Autism and Mental Health

Greetings Earthlings! ๐Ÿ™‚

Did you know– autistic children have higher levels of depressive symptoms and are 28 times more likely to have thoughts of suicide than their neurotypical counterparts? ๐Ÿ˜ฒ

bitmoji1256098968In recent years our awareness of and willingness to tackle mental health issues has increased significantly, however, the autistic community is often forgotten in our discussions.

Mental health issues such as OCD, anxiety, depression, eating disorders, ADD, psychosis, personality disorders and bipolar disorder are frequently co-morbid with ASD diagnoses, but aside from OCD and anxiety, you will rarely hear about these other issues in relation to autism. In fact, such mental health issues can even obscure ASD diagnoses in higher functioning autists as clinicians often diagnose the co-morbid condition without seeing the underlying ASD.

This is a particularly big issue for women on the spectrum as experts have found that we tend to exhibit greater depressive symptoms and higher anxiety levels than our male counterparts as we tend to internalize and ‘mask‘ our struggles. Moreover due to differences between male and female presentation of ASD’s and male bias in the development of the diagnostic criteria, women with autism are often misdiagnosed as having mental health issues, but the root ASD continues to evade.

bitmoji-20190226102522

But are there any scientific reasons why mental health issues are so prevalent among autists?

A recently published study has suggested that perhaps the gut may influence an autists mental health. As gastrointestinal issues are often co-morbid with an ASD diagnosis, and as the microbes that live in the gut can have an influence on the brain and behaviours, it has been proposed that perhaps a “dysbiosis” or imbalance in gut microbes may have an influence on an autists mental health ๐Ÿ˜ฒ

Interestingly studies have also identified an overlap between the genes that cause schizophrenia, bipolar disorder and autism wherein certain points on these genes encode proteins that are involved in the formation and strength ofย synapses (which act as chemical bridges between neurons) suggesting that these disorders may act through a similar neurological pathway. Moreover, dysregulation of neurotransmitters (biochemical messengers in the brain) has also been implicated in depression, anxiety, bipolar disorder, ADHD and autism (as we have discussed in multiple previous posts) indicating further neurological overlaps.

In short, it seems that the biological basis of both autism and mental health issues are intertwined, which could explain why so often the two walk hand in hand.

bitmoji-20190226101111

Hope you enjoyed this post dear Earthlings! ๐Ÿ™‚

Until next time!

Aoife

 

 

Autism and Public Transport

Greetings Earthlings! ๐Ÿ™‚

Following a recent trip to the chaotic city of London I decided that this week I would explore autism and public transport.

bitmoji-20181106083331

Navigating public transport in a busy city can be challenging for the best of us, however for autists, this can be completely overwhelming. The throngs of human traffic, strangers accidentally touching/sitting next to you, the stress of late buses/trains, the smells, the noise (the screeching of the brakes on the London underground was one of my least favourite parts of my trip!)- it can be a lot for the autistic brain to take.

As scary as public transport can be however, an autist can’t always avoid using it (especially if you struggle with getting the hang of driving/or prefer not to deal with the stress of driving to/and or around busy cities).

So here are my top tips for navigating public transport:

Plan ahead– sounds obvious, but if you’re prone to panicking (as I often do) don’t wing it! Check out your travel options, look at the timetables, allow enough time for delays with your service (if you have a time sensitive engagement), make a backup plan- Google Maps is particularly useful to show you the public transport options if you give them your start and endpoints. You’ll be a lot calmer and far less overwhelmed if you know all of your options, especially if you’re travelling round a busy tourist city with lots of intersecting travel lines.

bitmoji-20181106083418

Pre-book tickets– if you’re concerned about getting a seat on a service (or getting the right seat), if the service allows, you should pre-book. This can guarantee you your seat, or for some bus services will at least entitle you to priority boarding at a busy bus stop and cut out a lot of stress.

