Archive for Aging

Creating a Support Network

August 3, 2009 Rachel Aging, Anxiety, Communication, Community, Disabilities, Marriage

Several months ago, my husband made plans for a ten-day trip to California. The first weekend was to be a reunion of old friends and family, followed by a trip to Yosemite with his daughter, and ending with a big celebration of his aunt’s 90th birthday. Since I don’t like flying, I don’t do groups well, and I was absent on the day they passed out the “adventure” gene, my husband was going to make the trip alone.

This plan was nothing new. Throughout our relationship, Bob has made at least one ten-day trip to California each year. As for me, I have always had a very hard time when he goes away for so long. Before I knew that I was autistic, I’d always thought I had lots of “issues” to resolve, and that I needed to “work on myself,” so that I, too, might be able to make these trips and act like a “normal” person. Even when it became clear that I wasn’t really all that interested in going, I wanted to work on handling my emotions better—both for my own peace of mind and for Bob’s ability to enjoy a guilt-free trip. So, I worked on not crying inconsolably every time he left, on getting together with friends, and on otherwise distracting myself from the fear, trembling, and massive anxiety I felt at being left on my own for ten days.

This year, everything changed. In the early part of the summer, I began to actively resist the idea of Bob going to California at all. At this point in my life, I don’t feel inclined to just “suck it up” and “work on my issues” when I have a strong feeling about something. I figure that I’m an intelligent, kind, good-hearted person and that if I’m feeling resistance, fear, sadness, or any other emotion, I should maybe, um, respect it. It’s never all that easy, because I have all kinds of conflicting emotions, which lead to all kinds of conflicting desires. As far as Bob’s trips go, I always find myself caught in the same dilemma: I want Bob to enjoy travelling, and I want him to stay here with me.

We’ve been negotiating on this trip for a couple of months. At one point, we discussed the idea of his going for a shorter period of time. A shorter trip seemed like a great solution. It seemed logical, it seemed manageable, and it seemed abundantly fair. At least, it looked that way in my mind, that part of me that likes to work out rational solutions without considering their impact on the rest of my being. In this case, while my mind was saying, “That sounds okay,” everything else in me was saying, “No, no, no. No compromise will work. Forget it.” It was a full-out, visceral feeling that I couldn’t shake. Nor could I shake the feeling of guilt at being so inflexible.

After much struggle, I finally realized why I was feeling so strongly about Bob staying here. He takes care of so many things that I can no longer do that it feels really frightening to have him be away for so long. Of course, with some advanced planning, we might have taken care of the logistical details, but it really wasn’t just the trip to California. It’s the fact that if Bob should leave the planet before I do, I have absolutely no support network set up to take care of all the things that he does. What if he went to California and didn’t come back? Where would I be?

I finally began to understand why I’d always felt like a basket case when Bob took a long trip.  Even before I knew I was autistic, even when I was still gamely trying to do everything that “normal” people do, it was clear that I did not function well when Bob was away. The autism diagnosis only brought the reality of mid-life autistic burnout into the light of day.

To make a long story short, Bob decided to cancel his trip to California this year. We’ve decided that, apart from his trips to see his dad in New York, he won’t take another long trip until we get a support strategy figured out and make sure that it works. I so much want Bob to be able to travel and have a great time with his family and friends, but we’re only at the beginning of dealing with my autism. Right now, I feel as though I’m out on the open seas without a life raft, and I can’t have my partner taking a ten-day journey to anywhere until we get a survival plan in place.

Given my love for lists, I took on the task of making a list of all the things that I need a support network to help me do:

1. Housecleaning. (This problem is solved. We’ve hired a great person who comes in once a week to clean our house.)
2.  Driving my daughter where she needs to go. (This problem will take care of itself fairly soon. When my daughter gets her driver’s license, she will also get my car.)
3. Food shopping. (My new headset might allow me to go food shopping on my own. I plan to try it in the near future, and I dearly hope that it works.)
4. Cooking meals.
5. Running outdoor errands.
6. Going to doctor, therapy, or hospital appointments.
7. Making telephone calls.
8. Advocating for myself with the health insurance company, the doctor, the cable repair person, and the rest of humanity.
9. Keeping track of the finances for our household and for a small non-profit that we run.
10. Spending time with friends.

