Worth Your Read: Where Do We Work?

https://www.houstonchronicle.com/news/health/article/500-000-teens-with-autism-will-become-adults-in-13338984.php

This is the thorny, dreaded question for both autistic people and parents of autistic people.  While the term \”boomerang generation\” has been applied to millennials as a whole, it\’s particularly apt when speaking of people with special needs.  \”Boomerang\” because we go out and try to manage adult life, but end up back at home with our parents.

There simply aren\’t enough jobs, and they don\’t pay enough to live on.  When you add in special needs and disabilities, the opportunities shrink even further.  How, then, are we supposed to take care of ourselves?  What happens to us when our parents are gone?

This question comes up a lot in the parent support meetings I attend every month, and it\’s one that has no simple answer.  The usual solution is to shoehorn the autistic person into manual labor (which pays abysmally, by the way), and hope we can keep the job.  Some people are happy doing that, and more power to them.  Personally, I was extremely unhappy doing manual labor, which deteriorated my emotional and mental stability until I finally quit.

The promise of higher education is that you pay your dues (tuition, which now usually ends in life-crippling debt), and then you get a job in your field afterwards to support yourself, and perhaps a family.  That was the route I tried to take.  Managing college can be extremely challenging for autistic people, between the loss of parental supports, the increased social challenges, and the increased workload.  Assuming you could manage the rising difficulty of juggling all of that, and your self-care and social skills were up to the task, it\’s supposed to be worth it.

The problem is that college no longer necessarily leads to a good job.  But it definitely leads to massive expenditures of money, and usually, debt.  So I, like many others, ended up with a college education, but no job to show for it.  I attempted to hold jobs related to my minor in college, but between the depression and the complete lack of understanding of my specific difficulties, I wasn\’t able to keep the jobs for very long.

Discouraged, I began looking for under-employment positions rather than lose my apartment.  Few of those were tolerable, and eventually, I stopped looking.  At present, I do consulting work, usually as an autistic advocate.  But the pay is not at all dependable, unfortunately, and my spouse\’s income pays for most of our expenses.

My story is fairly common, though much less heartbreaking than most.  So what\’s to be done?

Fortunately, autism is becoming better understood, and organizations are beginning to prioritize hiring people with disabilities.  Various local organizations offer \”find employment\” services, and those are often a good place to start.  Additionally, though, there are larger, nationwide or worldwide organizations that can help.  Here\’s a few:

https://specialisterneusa.com/
https://autismallianceofmichigan.org/employment/
http://www.easterseals.com/our-programs/employment-training/
http://www.autismsource.org/

The ideal success story is that the autistic person finds a good job that they love and which pays for their expenses (rent, food, some leisure, and support services).  This is what I tried for, and failed to manage.

In reality, success usually looks more like this: an autistic person finds a part time job they like or at least can manage.  They (or their parents) manage their hours carefully so they can continue to receive Supplemental Security Income, stay on Medicaid, and continue to receive support services through Medicaid.  They continue to live at home, or perhaps find a place in low-income housing. This is the success story I hear most from the parents at the parent autism support group.

This is not ideal, but it\’s better than what often happens: the autistic person languishes at home, becoming lethargic, depressed, and dispirited.  They rely on their parents to provide supports, do nothing worthwhile with their lives, and suffer because of it.  We can do better.  

Legwork and Life, week of 11/5/18

This is Legwork and Life, where I track the legwork and opportunities in my career as an autistic advocate, and also describe parts of my adult autistic life, including my perspectives on everyday problems and situations.

Hello from my house, where the cold weather has finally set in properly and the pond out back is starting to freeze in pretty patterns.  


I\’m pretty sure if I tried walking on this, my foot would immediately sink through.  Still looks nice!

It\’s taking longer to recover from the trip to CT than I was hoping.  I\’m not sure if that\’s a function of there being mold in the house somewhere, or the fact that I immediately tried to hop back into almost every weekly event, or what.  It\’s clearly not blameable on the algae outside, though.  I\’m kind of loathe to go on a witch-hunt through my house for mold, but if there\’s been a lesson in the last year or so, it\’s, \”Are you feeling bad suddenly?  It\’s probably mold or some kind of environmental factor!\”

Maybe my biggest issue with doing these mold hunts is that it\’s never really a simple question of \”well, best check the refrigerator.\”  It might be the refrigerator, of course.  It might be the shower (which did have mold in it when we bought it).  It might be the sump pump, which has standing water in it at all times (but I was told didn\’t have mold when they inspected it).  Or it might be something on the kitchen counter, because sometimes that just happens.  Other possible places include faulty window sealants, the air conditioning, and the carpet. 

