Medication

Hi

Newbie of a 13 year old whos not long been diagnosed ….(i was surprised as i thought it was a combination of adhd and general/separation/social anxiety)

We asked his GP if he could possibly try SSRI meds to help his anxiety/social anxiety/grumpyneed/irritability and misiphonia (snoring,chewiing,coughing,,breathing sounds cause him to rage)

He said he doesnt think they will work with Autism and recomends counsellor but theres no way he’d attend due to his anxiety/shyness.

Does anybody know if SSRI or any meds could help him a little because if its exhausted/stressed/worried his mum and dad for so long….god  knows how hes feeling everyday.

is my doctor correct or should i perhaps get a second opinion about possible meds?

Parents
  • SSRI's can be dangerous if you have low blood pressure or other health issues which can be part and parcel of Autistic biology. They don't help anxiety when it's Situational or caused by Environmental factors or a low GABA count, which is what an anti-anxiety drug in short-term low dose is used to help. Where it's legal, I know many who might use medical cannabis for this.

    Alleviating external stress is important to start. But a few things which are incredibly stressful to Autistics involve how NeuroTypical society LOVES to exist, and this is due to different 'wiring' which changes how Autistics perceive and experience the world. The main 2 things to help reduce stresses due to differences: Minimise interruptions and always give beyond fair notice/warning if possible for transition, and help give practical step-by-step guides to doing a thing which is not blocked by society, or help with communication. Not being able to access the right word to assign to a system or exchange or problem we can understand an perceive with our imagination but not communicate is a massive thing of stress. Like being asleep and not being able to yell out. Simultaneously, waking a sleepwalker is a good analogy for the experience of Autistics being interrupted. 

    Misphonia Doesn't ever go away. It is a normal human response which was needed in the wild, so it is an Environmental stress factor which one will deal with for their entire lives. The best we can do is minimise exposure and buy ear plugs/ear defenders. I can sit on a bus and silently debate with myself while listening to a completely inconsiderate and domineering human eating their crisps rudely and loudly. I can't make the stress from it stop except find a seat downstairs and get off the bus. If I was bigger than the chap, I might sit next to him and give him an intimidating stare until he stops. The bus is not a diner table.  https://www.bbc.co.uk/news/health-38842561

Reply
  • SSRI's can be dangerous if you have low blood pressure or other health issues which can be part and parcel of Autistic biology. They don't help anxiety when it's Situational or caused by Environmental factors or a low GABA count, which is what an anti-anxiety drug in short-term low dose is used to help. Where it's legal, I know many who might use medical cannabis for this.

    Alleviating external stress is important to start. But a few things which are incredibly stressful to Autistics involve how NeuroTypical society LOVES to exist, and this is due to different 'wiring' which changes how Autistics perceive and experience the world. The main 2 things to help reduce stresses due to differences: Minimise interruptions and always give beyond fair notice/warning if possible for transition, and help give practical step-by-step guides to doing a thing which is not blocked by society, or help with communication. Not being able to access the right word to assign to a system or exchange or problem we can understand an perceive with our imagination but not communicate is a massive thing of stress. Like being asleep and not being able to yell out. Simultaneously, waking a sleepwalker is a good analogy for the experience of Autistics being interrupted. 

    Misphonia Doesn't ever go away. It is a normal human response which was needed in the wild, so it is an Environmental stress factor which one will deal with for their entire lives. The best we can do is minimise exposure and buy ear plugs/ear defenders. I can sit on a bus and silently debate with myself while listening to a completely inconsiderate and domineering human eating their crisps rudely and loudly. I can't make the stress from it stop except find a seat downstairs and get off the bus. If I was bigger than the chap, I might sit next to him and give him an intimidating stare until he stops. The bus is not a diner table.  https://www.bbc.co.uk/news/health-38842561

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