As I looked over this list, I had some significant realizations:

1. Bob needs a respite from being my sole support person. At this point, he’s not complaining, but when he’s sick with a cold, I feel like hell asking him to do the things I can’t do. Setting up a support network will allow him to get a break when he needs one, and I won’t feel so inclined toward a meltdown when what I want to do conflicts with what I can do.

2. I supported myself for thirty years, including seven years as the sole breadwinner when my daughter was small. I kept up with every penny, wrote every check, and worked out every budget. Since Bob and I have been married, he has taken on these tasks, and it has been a great relief for me.

However, as a result, I have found myself in the dark about our income, our expenses, and all the bills that come into this house. So, yesterday, Bob and I sat down and he showed me every last bill, every last expense, every last account, and every last penny of income. I made a list of everything he showed me. Now that everything is down on paper, the whole process of keeping the house going feels more manageable to me. I know that I could take care of the finances myself if I had to. In addition, I was able to organize our financial papers so that I can find the information when I need it.

From this point on, I plan to stay more involved in our financial life. Doing so has already felt very empowering.

3. One of my all-time greatest fears is growing old alone and being put into a hospital or nursing home. Given that I have no idea how well I’ll be functioning as I age, it makes sense that I find someone who can advocate for me if I outlive Bob—someone who will have power of attorney with my best interests at heart. I can think of several friends I would entrust with the job, so I’m going to consult a lawyer about all the issues involved.

4. As much as I hesitate to enter any bureaucratic process, I am considering applying for Social Security disability. I know people who have done so (and succeeded), and the key was having a knowledgeable, supportive person involved in the process from beginning to end. Even in the best situation, the process is very onerous, but if I’m going to get assistance with basic tasks from someone other than Bob, I’d like to help pay for it.

5. I have some wonderful friends, but I avoid spending time with them because I know how easily I get overloaded. My therapist suggested that I talk to my friends about it. Since I feel completely ill-equipped to begin such a conversation, I’m going to explore the issue further with him. If I have friends that I know I can see, it will help with my fears of being left alone.

And how does my husband feel about cancelling his trip to California? Sad, disappointed, but not angry. He is starting to face the fact that the autism is real and pervasive. He’s starting to see the situation as it really is, not as we once dreamed it would be. We’ve both been crying a lot, but we’re crying together, and that makes all the difference.

© 2009 by Rachel Cohen-Rottenberg

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At a Low Point

July 9, 2009 Rachel Aging, Anxiety, Belonging, Community, Diagnosis, Loneliness, Marriage, Stimming

When I first got my Asperger’s diagnosis, I was so relieved. I was able to look back over the course of my life, from the distant past to recent events, and see the common thread linking everything. For awhile, it felt great. I love when things make sense, and the Asperger’s diagnosis made beautiful and astonishing sense.

Then, after a month or so, I got done walking on air and began feeling a lot of grief for the things I couldn’t change, for the person I couldn’t become, and for the end of believing that I could do anything I wanted to do. Since that time, I’ve been in a sort of holding pattern, and I’ve felt like I was doing okay. But now, I feel like the bottom is falling out.

On the outside, nothing has changed. I am physically healthy, my marriage is great, my kid is happy, I can write no matter how fried my head feels, and anyone looking in from the outside would probably assume that I’m doing just fine. The problem is, because I don’t go out much anymore, very few people can actually see me from the outside. I’m feeling an absolute aversion to going out into the world. Some days, I can take walks on quiet streets, so long as I’m a) wearing my Sonic Defender earplugs, b) wearing sunglasses, and c) keeping my eyes fixed on the ground whenever I see a person anywhere near me. I have to control what I look at and what I listen to, as much as I can. But most days, I don’t want to go anywhere.