Aim for a single seat– if you’re anything like me and don’t like sitting next to people when you’re travelling alone (have had far too many unpleasant experiences sitting next to people who make me uncomfortable/smell funny/take up so much space that you’re squished against the window :P), keep an eye out for an individual seat. There are usually a couple of these on buses nowadays, you can even book ahead for a single seat in some countries such as Spain. Failing that, having a lot of stuff on the seat next to you can help as (in Ireland anyway) people are less likely to bother you when you have lot’s of stuff to move- unless it’s one of the few seats left, then sadly there’s not a lot one can do.

Keep earplugs near at hand– ah the trusty earplug, often an autists best friend! Why not keep a pair in your pocket/wallet/handbag for when the noise threshold begins to rise, this could be particularly useful for underground services where the sounds are amplified by the confined space.

Make use of smart phone apps– Most travel companies have their own apps with live information about their services and timetables all at the touch of a button. This can be a great tool to help you to keep track of your service/travel options options and set your mind at ease.

Get a travel smart card– to avoid panicking about the need for exact change/fumbling with coins, if you regularly travel round a city you should investigate smart cards; all you need do is top it up, tap and go! ๐Ÿ™‚

Always factor plenty of time– perhaps one of the most stressful parts of navigating public transport is when you’re under pressure for time. To lighten the load, make sure to leave plenty of time ahead of your journey- be sure to factor in events around your location which could cause traffic disruptions (such as marathons, concerts, holiday shopping or if you’re travelling though rural Ireland, the likelihood of being held up by farm machinery! ๐Ÿ˜‚), the weather, general service delays, road works etc.

There we have it dear Earthlings, I hope you enjoyed this post! ๐Ÿ˜€ Public transport can be daunting for an autist, but with proper planning and a bit of practice, it won’t be scary for long ๐Ÿ™‚

weee

Aoife

Autism and Fear

Greetings Earthlings! ๐Ÿ™‚

In light of this spooktacular week, I’ve decided to take a closer look at fear and autism.

bitmoji-20181031114501

All of the Halloween themed memes floating around on social media this week have put me in mind of how strange some of my childhood fears were in comparison to those of my peers (in fact it’s estimated that as many as 41% of autists tend to have more unusual/irrational fears).

For starters, I was PETRIFIED of comedian Charlie Chaplin! ๐Ÿ˜› Absolutely TERRIFIED- he haunted my nightmares for years and I was convinced if I lingered in a dark room for too long that he would come out from the shadows to grab me! In addition to this, I was also irrationally afraid of chemicals and overhead power-lines (so afraid in fact I was convinced just touching the wooden pole would kill you- it was an innocent time before I learned about science and insulators vs conductors!๐Ÿค“).

chaplin

Fear has often been a dominant emotion in my life, fear of what people might think of me, fear of saying the wrong things, fear of losing my cool and melting down in public etc.ย ย According to world famous autist Temple Grandin, “the principal emotion experienced by autistic people is fear.”

But is there any scientific reason for this fear? Might autists be biologically predisposed to being more fearful?

When we experience a fearful situation, a biological fear response is triggered in the amygdala of the brain. Activity in this region when exposed to fearful stimuli triggers fear based changes in body functions such as sweating, shortness of breath, fight or flight, paralysis etc.

As discussed in numerous previous posts, changes/dysfunction in the amygdala are regularly attributed to autistic symptoms. So therefore it stands to reason that perhaps these changes in the amygdala may also influence/exacerbate the fear response in autists compared with their neurotypical peers.

Image result for oh gif

Other studies have also suggested that there is a muted fear response in autists which may explain the lack of perception concerning safety/danger often seen in young autists.

So there we have it, hope you enjoyed this post dear Earthlings! ๐Ÿ˜€

Have a great weekend! ๐Ÿ™‚

Aoife

Autistic Burnout

Greetings Earthlings! ๐Ÿ™‚

Leading on from previous posts about shutdowns and meltdowns, today I’d like to discuss the “autistic burnout”.

bitmoji-20180418083700.png

So what exactly is that when it’s at home?

Autistic burnout (also known as “autistic regression”) happens when an autist has maxed out their capacity to maskย and to socially cope following a period of prolonged stress (such as major change, attempting to be “normal”, poor self care etc.). This triggers a shutdown like state where the autist can become “more autistic” and is often unable to utilize the skills they have learned to cope- the mind is so exhausted that the autist no longer has to energy to try to overcome their difficulties.

