she has been sleeping ever since.  Obviously as a parent it is very distressing to see your child so unhappy, but also this new "shutting down" behaviour is quite frightening.  Afterwards she said she could hear me but it was kind of muffled and far away.  I am at a loss to know what to do and how to help her. I am waiting for a call from the SENCO at her school to see what they can suggest to help her, but in the meantime I am concerned she is retreating inside herself more and more. I would be grateful for any thoughts or suggestions.

Parents
  • Hello

    I hope that my experience can help a little. My 17 year old daughter (diagnosed with ASD just before Christmas) displays similar behaviour, although it is more 'meltdown' than 'shutdown',  when there are any changes in her life. When she started at Sixth Form College, (before she had had her diagnosis), she was having enormous 'meltdowns' where she would smash things, cry incessantly and talk repeatedly about how miserable she was. Afterwards she was exhausted. All I could do at the time was comfort her. I had to work out what worked best - sometimes she needed to go outside to walk in the fresh air and then curl up in bed. I take her a cup of tea, just sit with her in silence and/or bring her one of the cats to stroke. It can take up to two hours to 'bring her down'. However she has not had the 'shutdowns' which sound more frightening as I am always glad that she can get her frustrations and upsets out. Before she was diagnosed with ASD she was burning herself with matches because she couldn't understand what was going on with herself and her emotions. The diagnosis seems to have helped with her frustrations and her 'meltdowns' are much less frequent and less 'violent'. The diagnosis gives her reasons for her feelings, which is helpful. It also enables us to pressurise the NHS to provide support, which we are still waiting for. But very importantly it has also enabled her college to put the appropriate support in place. She now has a Learning Support Assistant and mentor.

    When she was in school and before her diagnosis she had lots of problems with attendance. The school were amazing and put many support measures in place. Some of these may help your daughter. Firstly my daughter took a week out and the SENCO came to visit her at home, she had a reduced timetable dropping a subject and was excused from attending Form, Assembly, Sports Day and any other large gathering of students, she had a 'safe space' in school that she could go to when she became overwhelmed, she had a 'green card' that she could show at any time so that she could just leave class if she needed to, she had special examination conditions put in place so that she did not have to sit in the busy examination hall with other students. However by the end of her secondary school life we were driving her backwards and forwards a lot so that she could come home for lunch and during free periods. It was exceptionally difficult but we all survived and she achieved well in the subjects that she cared about.

    Now when she says that she can't go to college I just say 'OK, you don't have to go'. Taking the pressure off makes it easier for her to get herself together to go, although I am panicking inside that she will never go again. Yesterday she couldn't get out of the car when we got to college so we just had to drive her home again. Today she has managed to get into college.

    She takes Nytol to help her sleep and Kalms in the morning. The doctor said that it was fine to take these as long as she didn't take the Nytol every night, only on college nights.

    Sorry if I have rambled on a bit. I am also thinking that it would be good if she could find a way to get the feelings out as opposed to letting them shut her down. This may only be possible through working with trained counsellors but once you get the diagnosis you are better equipped to do this and find the appropriate person. As an aside I am also seeing a counsellor to help me cope so that I can support my daughter better. This is helping.

    Good luck

Reply
  • Hello

    I hope that my experience can help a little. My 17 year old daughter (diagnosed with ASD just before Christmas) displays similar behaviour, although it is more 'meltdown' than 'shutdown',  when there are any changes in her life. When she started at Sixth Form College, (before she had had her diagnosis), she was having enormous 'meltdowns' where she would smash things, cry incessantly and talk repeatedly about how miserable she was. Afterwards she was exhausted. All I could do at the time was comfort her. I had to work out what worked best - sometimes she needed to go outside to walk in the fresh air and then curl up in bed. I take her a cup of tea, just sit with her in silence and/or bring her one of the cats to stroke. It can take up to two hours to 'bring her down'. However she has not had the 'shutdowns' which sound more frightening as I am always glad that she can get her frustrations and upsets out. Before she was diagnosed with ASD she was burning herself with matches because she couldn't understand what was going on with herself and her emotions. The diagnosis seems to have helped with her frustrations and her 'meltdowns' are much less frequent and less 'violent'. The diagnosis gives her reasons for her feelings, which is helpful. It also enables us to pressurise the NHS to provide support, which we are still waiting for. But very importantly it has also enabled her college to put the appropriate support in place. She now has a Learning Support Assistant and mentor.

    When she was in school and before her diagnosis she had lots of problems with attendance. The school were amazing and put many support measures in place. Some of these may help your daughter. Firstly my daughter took a week out and the SENCO came to visit her at home, she had a reduced timetable dropping a subject and was excused from attending Form, Assembly, Sports Day and any other large gathering of students, she had a 'safe space' in school that she could go to when she became overwhelmed, she had a 'green card' that she could show at any time so that she could just leave class if she needed to, she had special examination conditions put in place so that she did not have to sit in the busy examination hall with other students. However by the end of her secondary school life we were driving her backwards and forwards a lot so that she could come home for lunch and during free periods. It was exceptionally difficult but we all survived and she achieved well in the subjects that she cared about.

    Now when she says that she can't go to college I just say 'OK, you don't have to go'. Taking the pressure off makes it easier for her to get herself together to go, although I am panicking inside that she will never go again. Yesterday she couldn't get out of the car when we got to college so we just had to drive her home again. Today she has managed to get into college.

    She takes Nytol to help her sleep and Kalms in the morning. The doctor said that it was fine to take these as long as she didn't take the Nytol every night, only on college nights.

    Sorry if I have rambled on a bit. I am also thinking that it would be good if she could find a way to get the feelings out as opposed to letting them shut her down. This may only be possible through working with trained counsellors but once you get the diagnosis you are better equipped to do this and find the appropriate person. As an aside I am also seeing a counsellor to help me cope so that I can support my daughter better. This is helping.

    Good luck

Children
  • Hello FSCR, thank you for sharing your experience with me, it really does help. Because of her history of anxiety issues, despite the fact she is yet to be diagnosed, school have already been helpful.  Like your daughter, mine has a pass to leave class if she needs to, and safe people to go to if she feels overwhelmed. The trouble is she is so reluctant to draw any attention to herself she won't use either but would rather sit and suffer in silence.  I will see what else school can offer, but I am also starting to look into the possibility of home educating her. Not sure how I can work that financially, but when your child is saying they don't want to wake up in the morning, you can't help feeling that drastic changes are needed.

    She has tried counselling a couple of times with limited success. That was before we'd spoken about ASD so may be it could be worth another try with someone experienced in ASD.  

    Thank you again for your reply.  I think like you I need some counselling for me too. It is emotionally exhausting isn't it.  It sounds as though you are doing an amazing job and making some great progress with your daughter.

    Good luck to you too.