One by one, I’m watching all the dreams I had for my life fall away. The funny thing is, I thought I’d already let go of so many. What could be left? I just had a few small dreams I was holding onto—going to the movies with my husband, having dinner out, getting dressed up and working at the store. Last year at this time, Bob and I went to the movies on Saturday nights, and I loved getting dressed up for work. I was even hoping to find a part-time job. But now, just a year later, even those small things are gone. I look at all the clothes that I bought last summer at the store, and I want to cry. They belong to an era in which I naively thought I’d be a strong, confident part of the world. That era seems very far away.

It seems like anything I want to do “out there” isn’t possible. Even the people from the school for autistic kids haven’t gotten back in touch with me, and it’s been over two weeks. Maybe they read my blog and decided they didn’t like me? Or maybe, I’m just supposed to let go of the world “out there” and stand face to face with the unmistakeably autistic person I am.

I have very little energy for NT emulation. I know how much it burns me out. I go into the world and put on my face, get overwhelmed and anxious, and come home unable to locate myself. Somewhere between being housebound and being in the world, there’s a huge rift and I fall in. Every time.

I love the natural world, and I love people, and I find the things that people do very interesting, and sometimes very beautiful. But it’s all overwhelming to my senses. When I go into the world, and I take in all the sense impressions and emotional energy, I end up feeling like I’ve been hit by a train.

It used to be that I was just afraid of people with bad energy, but I can see those types coming from a mile away. It’s not hard for me to spot them, and it’s not hard for me to walk away from them. It’s the really friendly people that give me the difficulty now. I want to be around them, I want to talk with them, and I want to be one of them, and yet, I simply can’t. I went to the thrift store with Bob last week, just to see how it felt. Everyone was so welcoming and so glad to see me, and I loved seeing them, too. But after a half hour of being in the store, I was disoriented and exhausted. It took me most of the next two days to recover.

Then, on Sunday, I had an emotional blow-out, and spent much of the day crying over feeling so isolated and alone. On Monday, Bob left for New York for a couple of days, and I was still crying. On Tuesday, I stayed in all day. By Wednesday, I was sitting at the breakfast table, handflapping and rocking. In the past, when I’d get overloaded, I’d have to think about what to do—lie under my weighted blankets, work out, sing, do some hard work. Now, I’m just stimming, early and often.

From the point of view of the autistic person I am, this kind of stimming is progress. In fact, I love it. It feels natural. It feels like some sort of ancient healing ritual. It feels like I’ve lived my whole life unable to speak my native language, and now I can.

But from the point of view of the highly accomplished and assertive person I used to be, it feels like I’ve been the hapless victim of a major fraud. How can I possibly have lived on this planet for 50 years without knowing that I’m autistic? I can see living here for one year, or two years, or even ten years without anybody noticing, but 50 years? How is it that even possible? Why did I have to burn out before the truth revealed itself? And now that I know, what’s going to become of me?

It’s really hitting me hard that there is no going back. I cannot fool myself into thinking that if I get dressed up, go out, and work at the store that somehow, I’m approaching the vicinity of the Land of Normal, where everything will be okay. When Bob is here, I do all right, because he’s easy to be with and he loves me. When my daughter is here, all the better, because I love seeing her and hearing the things she shares about her life. But when I’m alone, without either of them, my level of fear goes off the charts. I think, what if I were left completely alone? What if this were the next 20, or 30, or 40 years of my life? It’s not the food shopping and the driving that worries me. It’s the being alone. Forever.

I know that everyone has these kinds of fears. But neuro-typical people have many more opportunities to go out and get a break from the aloneness. I don’t have those opportunities. I can’t make plans and hope that they’ll work, because I keep trying to make ever more humble and sensible plans, and they still don’t work.

Right now, I am so totalled by all these realizations that Bob is coming very close to canceling his trip to California in August. My daughter will be at camp during the time that he would be away, and the idea of a week and a half at home alone feels impossible. I used to handle his extended trips by making plans with friends, but it didn’t really help. In fact, in some ways, I felt more isolated. I loved seeing my friends, but when I came home, I’d feel twice as alone as I had before. Even Bob’s short trips to New York are terribly difficult.