Some people have even reported that these skills did not come back at all after recovering from a severe burnout- hence the name autistic regression.

bitmoji1240954002

From a scientific perspective, the autistic burnout has not been explored as of yet on a medical level, however, there is much discussion of burnout within the autistic community.

Thankfully I have not really experienced such a full on burnout, but I have circled the drain a few times. When you’re particularly under pressure from doing too many things at once, sleep deprived, dehydrated, hungry etc., that’s when the mask starts to slip. In times like these I have felt much more symptomatic than normal, causing me to snap or say inappropriate things and act more eccentrically than I ordinarily would. It’s as if a part of your brain switches off to keep from overloading- and that part seems to be the one that controls our cloaking device, like the faulty invisibility booster on Arthur Weasleys flying Ford Anglia!

Harry Potter GIF

So how can burnouts be avoided?

Much in the same way as meltdowns and shutdowns ๐Ÿ™‚

As I have discussed in a number of previous posts, the key things to remember are:

  • Self Care– Stay hydrated, get plenty of snacks, get lot’s of sleep etc.
  • Utilize stress busters– Find respite in hobbies, in exercise, specialist interests or relieve stress through stimming
  • Take a break– If a situation is taking it’s toll, take a step back. Leave the room, take a holiday (if work related) or go outside for a walk; time in solitude to decompress and reset can be particularly helpful ๐Ÿ™‚

Here’s a useful chart from the Autistic Women’s Network summarizing autistic burnout:

Hope you enjoyed this post dear Earthlings! ๐Ÿ™‚

Remember to make time for you this weekend ๐Ÿ˜‰

Aoife

Autism and the Dentist

Greetings Earthlings! ๐Ÿ™‚

This week I’m going to discuss an important issue for many people on the spectrum- going to the dentist.

fdd.png

I know- no one ever really enjoys going to the dentist (except maybe Bill Murray in ‘Little Shop of Horrors‘! ๐Ÿ˜› ), but for autists in particular, visits to the dentist can be quite traumatic. For many, the invasion of space can be an issue, for others, a trip to the dentist can aggravate sensory sensitivities (the sensation of brushing, the taste of toothpaste, the smell of latex gloves etc).

Thankfully I have never had any major issues with going to the dentist (aside from one unpleasant incident where the anesthetic didn’t take and I felt the drill hit a nerve…), nevertheless it wouldn’t be one of my favourite activities. The high pitched squeal of the tools, the scraping sensation against my teeth, the needles (shudder!)- it’s not the most pleasant of experiences inside my head! There’s a lot of fist clenching! ๐Ÿ˜›

Image result for shudder gif

So how might we navigate an autists difficulties at the dentist?

Here are just a few tips and tricks that might benefit parents, dentists and autists alike:

  • Inquire if your dentist is autism friendly– Have they had autistic patients before? Do they have any special tools or techniques to make the visit more comfortable? Do they take any sensory interventions such as dimming the lights, providing sunglasses or minimizing any loud noises that may startle the child?
  • Prepare for a dental visit– Help to desensitize an autist to the experience by story-boarding a trip to the dentist with them so that they know what to expect. When it comes to anxiety, the fear of the unknown is often greater than the reality of the experience. Why not inquire if your dentist will allow you to visit the surgery/send pictures to desensitize your child to the environment and meet the staff before coming in for the real thing? ๐Ÿ™‚
  • Wear noise cancelling headphones– whilst this may not be as effective as in other situations given that the tools are operating so close to the ears, nevertheless this may help to take the edge off any noise related issues.
  • Weighted blanket– A weighted blanket sitting on your lap could be quite beneficial in calming an autist. As I’ve discussed previously, the deep pressure stimulation can calm the mind and put the autist at ease. X-ray jackets can also be used to substitute for a weighted blanket. Comforters such as soft toys or other sensory items that autists use to ‘stim‘ can also be useful to help put them at ease.
  • Communication is key– as I’ve said above, the unknown is often one of the more unsettling aspects of a dental visit for an autist. Talk them through each step, show them what you are planning to do to their teeth, allow them to see and feel the tools- testing a motion on the hand can be useful to desensitize an autist prior to the oral exam.
  • Rewards and Bribery– what child doesn’t love a good bribe to motivate them to get through their dental appointment?! There’s a lot to be said for the power and promise of a treat (I may have even bribed myself with a trip to the cinema to motivate me to get this post finished on time! ๐Ÿ˜‚)
  • Sedation– though not the best of options, this can sometimes be the only way for particularly anxious autists or those with gagging issues to get through a visit to the dentist.