It\’s overwhelming and frustrating to even consider, because I don\’t necessarily know what I\’m looking for, or even if I\’ll recognize it when I find it.  There are something like 100,000 different types of mold, some of them much more subtle than others.  When I\’m already feeling bad or foggy-headed, I\’m really not interested in taking on a project of that potential magnitude.  

In theory, I suppose this is where I should be calling in my spouse.  In practicality, doing that feels like I\’m bothering him and wasting his limited free time on what might well be a fruitless search.  So mainly, I just tough it out until I can\’t any more or the source is found accidentally.  (Why yes, this is very stupid and not at all advised, thanks for noticing!)

Reading the Research: Ketamine

Welcome back to Reading the Research, where I trawl the Internet to find noteworthy research on autism and related subjects, then discuss it in brief with bits from my own life, research, and observations.

Today\’s article both introduces a potential new treatment for depression and it managed to prick a personal pet peeve of mine.  Normally these kinds of articles just go into my Twitter feed, where I link to them and then snark for sentence or two before rolling my eyes and continuing on with my life.   However, today the article came with sufficiently good information regarding depression (which is comorbid with autism, and often plagues caregivers and parents of autistic people as well), that it didn\’t feel right to simply grump at it and then ignore it.  

All that said, meet ketamine.  Discovered in 1962, it\’s mainly used in anesthesia due to its tendency to provide pain relief while sedating the user into a trance-like state.  In more recent years, it\’s been found to be an effective and quick-acting treatment for major depression, bipolar disorder, and, as this article terms it, \”treatment-resistant depression.\”  

If the quotation marks and phrasing didn\’t make it really obvious, this is my pet peeve.  The US healthcare system is so enamored of its SSRIs (selective seratonin reuptake inhibitors) and its other drugs that it terms any depression that doesn\’t respond to them \”treatment-resistant.\”  As if there are literally no other treatments except for SSRIs.

You know what else treats depression?  Regular exercise, nutritious food (free of any allergens), supplements to make sure you\’re getting all the nutrition you need, and neurofeedback therapy.  Otherwise known as all the things I manage my own depression with.  But oh nooooo, those don\’t exist, if SSRIs don\’t help the person manage their depression it must be treatment-resistant!  Ugh.  Uuuuuuggggghhhhhh.

The quick-acting anti-depressant effects of ketamine were discovered in the year 2000.  It is now 2018 and we are only just now deciding to focus on this new lead, and pare down what kind of dosages work best?  If we\’d looked into this 15 years ago, how many lives could we have saved from suicide?  How many people could we have aided in fighting off the haze and pain of depression, so they could start to improve their lives?

But no, try all these SSRIs, one at a time over months and years of your life, and hope you find one that works.  Sorry about the nasty side-effects they usually come with.  And if you can\’t find one that works, your depression is \”treatment-resistant\” and everyone just shrugs and tells you that it sucks to be you.

Like I said, pet peeve.  Hopefully understandable pet peeve.

My intense frustration aside, this is a very basic intro study into dosages for ketamine.  While some studies have shown positive effects lasting as long as a month, this particular study only showed it for up to 5 days.  And it seems the dosage is very tricky still, with some people responding to very small dosages, and some requiring larger ones.  The article notes, \”each patient needs a tailored treatment plan,\” which is basically consistent with good therapy for any condition.

There is no single magic bullet cure for mental illnesses.  My own therapy plan has a lot of moving parts and requires a lot of work to keep up, but it\’s very worth it.  I don\’t anticipate ever needing ketamine, but I\’ve had a bout of major depression before, and I suppose it could happen again if my spouse died or something like that.  So I\’m glad to see some work is finally being done on this.

Even if ketamine never becomes a mainstream medication for treating depression, having it available for use in emergency rooms for severely depressed and suicidal patients would be a significant improvement over what we currently have.  I\’ll be keeping a hopeful eye out for further developments.