So I’m in a major crisis. It’s not a life-threatening crisis, but it’s a crisis nonetheless. I want Bob to stay here as much as possible. I don’t have a problem with his going to New York to see his dad, because his dad needs him and they need to be together. Even thought it’s difficult, I can support it. But I also need a lot of support for myself right now, and while I’m still trying to find ways to get the support outside of my house, I need Bob to be nearby. If his daughter wants to see him in August, perhaps she can come east and they can hang out in the house she grew up in. Bob feels like that might be a good solution. He’s not ready to make a final decision at the moment, but I think that’s where it’s going.

For my part, I’m starting to make some contact with a couple of local agencies that work with developmentally disabled people. It’s useless to pretend I have it all together when the whole damned facade is crumbling. I hope I can find some support locally and feel less alone in my everyday life.

You are all an amazing lifeline.

© 2009 by Rachel Cohen-Rottenberg

13 comments

Why I Can’t Do What I Used to Do

June 29, 2009 Rachel Aging, Anxiety, Diagnosis, Marriage, Spectrum Pride

This morning, I ran across another amazing piece by the brilliant Amanda Baggs called Help! I Seem to be Getting More Autistic! It’s a long, informative piece about all the possible reasons that we can lose abilities as we get older. The section called Burnout especially spoke to me, setting off a cascade of feelings and associations that helped me understand why I can’t do many of the tasks and activities I once did.

Amanda explains that burnout begins because we are working at a level of energy that non-autistic people would use only in emergencies:

“Most people have a level to which they are capable of functioning without burnout, a level to which they are capable of functioning for emergency purposes only, and a level to which they simply cannot function. In autistic people in current societies, that first level is much narrower. Simply functioning at a minimally acceptable level to non-autistic people or for survival, can push us into the zone that in a non-autistic person would be reserved for emergencies. Prolonged functioning in emergency mode can result in loss of skills and burnout.”

Until my diagnosis, I’d been functioning at emergency level for 50 years. Amazing, isn’t it? I should get a plaque, or a trophy, or maybe even a write-up in the local paper. Can you see the headline?

LOCAL AUTISTIC WOMAN BURNS OUT AFTER 50 YEARS OF EMERGENCY FUNCTIONING
“So THAT’s why she’s so quiet,” says neighbor

In the article, I would explain why my short trip to the hardware store this afternoon was followed by several hours alone in my loft, writing my little heart out. After all, if you had to walk five entire minutes to the hardware store, buy four sponges, a spray bottle, super glue, and some scotch tape, and then walk five more minutes back, you’d be exhausted, too. If you were me. Or anyone else who has tried to be “normal” for as long as I have.

But back to Amanda’s piece. In the same section, she sums up, well, pretty much my whole life to this point:

“The danger here may be obvious: It may be the people most capable of passing for normal, the most obvious “success stories” in the eyes of non-autistic people (some of whom became so adept at passing that they were never considered autistic in the first place), who are the most likely to burn out the hardest and suddenly need to either act in very conspicuously autistic ways or die.”

Given all the plates I’ve kept spinning in my lifelong quest to be neuro-typical, having a simple choice between 1) being conspicuously autistic or 2) dying—well, it’s one hell of a relief, let me tell you. I’ll take the conspicuously autistic woman behind door number 1, please. Why has no one told me about her before? She’s quite wonderful!

The problem, of course, is how do you get support services when you’ve made a seemingly phenomenal success of life? Amanda writes:

“Sometimes this kind of burnout is what leads adults to seek diagnosis and services. Unfortunately, many service systems that would otherwise support people in their own homes, cater only to people who were diagnosed in childhood, and will look at someone with a very good neurotypical-looking track record of jobs, marriages, and children with suspicion. They need to be made more aware of this possibility, because there’s a high chance that an adult in this situation could end up jobless, homeless, institutionalized, misdiagnosed, given inappropriate medical treatment, or dead.”