I’ve also found this useful video about visiting the dentist if you want to check it out:

You can also find more information in the following link:

https://www.autismspeaks.org/sites/default/files/documents/dentalguide.pdf

So there we have it Earthlings! I hope you’ve found this post useful ๐Ÿ™‚

Dental care isn’t always the easiest for an autist, but remember, prevention is always best- so get try to find a toothpaste that you like, pick the right toothbrush (soft bristles can be helpful) and take care of those pearly whites! ๐Ÿ™‚

bitmoji-20180311030645.png

Aoife

Autism and “Stimming”

Greetings Earthlings! ๐Ÿ™‚

Today I’d like to touch on one of the most commonly observed autistic behaviours- “stimming”.

So what exactly is “stimming?”

Self-stimulatory behaviour, (also known as stereotypy or “stimming”), refers to many of the repetitive behaviours often exhibited by autists. Examples of these behaviours include scratching or rubbing the skin, noise making, smelling objects and the classic examples of rocking andย  hand flapping, although in my experience it’s a lot more like ‘Jazz hands’ than flapping!

jazz hands.gif

There are two psychological theories as to why autists stim:

  • As a response to overwhelming sensory stimuli
  • As a means of relieving stress and anxiety

From a physiological perspective, there are a number of possible biological reasons.

Some researchers believe that stimming provides the autist with sensory stimulation. Contrary to common belief, many people with autism have a reduced sensitivity to certain sensory stimuli. Dysfunctions in the circuitry of the brain mean that the body craves sensory stimulation, and so we adapt repetitive behaviours in order to stimulate and excite our nervous system.

Deficits in dopamine levels in the brain can also interfere with our reward pathways, leading autists to engage in behaviours, such as stimming, which will provide the extra hit of dopamine that the brain needs.

So that’s why I’m drawn to fluffy things! ๐Ÿ˜‰

Image result for stroking fluffy gif

Aside from being drawn to stimulatory texures, I have a particular tendency to fidget with the silver chain around my neck. I just find something oddly soothing about the rough sensation of the metal against my skin! ๐Ÿ˜›

In my experience, I also find that stimming isn’t always a response to stress, but born from a need to keepย my hands busy.

As I’ve discussed previously, research shows that autists have higher levels of excitatory neurotransmitters such as glutamate, and lower levels of calming neurotransmitters in the brain. As a result, we are often hyper-stimulated. Stimulation of the brain’s reward system, i.e.ย  dopamine release through “stimming” behaviour, causes a decrease in glutamate levels, effectively calming the brain!

This would explain why I’ve often found that stimming sometimes helps me to concentrate and clear my mind by channeling any excess energy into a physical action. I find this particularly helpful when I’m studying, or writing, and for some strange reason while I’m waiting for the microwave to ping! ๐Ÿ˜› #excitedforfood

Image result for fidgeting gif

Stimming can also be considered a form of self injurious behaviour, but I’ll write a separate post on this topic at a later stage ๐Ÿ™‚

So is there anything that can be done to control this type of behaviour?

bitmoji339468972

  • Try replacement behaviours– if the stim is not socially acceptable or harmful, as in the case of biting behaviours, attempt to replace the stim with another one such as a fidget toy or chewing rubber
  • Exercise– there is evidence to suggest that exercising can decrease the frequency of stimming behaviours, although the research is unclear why
  • Cognitive behavioural therapy (CBT)– is thought to be useful as self stimulatory behaviour operates in a similar way to OCD tendencies which are often managed through CBT techniques
  • Medication– Seems there’s a pill for everything these days! Medications can be used to help modify compulsive behaviours such as stimming, but I personally would not advocate this route

