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Torn Between Two Services

Feeling like a fool... The experience of a neuro-typical parent to a neuro-divergent child

By Rachel RobbinsPublished 3 months ago 4 min read
A pencil drawing by my daughter - yes, she really is this talented.

I’m calling myself neuro-typical here, because I don’t meet any diagnosis criteria. I certainly don’t experience any of the long-term issues around social anxiety and isolation that my daughter does. But I have been called ‘quirky’ all my life, which is why I may have been slow to pick upon the real problems my daughter experienced during adolescence. I assumed she was just a bit idiosyncratic, plough-your-own-furrow kind of a gal, like her mum. Rather than an introverted, needing a system, not comfortable in social situations person, like her Dad.

And now she has slipped away from childhood into the murky world of young adulthood and I find myself at a loss as to how to best support her.

I‘m not going to say too much about her. She deserves privacy. I never was one of those Mums who disclosed everything on social media. I was aware very early on that she deserved her privacy, her own way of telling her story. But there are some things I want the world to know about my fabulous daughter.

She is incredible. She is clever, that was obvious from an early age. She has an eye for detail. She has a dry sense of humour. She has lots to offer the world through her sense of keeping track of the complex and the minutiae of life. She has autism and OCD.

I know that OCD and an autism diagnosis are frequently over-lapping. OCD is a common coping mechanism for making an overwhelming sensory world and the myriad of incomprehensible social interactions make sense. And yet… treatment for OCD… well, in our experience has been that the mental health world would like to see them as two separate entities that should never meet. My daughter has been described as ‘complex’.

So, what to do?

I’m not really looking for advice here. I will not be responding to comments that are telling me what I should be doing, because unless you really know me or my daughter please keep that to yourself. I get enough unsolicited (unwelcome), well-meaning (intrusive) strangers (busy-bodies) giving advice all the time. I just want to point to the dilemma, so that someone somewhere will listen and stop configuring services so that whole lives can be dismissed.

Disability politics is always difficult. I remember being in a seminar with the disability activist and advocate, George Julian, talking about how she encountered the landscape as ‘tribal’. I laughed along with recognition even though at that time I didn’t think it would apply to my personal life. When it comes to neuro-divergence the battleground of the scene is highlighted, with categories, diagnosis, and self-assessment becoming weapons.

I don’t want to engage with all that too much. My daughter is ‘different’ to many people. Her difference causes her distress and misunderstanding. Some of her difference could be accommodated by quieter places, less social demands and a space to hyper-focus. Some, but not all. Because right now her OCD is so severe that she feels unsafe leaving the house. Her OCD needs treatment. Without treatment she will not be able to access services that will tackle the social isolation. Basically, mental health services say she needs social care and support and social care service say she needs mental health support before she can work with their support workers. But she needs both. (Complaint letters have been drafted and stored away).

But this is the crux for us. So many therapies for OCD involve exposure therapy. But my daughter needs longer-term trust building before she can cope with the exposure to things that currently feel unsafe for her. CBT and NHS targets about number of sessions do not allow for that kind of work.

Some advocate neuro-affirmative care, that says she has a distinct neurology and that exposure treatment would be tortuous and counter-productive. Others say that without the challenge of exposure, her OCD will never get better and that she is blocking her own progress. This produces trauma that gets called resistance. Either way, her autism is seen as a means to ensure her OCD remains untreated.

Trauma responses in my daughter are mainly of the freeze variety. With a brain that has struggled to understand the world around her, whilst constantly being told she is bright, so what’s her problem, her anxiety responses have been on overload for a long time. Flight or fight are no longer possible. She is left with freeze or flop (which gets renamed Pathological Demand Avoidance as though she is just a stroppy toddler who won’t do as she’s told.)

What I want more than anything for her, is a professional who says, “I believe you. Your experience makes sense. I will work with you for as long as it takes.”

And what I need as her parent is someone to say to me, “You’ve done your best. We can see, you love her. This is not your fault.” (At which point I will burst into tears, because I’ve carried guilt and shame for a long time). “Here are things that may help. Try them. And if they don’t work, we will not berate you for stopping. There is time to do this work.”

My daughter will always need support. But she also has so much to offer the world, through her kindness, her intellect, her pursuit of detail.

Please can someone just provide for the whole of her.

Some more of her artwork

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About the Creator

Rachel Robbins

Writer-Performer based in the North of England. A joyous, flawed mess.

Please read my stories and enjoy. And if you can, please leave a tip. Money raised will be used towards funding a one-woman story-telling, comedy show.

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Comments (8)

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  • Rick Henry Christopher 3 months ago

    Thank you for sharing this. Your daughter is very talented. OCD is very difficult to deal with. My mom has OCD coupled with dementia and Manic Depressive Disorder - I have my hands very full taking care of her.