This problem is why I have decided not to apply for disability. I don’t think that anyone at the Social Security office could begin to understand what a difficult time I’ve having. I can’t blame them, because I’m just beginning to understand what a difficult time I’m having. Fortunately, I have Bob and his family to help me, so I don’t have my back up against the same financial wall that so many others do.

After I read through Amanda’s piece, I went downstairs to the kitchen, and I told my husband that I feel even more adamant about getting people to help with basic tasks. We’ve hired a housecleaner who is starting this Friday (yay!), but we need to continue reconfiguring our lives to deal with the reality that 1) I’m autistic and 2) he will be able to do less for me, not more, as he gets older.

From the time I was first diagnosed, my husband has used a great image to describe what has happened to my life. He said that I’m like the Road Runner in the old cartoon. The Road Runner would run right off a cliff and be perfectly fine—until he looked down. Then, he’d crash. Every time I say to Bob, “What has happened to my life? Why was I able to do so much more before?” he gives me the same answer: “You looked down.”

I looked down and saw that I’d been running off a cliff for some time. I just didn’t know it. By trying to take care of everything myself and not asking for any help, I was working way past my capacity. When I got my diagnosis, it was like finding myself in mid-air. I had to face the inescapable reality that gravity was going to win.

As Bob and I talked about the image of falling, I suddenly understood the source of my worst nightmares. Since childhood, I have had two related, recurring dreams.

In one version, I am on the ground watching a plane or a bus or a car, with people in it, zigzagging across the sky. The vehicle is out of control, and I know it’s going to crash, with all those people in it. I am terrified for the people who are going to die, and as the vehicle starts plunging to earth, I know that if I don’t wake up, I will also die. I am always able to wake up just before the vehicle hits the ground.

In the other (and even more terrifying) version, I have climbed to the top of a very high place using several ladders or flights of stairs. The problem is that the ladders or the stairs are on the outside of the structure, and I suddenly realize, to my unspeakable horror, that I cannot get down. Going back down the ladders or the stairs is out of the question. I am very high up, the stairs or the ladders are nearly perpendicular to the ground, and the sight of the earth below is dizzying. I know that if I try to get back down, I will fall and die. There is no way to get down gracefully. I stand there wondering how I could possibly have climbed all the way up without realizing that I wouldn’t be able to get back down. And then, I’m so scared that I wake myself up.

Both kinds of dreams are about an autistic person trying desperately to be a super-competent neuro-typical person. All my life, I had climbed the ladder of success, and I’d spent my life convincing people that I had it all together. And all that time, behind the scenes, I was terrified. In fact, I can barely remember a moment of my earlier life in which I wasn’t anxious or afraid about something. Now I know why. 

I was always afraid of falling off the ladder of success. I was always afraid of a “fall from grace.” I was always afraid that someday, I wouldn’t be able to “do it all” anymore. I was afraid that someday, I’d have to be who I really am.

That’s a fall from grace? What a laugh! Everyone should be so lucky. It’s been more like a fall into grace. Here I’ve fallen from this high ladder I climbed, and look where I’ve landed: I have a husband who loves me as I am, a kid who loves me as I am, friends who love me as I am, an online community that gives me a phenomenal amount of support and understanding, and a local community in which I feel safe coming out as an autistic person. So what’s not to like?

Sometimes, I wonder: If there had been an Asperger’s diagnosis when I was younger, would I rather have been diagnosed at 5, or 12, or 18 years of age than at 50? After all, I would have had many more supports and a much more realistic view of myself. But each time I ask the question, the answer is no. If I’d been diagnosed earlier, I wouldn’t be where I am right now. I can’t regret the past, because it’s brought all the people I love into my life.

Tomorrow, my husband is going with me to the thrift store. We’re going to walk around, watch how I’m feeling, and consider how I might make a place for myself there. When I told my husband that I was going to the shop tomorrow, just to get a feel for the place again, I didn’t even have to ask him to come with me. He just knew I needed him to be there.

While my life has not been the easiest life, it hasn’t been the hardest, either. In fact, it’s become a very interesting adventure. I hope it continues so.

© 2009 by Rachel Cohen-Rottenberg

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