So there we have it Earthlings, a brief insight into stimming behaviours in autism! ๐Ÿ™‚

Enjoy the weekend everyone! ๐Ÿ™‚

Aoife

Bullying and Autism

Greetings Earthlings ๐Ÿ™‚

Bullying- neurotypical and neurodiverse alike, we’ve ย all been there at some point, but did you know that autistic people are bullied nearly five times as often as their neurotypical peers?

Studies have estimated that as many as 46% of people with autism have been bullied at some point in their life versus 10% of the general population.

bitmoji-1835291873

Our issues with social awkwardness and interpretation, hypersensitivity, literal thinking, poor motor skills and trusting nature can make autists quite vulnerable to bullies. Sometimes we aren’t even aware that we are being targeting and so the bullying goes unreported.

Navigating school as an un-diagnosed teenager was particularly challenging. My literal thinking meant that I was often unaware that I was being made fun of, simple things said in attempts to fit in were turned into taunts, my expressions of individualism were ridiculed- and I just couldn’t understand why.

When I finally started to realize what was going on, it was devastating. I felt like such a fool that I shoved my emotions down and tried to pretend that I was fine.

Buuuuuttttt there’s only so long you can continue to ignore a full septic tank for before chaos erupts…

Once your peers have seen you have a meltdown, some people will do anything to trigger another one.

So I trudged along quietly everyday blaming myself for the teasing I endured:

Why was I so naiive?

Why did I say that?

Why did I lose it?ย 

Why can’t I be normal?

I sat back and allowed the storm clouds to gather overhead every time I reached the school doors.

bitmoji-1234681477

It wasn’t until I burned out and hit breaking point that I realized I had to find a better way through, began to talk and learned, not just to cope, but to thrive ๐Ÿ™‚

So what advice would I give to someone on the spectrum who find themselves in the midst of a bullying situation?

Well, as the bullying game has intensified with the spread of social media since my schooldays (rural Ireland had quite limited access to high speed internet in the noughties), this is a tough one to advise, but here are some of my top tips:

  • Ignore the bullies– An obvious one that’s easier said than done, I know (I pretended to ignore for years- it can take quite a bit of practice to truly let words glide off your back), but when you react or meltdown- that’s what fuels them. My reactions made bullies push my buttons all the harder. If you feel a meltdown coming on, take a moment to go somewhere quiet, get some fresh air and take a deep breath.ย  Bathroom stalls were a personal favourite of mine to give me some time to regroup (unless someone had been smoking in there… this added further sensory fuel to the fire! ๐Ÿ˜› )
  • Find an outlet for your emotions- We autists experience and process our emotions in very different ways. If you shove things down, the end result will not be pleasant. So run, dance, go on a four hour killing spree on your PlayStation (something that I wouldn’t know anything about… ๐Ÿ˜› )- do whatever works for you to deal with your frustrations. I know it’s hard, but finding an outlet will help to quell the dragon inside.
  • Try to think before you act/speak– Again this is quite challenging when you don’t have a filter or struggle with impulsivity,ย but sometimes what may seem like the most simple of sentiments to you can be twisted and misconstrued by bullies. An innocent comment I once passed about the family dog led to years of jeering and implied bestiality…! I still put my foot in it every now and again, but I’ve gradually learned to pause more to assess if my comments will sink or float.
  • Be careful what you post on social media- The online world can be a dangerous, unregulated one. We live so much of our lives online we forget that our peers are always watching. As with your thoughts, take a moment to think through your posts. Something as simple as a picture or throwaway comment could land you in bother both on and offline (a simple lack of an appropriate emoji once caused a rift with a friend). Remember- it’s also perfectly ok to abstain or take some time away from social media. It may seem like social suicide, but we all need time away from our screens- people disable their accounts every day for lots of reasons so don’t worry about what they’ll think at school. Your sanity is far more important ๐Ÿ™‚
  • Talk to someone– If you’re being targeted, tell a teacher, confide in a friend or talk to your parents so something can be done. But bear in mind, they can’t alwaysย  intervene. Teasing is a natural part of life as much as it may hurt (something that the autistic mind really struggles to comprehend), and not everything can be prevented. What may seem a devastating comment to your mind may mean nothing to an outsider. Intervention aside, by simply talking to someone about how you’re feeling, this will make the load so much easier to bear. Don’t let the quicksand claim you- ask for help!bitmoji2141702869