  • Tiffany Gordon3 months ago

    Praying for a support breakthrough Rachel! What a talented young lady she is! 💪🏾🎉🫶🏾

  • Tim Carmichael3 months ago

    Your daughter is lucky to have a parent who truly sees and advocates for her whole self. The way you describe her, her cleverness, humor, attention to detail, and kindness, shines through beautifully. You're absolutely right that she deserves care that meets all of her needs, not services that treat her as a puzzle with incompatible pieces. I hope you find those professionals who will say 'we believe you' and 'we have time.' Sending strength to you both. 💙

  • Caitlin Charlton3 months ago

    I think it's very kind and loving of you, as a mother to allow your daughter to have her privacy. 'Complex' is not a very helpful thing to say to a parent. Sounds like they are bringing you around in circles. I am sorry 🫂 'Either way, her autism is seen as a means to ensure her OCD remains untreated.' I can see how frustrating, this can be. The words you want to hear from a professional makes me want to cry. I wish this could happen. Wish there was something I could do to help. She does art? OH MY GOSH. IT LOOKS SO GOOD. {{You're a fantastic parent Rachel. You have done your absolute best. No I am not just repeating your words. You have. You really have. And none of this was your fault. None of it was. My only wish is that you can believe that, even if it is for a moment. I know it's hard. But I am sending you this anyway. Sending lots of hugs and love 🤗 ❤️ 🖤 You're awesome. You're doing great and this piece speaks true to how amazing of parent you are. Please continue to be, no more than who you are right now 🫂}}

  • Raymond G. Taylor3 months ago

    Wow that’s some drawing. Support, support and more support is always much needed. Thanks for sharing

  • Sandy Gillman3 months ago

    Your words carry both strength and tenderness. I truly hope they reach the people who need to hear them most. 💛

  • Gene Lass3 months ago

    I understand this on a very deep level. I recently responded to another Vocal author who was struggling with so much anxiety, it had essentially become agoraphobia and she hadn't gone outside in over a year. In response, I wrote about my own experience with anxiety, The Turning Point. Reading that might be a little help. More relevant to your situation was the situation I had with my son, who had autism. He also was very bright and funny, but he struggled with anxiety and OCD. I responded to someone else's Vocal article about neurodiversity, that illustrated the tribalism point you brought up. She said neurodivergence is a gift and she couldn't understand why anyone would want to see the cause identified, or to see it cured. I pointed out that as a former teacher, she only saw the quirky kids who sometimes had talents like art, or math proficiency, or total recall. She didn't see the kids who are in constant pain, or who hate that they're different, or who hurt themselves, or who are so overstimulated by the world that they can't function. That's why it's called a spectrum, and a disability. Similarly, this tribalism is nothing new. My first girlfriend, back in high school, was deaf. She told me that in the deaf community, there's a debate about whether they should ever get cured, if that was ever an option. Would they, could they, hear, if given a chance? And now, many years later, with cochlear implants and other advances, some people who have never heard anything since birth, are hearing for the first time. Yet deaf people, like neurodivergent people, are pushing back against the disability label by saying they're not disabled, and they want to be left alone. I think that's a matter of choice. One size does not fit all. As for how to help your daughter, I understand the struggle. My son didn't fit every description either, and we were given different options, which didn't mesh. He could be overstimulated, he could be triggered, and it took a while to learn what those triggers were. Our challenge as parents was to learn what the problems were using the clues and what he was able to tell us, like detectives. Then help him work with those. Because you can't avoid everything. Every person has to deal with the world. You just need the tools. Reach out to your daughter in a way that makes her feel like you understand, so she doesn't feel like she's alone. She's probably familiar with Mommy being nice to her. But does she know you understand the problem? I struggled with coordination as a kid. I couldn't catch, I was afraid of everything. So I was able to reach out to my son by understanding why it was hard for me to do things, then help him do those things, so he could catch, he could interact with people. We were told we could cure his behavioral issues with ABA therapy. It was the only thing we were really given. We decdied against it, because one of the things that made him unique was empathy. He was a sweet kid. ABA would likely make him a well-behaved robot, if it worked at all. We opted to keep him as the kid he was, but get him to curb some of his behaviors himself. The OCD is yes, a means of adapting to the world. The world is chaos. My wife has raging OCD. The problem with OCD is it usually starts with valid concerns, like diet, germs, safety. But then it gets out of control. You have to find ways to dial it back. Provide more options, and show things will be okay if you don't do what the OCD wants you to do. Essentially, get down to a mantra of "it's okay. Everything is fine." Because it usually is.

  • Thank you for sharing this. I have been lucky with my daughters. I will read and take this in, though I can't really advise you, just support her in any way you feel you can. Her art is beautiful

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