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      Depression, Mental Health and Crisis Support   06/04/2017

      Depression, Mental Health and Crisis Support   Depression and other mental health difficulties are common amongst people on the autistic spectrum and their carers.   People who are affected by general mental health difficulties are encouraged to receive and share information, support and advice with other forum members, though it is important to point out that this exchange of information is generally based on personal experience and opinions, and is not a substitute for professional medical help.   There is a list of sources of mental health support here: <a href="http://www.asd-forum.org.uk/forum/index.php?showtopic=18801" target="_blank">Mental Health Resources link</a>   People may experience a more serious crisis with their mental health and need urgent medical assistance and advice. However well intentioned, this is not an area of support that the forum can or should be attempting to offer and we would urge members who are feeling at risk of self-harm or suicide to contact either their own GP/health centre, or if out of hours contact NHS Direct on 0845 4647 or to call emergency services 999.   We want to reassure members that they have our full support in offering and seeking advice and information on general mental health issues. Members asking for information in order to help a person in their care are seeking to empower both themselves and those they represent, and we would naturally welcome any such dialogue on the forum.   However, any posts which are deemed to contain inference of personal intent to self-harm and/or suicide will be removed from the forum and that person will be contacted via the pm system with advice on where to seek appropriate help.   In addition to the post being removed, if a forum member is deemed to indicate an immediate risk to themselves, and are unable to be contacted via the pm system, the moderating team will take steps to ensure that person's safety. This may involve breaking previous confidentiality agreements and/or contacting the emergency services on that person's behalf.   Sometimes posts referring to self-harm do not indicate an immediate risk, but they may contain material which others find inappropriate or distressing. This type of post will also be removed from the public forum at the moderator's/administrator's discretion, considering the forum user base as a whole.   If any member receives a PM indicating an immediate risk and is not in a position (or does not want) to intervene, they should forward the PM to the moderating team, who will deal with the disclosure in accordance with the above guidelines.   We trust all members will appreciate the reasoning behind these guidelines, and our intention to urge any member struggling with suicidal feelings to seek and receive approproiate support from trained and experienced professional resources.   The forum guidelines have been updated to reflect the above.   Regards,   The mod/admin team

Hra1993

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  1. Hi, I'm a 24yr old female with comorbid unspecified Bipolar type II, BPD (I would argue I no longer fit large chunks of the diagnostic criteria), eating disorder unspecified and anxiety. I am married and I have 2 young children. I understand the difficulties in diagnosing Aspergers in those with MH diagnoses. In 2011 at the age of 17-18yrs I was inpatient in 3 psychiatric units over 1 admission, for suicidal intent. The first I was in was The Priory (NHS funded). While there I was told I have Aspergers Syndrome, and my entire life started to make sense. Since then, I have always noted to NHS professionals, friends and family that I am diagnosed with Aspergers, as this is what I firmly believed, and I understood my Priory stint had confirmed this absolutely. My care coordinator started looking into support for me (specifically looking to find other mums on the spectrum). It was then that she discovered very little supporting evidence of this diagnosis or any correspondence with reference to it. Thus, we decided to pursue an NHS assessment and diagnosis. We both presumed this should be relatively straight forward given my history. She has a son who has Aspergers and it took 10yrs for his diagnosis so she has good experience of the system overall. 2 weeks ago I had my first meeting with the Wiltshire Autism Diagnostic Services and was dealt a blow that without him having evidence of what I was like before 5yrs of age, I am very unlikely to obtain a diagnosis. We decided to continue anyway, as he said he can write a letter stating his beliefs without being able to formally label it. I don't understand. How can that be right? Some people do not get diagnosed until they are double my age, with parents dead or unable to recollect. Some people are adopted and have no contact with family or family friends. I have a family but they will not help. My mother and I have no contact, and my father and I have a difficult relationship (he left the family home when I was 5 and I didn't regularly see him). He also doesn't 'believe' in mental health and to him I am "fine". I have an aunt on my Dad's side but I rarely see her and I have messaged to ask for her help but have received no reply. I have a copy of my entire medical records and prior to my 5th birthday there is nil reference to difficulties. My mother slipped into depression and alcoholism and drug use periodically throughout my childhood and we had a very fragile relationship and home. This is noted when I was older and displaying many difficulties; the input from 3rd parties appear to be requested by her. On all accounts, my medical records paint me as a "happy young lady" who "has friends" and can "maintain eye contact" etc. I agree that this may have been the perception; I was an incredibly witty and academically intelligent girl, living in an awful home situation, and I know I intentionally forced myself to be another person when I was outside of the home, and I know that the girl they saw is not the girl I knew was inside. My notes do refer to me as "very worried", and "concerned about social injustice", and "feeling lonely", and "feeling she has no friends". But, for the most part they are not providing an accurate portrayal and I feel that handing these over to W.A.D.S is going to prove detrimental. According to my medical records, I was seen by many different 3rd parties, many of which no longer exist / have been consolidated and to request every snippet of information from many services is going to cost me money that I cannot afford, and the emotional burden is immense. I have accessed records from The Priory. However, they no longer keep official records of me, and thus they only have sparse correspondence and some emails. My mother met with my consultant at The Priory, but they have no notes from that meeting now. The notes make references to me being highly likely someone with Aspergers. There is a brief note regarding the meeting between consultant and my Mother which confirms they concluded atypical speech, play, development etc. It also mentioned I am not aware of the immense lack of social and developmental abilities I have. I have also attempted to access my school records (they are destroyed at age 25yrs). The gentleman I spoke to was very pleasant and happy to provide them... In a few months as they're currently in an unsafe building being made safe. I am at a complete loss. Is it seriously impossible to diagnose me without this information? Surely my current traits indicate me being on the spectrum, and the brief correspondence provided by The Priory making reference to my traits and apparent diagnosis should be enough for them to pursue with an outlook to diagnose or discount, as oppose to telling me it is likely to be a complete impossibility? In short, I am tired of this entirely, and very worried. I have been losing sleep and energy over it. Thanks in advance. H x
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