At the end of it all, just remember what my Biology teacher once taught me- “Whoever said that your school days are the best days of your life lied- college days are the best days of your life!”

So don’t get disheartened Earthlings! It may be hard to see it through the swirling fog in the crystal ball, but life does get so much better (…once you get past the bills, taxes and work-day traffic jams! ๐Ÿ˜› ๐Ÿ˜‰ ).

Aoife

Autism and Anxiety

Greetings Earthlings! ๐Ÿ™‚

Did you know: People with autism are five times more likely to suffer from an anxiety disorder?

bitmoji551804739

Autists are highly strung individuals. Our brains move faster than 10 speeding trains as we process the world around us; so naturally, we have a greater capacity for worrying. Imagine you are in the car approaching a straight road- you would just drive straight on without much further thought right?

In the autistic mind, you’re thinking about future bends that may (or may never) pop up, the condition of the road, idiot drivers you may encounter, stray animals or pedestrians, road works and diversions. What if I get lost? What will I do about parking? What if I get caught behind a tractor (a legitimate reason for being late for anything in Ireland! ๐Ÿ˜› )?

What if this, what if that!

We over-analyse every single aspect of the most routine of ventures, twisting ourselves into anxious knots about an array of ‘what ifs‘ that may never come to pass.

621415c6C9yjMW

In my experience, social anxiety can be quite an issue. Most of the time, everything is hunky dory when I’m socializing- I listen, I engage, I laugh, no problem at all.

Buuuttt sometimes, if I’m in a particular group or struggling to get to grips with the topic of conversation, I feel so awkward that I start to get anxious.

“Am I talking enough? Am I saying the right things? Oh no that came out wrong! Aggggghhh!!!”

Annnnnd then I sort of slip back into my shell… ๐Ÿ˜›

giphy (6)

Most of the time, it won’t get much worse than this, but other times…I start to burn up, I can feel the sweats, my mind starts going into overdrive “Oh God everyone is staring!! They think I’m a saddo! What is wrong with me?”

My chest tightens up and it can be difficult to breathe.

Taking deep breaths usually helps to calm me down long enough to snap out of it…but sometimes it all starts to crumble in on top of you an then….

6ab77aef8ef6c487bda48f077d9d3aae.gif

MELTDOWN!!!! (^^^usually the flight instinct kicks in for me!)

Other times, anxiety has been known to wreak havoc with my digestive system. I once threw up on my own shoes from the stress of minding a drunken friend (who ironically did not get sick! ๐Ÿ˜› )

Image result for mean girls throwing up gif

But I did get some new shoes following my gastric excursions, and some entertaining stories out of it! ๐Ÿ˜› Oftentimes my anxiety incubates into productivity to force me to get things done so every anxious cloud has a silver lining! ๐Ÿ˜‰

So what does the scientific community make of our anxious antics?

Remember how I’ve discussed Alexithymia in previous posts (Discussion-Emotions and Empathy;ย Autism and Music)? Researchers believe that our struggles to correctly identify and understand our emotions (and those of others) to be one of the driving forces behind anxiety disorders in the autistic community. A desire for emotional acceptance and an intolerance for uncertainty are also considered key players in the anxiety debate.

In addition to this, a number of biological factors have been identified in the development of anxiety. Some people are thought to have a higher biological response to stress for example- something that is quite likely in the case of autism, as we are known to have higher levels of stress hormones.

Dysregulation of levels of certain neurotransmitters in the brain are also thought to contribute to anxiety such as GABA, dopamine, serotonin and adrenaline. As I’ve discussed in numerous posts- many of these bad boys are indeed dysregulated in the autistic brain. Changes inย activity levels within the amygdala or “fear centre” of the brain may also contribute to anxiety- and yes, you’ve guessed it! Similar changes in the amygdala have been linked to a number of autistic issues (skin sensitivity, sound sensitivity).ย 

So it all links back to a few simple physiological changes in our brain! ๐Ÿ™‚

Image result for awkward yeti brain anxiety

Hope you enjoyed this weeks post Earthlings! ๐Ÿ™‚

Have a wonderful weekend! ๐Ÿ˜€

Aoife

 

Repetitive Behaviours- Skin Picking

Greetings Earthlings! ๐Ÿ™‚

Today I’m going to give you an insight into a particular form of repetitive behaviour- skin picking.

Related image

Ok- I know it sounds disgusting, but it is common for those with autism! The statistics are limited, but as many as 14.8% of autists exhibit this type of behaviour.

Skin picking, also known asย neurotic excoriation or dermatotillomaniaย  (I really do like the sound of these terms! ๐Ÿ˜€ ), is characterized by excessive rubbing, scratching, digging,ย squeezing and gouging of healthy skin. In chronic cases, the urge to pick and scratch can lead to scarring, tissue damage and infection.

If I were you though I probably wouldn’t look the condition up…some of the pictures of these chronic cases are disgusting!

In my own experience, I have a mild tendency towards skin picking. I prod and poke at bites and burns, pick at cuts and scabs etc., but squeezing my skin would be my biggest issue- I find it so addictive and it can be quite hard to stop! I also have a particular tendency to press hard against injured skin, like pinching an infected finger or pressing a sore toe against a hard surface- for some odd reason I find it comforting! It hurts, but I feel better about the injury after doing it. I suppose it must link back to the calming sensation of deep pressure stimulation or something!

bitmoji551804739

Now before we call the men in the white coats, let’s see if there’s a physiological reason for all of this! ๐Ÿ˜›

Research suggests that the dopamine pathway may play a particular role in this behaviour.

Dopamine is involved in reward motivated behaviours in the brain. Drugs such as cocaine and methamphetamine activate dopamine, which is thought to contribute to the sensation of skin crawling and subsequent picking often experienced by addicts. So experts believe that dopamine dysfunction may be at play in this behaviour.

As I’ve discussed in other posts (sleep, ADHD, curiosity, inside the autistic brain etc.) dopamine is often dysregulated in the case of autism, so it stands to reason that this neurotransmitter may play an important role in skin picking behaviour in ASD’s.

Other experts point to a psychological reason for the behaviour as there is a strong link between skin picking and co-morbid psychiatric diseases. Skin picking is thought to act as a form of ย communication in times of stress in the case of autism and is believed by some to act as a sensory outlet for sensory stimulation and or soothing.

Furthermore, as I’ve previously discussed, we autists tend to have more sensitive skin than the average person, this too could influence our tendency towards picking and scratching our skin.

Ah- so I’m not crazy after all! ๐Ÿ˜‰

bitmoji-560727177.png

But is there anything we can do to manage it?

Dermatologists and physicians find this one particularly difficult to treat and often seek drug and behavioural interventions to counter skin picking.

For me personally, this is difficult to advise as the reasons for picking differ from person to person, annnnnnd I tend to indulge the behaviour rather than avoid it ๐Ÿ˜›

However, I have been making conscious attempts to reduce the frequency in recent years to help protect my skin, and to avoid looking like a weirdo in public! Don’t want people thinking I have fleas if I persistently keep scratching myself!

Image result for dog scratching gif

The best advice that I can give is to keep your hands busy- if they’re occupied, you won’t pick! Gaming and crafting I find can be useful to keep my hands from wandering ๐Ÿ™‚

So there we are Earthlings! ๐Ÿ™‚ Hope I didn’t disgust you all with this post! ๐Ÿ˜›

Enjoy the weekend everyone! ๐Ÿ™‚

Aoife

 

Blog at WordPress.com.

Up ↑